Results: 1344
Promoting the Health of the Community: Community Health Workers Describing Their Roles, Competencies, and Practice (2021)
Despite their fast paced growth and increasing utilization, there is still a lack of community health worker (CHW) training programs, certification and credentialing by state agencies. CHW views and inputs on their roles are also lacking in policy development and in the literature. This book seeks to fill this gapRead more…
Promoting Gender Responsive Policies and Programmes for Community Health Workers: a Gender Analysis Framework (2021)
Informal occupational roles with the lowest pay and the least power have been dominated by women. Recent findings from Afghanistan showed that male CHWs were praised for their volunteer work while female CHWs doing similar work were not praised as their efforts were viewed “expected” (Najafizada et al. 2019). COVID-19Read more…
“Contract to Volunteer”: South African Community Health Worker Mobilization for Better Labor Protection (2018)
This article explores the growing movement for labor rights for South African community health workers (CHWs). It tracks the emergence of sporadic mobilizations for decent work (supported by local health activist organizations) and the formation of the National Union of Care Workers of South Africa (NUCWOSA) in 2016. The authorsRead more…
Impact of Different Levels of Supervision on the Recovery of Severely Malnourished Children Treated by Community Health Workers in Mali (2021)
The Ministry of Health in Mali included the treatment of severe acute malnutrition (SAM) into integrated community case management activities. This prospective non-randomized community intervention study conducted in Kayes Region of Mali, evaluated two supervision models for treating SAM using community health workers (CHWs). Ultimately, some supervision for CHWs treatingRead more…
Tracking Weight-for-Age of Infants Using Home Based Newborn Care Plus by ASHA Workers (2021)
Child malnutrition remains a serious global concern. The authors of this study investigate whether frequent home health visits by a CHW in the first year of a child’s life improve the nutritional status of children. The study found statistically significant benefits to frequent home health visits by a CHW withinRead more…
Instructive roles and supportive relationships: client perspectives of their engagement with community health workers in a rural south African home visiting program (2021)
Community health worker (CHW) programs have been positioned to meet the needs of marginalized populations with inequitable access to health care. With increased technical focus on CHW work, the value of CHWs in building relationships with clients tends to be overlooked. More importantly, these programs are often reframed and redeployedRead more…
Community-Based Interventions to Reduce Child Stunting in Rural Guatemala: A Quality Improvement Model (2021)
Despite efforts to increase access to evidence-based nutrition interventions, cases of chronic child malnutrition (stunting) in rural Guatemala are among the highest in the world. The writers of this study examine a community-based quality improvement intervention in a region with a high rate of stunting. The addition of structured performanceRead more…
Can Community Health Workers Increase Palliative Care Use for African American Patients? A Pilot Study (2021)
African American patients with cancer underutilize advance care planning (ACP) and palliative care (PC). This feasibility study investigated whether community health workers (CHWs) could improve ACP and PC utilization for African American patients with advanced cancer. It determined that utilization of CHWs to address PC domains and social determinants ofRead more…
Community health worker models in South Africa: a qualitative study on policy implementation of the 2018/19 revised framework (2020)
CHWs in South Africa have long formed a bridge between communities and health facilities as the cornerstone of South Africa’s ward-based primary healthcare outreach teams. This study documents CHW policy implementation and adoption across six provinces to identify potential barriers and facilitators to implementation and help guide and inform futureRead more…
Webinar- Enhancing Community Health Research By Engaging Community Health Workers (2021)
This webinar presents experiences and research findings on the role of CHWs as research partners. Sharing evidence from North American and African contexts, it outlines the ways CHWs have been involved in research. Through case examples from Uganda and Liberia, the webinar provides examples and recommendations for engaging CHWs asRead more…
Community health workers’ involvement in the prevention and control of non-communicable diseases in Wakiso District, Uganda (2021)
This study assessed the involvement of Community Health Workers in the prevention and control of non-communicable diseases in the Wakiso District, Uganda. Research focused on the current knowledge, attitudes and practices of CHWs as well as community perceptions. The study found that despite CHWs having some knowledge on NCDs andRead more…
Feasibility of establishing a network of community health workers to support care of people with sickle cell disease in Kumasi, Ghana (2021)
Sickle cell disease (SCD) remains a common, yet highly neglected, non-communicable disease. This study assessed the interest in and feasibility of establishing a network of CHWs to support care of people with SCD in Kumasi, Ghana. Using qualitative research methods, researchers assessed three primary themes from the data: (1) supportRead more…
Equipping community health workers with digital tools for pandemic response in LMICs (2021)
Keeping CHWs safe and informed as they are deployed in pandemic response needs to be a top priority at the community level. With restrictions around movement and PPE shortages, equipping CHWs with the digital technology they need to ensure a safe and effective pandemic response can prove to be aRead more…
Community health workers’ attitudes, practices and perceptions towards the COVID-19 pandemic in Brazilian low-income communities (2021)
Community Health Workers (CHW) are a category of social workers described in many countries’ health systems as responsible for engaging people in their residences and communities, and other non-clinical spaces to enable access to health services, especially in low-income areas. The pandemic imposes unexpected challenges on the usual modes ofRead more…
Interplaying role of healthcare activist and homemaker: a mixed-methods exploration of the workload of community health workers (Accredited Social Health Activists) in India (2021)
In India, CHWs, also known as Accredited Social Health Activists (ASHAs), have been deployed since 2005. By engaging them in various healthcare delivery models, they have become essential to providing population- specific and community healthcare. This study explores the current workload of ASHAs and how to further utilize them inRead more…
From village health volunteers to paid care givers: the optimal mix for a multidisciplinary home health care workforce in rural Thailand (2021)
Thailand’s population is aging. Given a shortage of healthcare workers in rural areas, a barrier between the delivery of adequate home health care services to the eldery exists. Research from this article suggests that a cross-trained multidisciplinary health team composed of CHWs and community caregivers could improve the delivery ofRead more…
What mechanisms drive uptake of family planning when integrated with childhood immunisation in Ethiopia? A realist evaluation (2021)
Maternal and child health are key priorities of the Sustainable Development Goals. Two components of maternal and child health are family planning (FP) and immunization. This study shares findings on how CHWs are providing integrated services that can increase the uptake of vaccines and modern contraceptive methods.
Promoting Community Health Worker Leadership in Policy Development: Results from a Louisiana Workforce Study (2020)
In 2019, the Louisiana legislature created the CHW Workforce Study Committee (Committee) to study the workforce and provide the state with policy recommendations. The Committee engaged CHWS, their employers and an academic team to collect qualitative data on the experiences of CHWs and employers statewide. Findings suggest a need forRead more…
Effects of a community health worker delivered intervention on maternal depressive symptoms in rural Tanzania (2020)
Maternal depression affects one in four women in sub-Saharan Africa, yet evidence on effective and scalable interventions is limited. The authors evaluate the effect of a community health worker (CHW) delivered home visit responsive stimulation, health and nutrition intervention, and conditional cash transfers (CCTs) for antenatal care and child growthRead more…
A mixed-methods evaluation of the impact of a person-centered family planning intervention for community health workers on family planning outcomes in India (2020)
Person-centered decision making for family planning care has been gaining increased attention, yet few interventions have measured associations between person-centered quality for family planning and family planning outcomes (uptake, continuation, etc.). In India, the first point of contact for family planning is often the community health care worker, in thisRead more…
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