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Developing a Sustainable Community Health Workforce in Arkansas (2025)

This article outlines how Arkansas developed its community health worker (CHW) programs to address health disparities, especially in rural areas. It covers CHW training, certification, apprenticeships, and upskilling opportunities, as well as both successful and failed policy efforts. The experience highlights how collaboration between healthcare organizations, communities, and public healthRead more…

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What Will It Cost? A New Costing Matrix for Community Health Worker Programs (2025)

This study developed a tool to help plan and budget for community health worker (CHW) programs. Piloted in Bangladesh and South Sudan, the tool identified funding gaps in recruitment, training, supervision, and support. Filling these gaps would cost a small portion of each country’s health budget. The matrix offers aRead more…

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Multidimensional motivation scale for community health workers: Psychometric properties and validation in a Turkish population (2025)

This study adapted and tested a motivation scale for community health workers in Turkey. The 21-item scale measures four areas: supervision quality, feeling valued, peer support, and workload/compensation. Analyses showed the scale is reliable, consistent over time, and fits well statistically. It can be used to assess the motivation ofRead more…

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Training of Community Health Workers through a Simplified CPR Program (2025)

This study tested a simplified CPR training for community health workers. Before training, most participants had low CPR knowledge and few felt confident performing it. After the training, knowledge, confidence, willingness, and understanding of CPR’s importance all improved significantly. Simplified CPR training could help CHWs respond better to heart emergenciesRead more…

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Exploring Community Roles in Managing Childhood Illnesses in Vhembe District, Limpopo: Perspectives from Nurses and Caregivers (2025)

This study looked at how communities support the Integrated Management of Childhood Illness (IMCI) program in sub-Saharan Africa. Community health workers play a key role in promoting health, assessing children, and doing follow-up visits, supported by educators and local leaders. Mobile health teams help deliver services, but limited transport andRead more…

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Can a visual self-learning tool improve immunisation awareness? Evidence from a quasi-experimental pilot study in Madhya Pradesh, India (2025)

This study tested a visual tool called the Routine Immunisation Wheel in Madhya Pradesh, India, to help caregivers and frontline workers keep track of childhood vaccinations. Caregivers in the districts using the tool showed better knowledge of vaccination schedules, benefits, and session locations. Health workers also found it useful forRead more…

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Identifying context-specific drivers of routine childhood immunisation dropout in Mozambique and Malawi: a secondary thematic analysis of qualitative community-based participatory research data (2025)

This study explored why children in Mozambique and Malawi miss routine vaccinations. Key challenges included limited vaccine information, stockouts, negative interactions with health workers, pandemic disruptions, and mothers’ heavy caregiving burdens. Differences between countries involved the workforce, vaccine systems, record-keeping, and outreach methods. Solutions focused on better communication and educationRead more…

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Understanding the drivers of effective supportive supervision: a realist evaluation of community health worker programs in Madhya Pradesh, India (2025)

This study looked at how supportive supervision for community health workers (CHWs) is carried out in rural India. Observations showed that challenges like poor transport, heavy administrative work, and limited resources make supervision difficult, especially in remote areas. Supervisors who use structured tools and a collaborative leadership style help CHWsRead more…

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Long-term cost-effectiveness of a mobile health intervention delivered by clinical pharmacists and community health workers for type 2 diabetes management in urban African American and Latinx populations (2025)

This study evaluated a team-based mobile health program (mDAS) for diabetes support among urban African American and Latinx patients. The program, involving pharmacists and community health workers, improved health outcomes and reduced healthcare costs compared to usual care. Over time, participants gained more quality-adjusted life years and the health systemRead more…

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Bridging the gap between community health workers’ digital health acceptance and actual usage in Uganda: Exploring key external factors based on technology acceptance model (2025)

This study looked at how community health workers (CHWs) use digital health tools. While CHWs were willing and interested in using these tools, actual usage was low, mainly because many lacked access to smartphones. The findings show that simply introducing digital tools isn’t enough. Improving access to devices and infrastructureRead more…

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Improving Sierra Leone’s skilled health-worker-to-population ratio: how unsalaried and auxiliary health workers are barriers in its path to universal health coverage (2025)

This study looked at efforts to expand Sierra Leone’s skilled health workforce. While training for nurses has increased dramatically in recent years, many health workers still work as unpaid volunteers, waiting for paid positions. Limited government funding makes it hard to hire both new graduates and long-serving volunteers. The studyRead more…

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Integrating dementia care into primary health services: lay health workers with internal facilitation in Uganda (2025)

This study explored whether community-based dementia care could be delivered in rural Uganda using lay health workers (LHWs) supported by Health Assistants. LHWs were willing to help but needed more training, clear referral pathways, and job aids. Health Assistants were seen as trusted supervisors who could provide guidance and feedback.Read more…

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Frontline workers in India’s tuberculosis (TB) elimination efforts: a street-level bureaucracy perspective (2025)

This study explored the challenges faced by frontline workers in India’s TB program. Interviews with workers in Mumbai revealed heavy workloads, limited training, and poor resources made their work difficult. Leadership style played a key role: supportive, transformational leaders motivated workers, while transactional supervision led to dissatisfaction. Improving working conditions,Read more…

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Coverage and influencing factors of influenza vaccination among community healthcare workers in Shanghai, 2023-2024 (2025)

This study looked at flu vaccination among community health workers in Shanghai. Only 19% were vaccinated in 2023–2024, with nurses having the highest coverage and clinicians the lowest. Factors like age, education, job role, and income affected vaccination. Common reasons for not getting vaccinated included fear of side effects, feelingRead more…

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Understanding the role and organization of health workers delivering non-communicable disease management in primary care in low- and middle-income countries: a scoping review (2025)

This study reviewed how health workers help manage chronic diseases in low- and middle-income countries. Most studies highlighted the use of teams made up of doctors, nurses, and community health workers. Better care can be achieved by sharing tasks within these teams, allowing nurses and community health workers to takeRead more…

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Proactive Community Case Management to improve care seeking for febrile illness in Sierra Leone: A community randomized controlled trial (2025)

This study tested whether proactive community-based care could improve how quickly families seek treatment for children with fever in rural Sierra Leone. Communities that received proactive visits from community health workers were more likely to seek care promptly, especially in hard-to-reach areas. Families in these communities also had more trustRead more…

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Connecting with community in a public health emergency: a pilot project example for local public health and the communities they serve (2025)

This study tested a simple tool to help community health workers support families during the COVID-19 pandemic. The tool guided CHWs on how to talk with families about COVID-19, answer concerns, encourage safe practices and vaccination, and connect people to needed services. CHWs found the tool useful and easy toRead more…

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Leading from behind the scenes: Community birth attendants, the unsung heroines of childhood vaccination in Ibadan urban slum communities (2025)

This study looked at how community birth attendants in urban slums of Ibadan, Nigeria support infant vaccination. The findings showed that CBAs understand the importance of vaccines and know the main birth vaccines, though some were unsure about vaccination schedules. They help by educating families, encouraging clinic visits, reminding mothersRead more…

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Effects of Financial Compensation Structures on Community Health Worker Performance, Motivation, and Retention: Evidence from a Multi-Arm Quasi-Experiment in Uganda (2025)

This study in Uganda tested different ways of paying community health workers to see what works best. Over nine months, CHWs were given different mixes of fixed pay and performance-based bonuses. The results showed that a balance of steady pay with some performance incentives led to better service delivery, higherRead more…

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Exploring barriers and opportunities for formally integrating a compensated community health worker program to manage hypertension into the healthcare system in Puno, Peru. (2025)

This study looked at whether community health workers could be included in hypertension care in Peru’s public health system. Interviews with health workers and health managers showed that CHWs are not formally recognized, trained, or paid for this work, which makes it hard to scale their role. Participants said thatRead more…

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