Results: 1865
Task shifting and community engagement as the keys to increasing access to modern contraception: Findings from mixed methods operational research in coastal Kenya (2023)
This study examined the effect of the Riziki Demonstration Project on contraceptive service provision and identified drivers of the intervention’s success in increasing public sector contraceptive uptake. Findings demonstrate the potential for task sharing combined with community engagement efforts to improve contraceptive awareness, knowledge and supply. Community engagement should includeRead more…
Community Health Workers: what do international studies tell us? (2023)
This review provides a comparative overview of CHW program implementation, expansion and reconfiguration for program managers and decision makers. Out of the 38 countries reviewed, only two ensured higher education for CHWs. Most countries do not guarantee adequate training and the majority of CHW work is carried out byRead more…
Community Health Workers as Vaccinators: A Rapid Review of the Global Landscape, 2000-2021 (2023)
This rapid review of scanned peer reviewed literature from 3 databases, gray literature identified through web searches, and resources suggested by CHW subject matter experts. It identifies countries where CHWs administer vaccines and synthesizes health systems factors that may contribute or detract from the feasibility of CHW administering vaccines. TheRead more…
Sustainability of a 12-month lifestyle intervention delivered by community health workers in reducing blood pressure in Nepal: 5-year follow-up of the COBIN open-label, cluster randomised trial (2023)
This study aimed to investigate sustainable blood pressure reduction through a 12-month lifestyle intervention led by CHWs in Nepal. Results show that from baseline to 60 months, the mean systolic blood pressure increased by 10·4 mm Hg in the intervention group and 6·0 mm Hg (4·6–7·5) in the control group.Read more…
Implementing community-based health program in conflict settings: documenting experiences from the Central African Republic and South Sudan (2023)
This study explored the feasibility, barriers, and strategies for context-specific agile programming in armed conflict affected settings through community-based health services in the Central African Republic and South Sudan. Community engagement, collaboration and negotiating safe passage; comprehensive delivery of services; and continued training were key strategies identified for agile programmingRead more…
Heart 2 Heart: Pilot Study of a Church-Based Community Health Worker Intervention for African Americans with Hypertension (2023)
This study explores the implications of a church-based community health worker (CHW) intervention to reduce blood pressure among African Americans. Interventions included support and strategies to improve diet and medication adherence. Results from the study included a mean change in systolic blood pressure of -5 mm/Hg, an increase in medicationRead more…
Starting at the community: Treatment-seeking pathways of children with suspected severe malaria in Uganda (2023)
While CHWs are key in identifying malaria cases, skilled clinical care is needed for children under five years of age with severe malaria. This study aimed to identify post-referral treatment-seeking pathways for appropriate antimalarial treatment in children less than five years with suspected severe malaria. Results showed that 96% visitedRead more…
A framework for community health worker optimisation in conflict settings: prerequisites and possibilities from Northwest Syria (2023)
This study aimed to identify and assess factors for optimal CHW programmes in conflict settings, specifically Northwest Syria. The authors assert that, to be effective, CHW programs in conflict settings need to respond to contextual factors.They conclude that while the dynamics of humanitarian funding restrictions, health system capacity and governanceRead more…
Management of children with danger signs in integrated community case management care in rural southwestern Uganda (2014-2018) (2023)
This study investigated the CHW management of danger signs for severe illness implementing integrated community case management (iCCM) in a rural context in Uganda. Of the children that had been recorded as having a danger sign, 78% were referred by the CHWs as per the iCCM protocol. CHWs play aRead more…
mHealth Intervention for Promoting Hypertension Self-management Among African American Patients Receiving Care at a Community Health Center: Formative Evaluation of the FAITH! Hypertension App ()
This study aimed to assess the feasibility of integrating an innovative mHealth intervention into clinical and community settings to improve blood pressure (BP) control among African American patients. Results included a decrease in the mean systolic and diastolic BPs of the 7 patients by 6.5 mm Hg (P=.15) and 2.8Read more…
Improving outcomes for children with malaria, diarrhoea and pneumonia in Mozambique: A cluster randomised controlled trial of the inSCALE technology innovation (2023)
This cluster randomized controlled trial evaluated a technology-based (mHealth) intervention package called Innovations At Scale For Community Access and Lasting Effects. The package supports integrated community case management programs using CHWsto increase treatment coverage for children with malaria, diarrhea, and pneumonia (MDP). Results showed an MDP prevalence of 53.5% inRead more…
Improvement of community health worker counseling skills through early childhood development (ECD) videos, supervision and mentorship: A mixed methods pre-post evaluation from Tanzania (2023)
This study evaluated an early childhood development (ECD) project in Tanzania, assessing the effect of mobile video use, supervision and mentorship to improve the quality of CHW counseling skills. Post intervention, two-thirds of caregivers reported that the father’s involvement with their child increased due to CHW visits. Male participation inRead more…
Maternal Postpartum Depression Screening and Referral in a Latinx Immigrant Population: A Quality Improvement Study (2023)
This study explored how a quality improvement project improves rates of screening and referrals with postpartum Latinx immigrant mothers. CHWs were designated to assist with postpartum depression (PPD) screening and referral for behavioral health services. Results demonstrated a 21% increase in screening of eligible postpartum mothers and referral rates toRead more…
Evaluation of the Community Health Worker Model for COVID-19 Response and Recovery (2023)
This study explored the role of CHWs in COVID-19 response, recovery, and rebuilding and the importance, needs, and perils of CHW models. The ¡Andale! ¿Que Esperas? (AQE) vaccination campaign invested in the CHW workforce in California, expanding access to and instilling confidence in COVID-19 vaccines among Latinx communities.The results highlightRead more…
Community-based diabetes prevention randomized controlled trial in refugees with depression: effects on metabolic outcomes and depression (2023)
This study investigated the impact of three CHW interventions for diabetes prevention among Cambodian-Americans with depression. Results found that compared to the other interventions, patients participating in the “Eat, Walk, Sleep” and medication therapy management sessions with CHW-pharmacist teams showed a significant decrease in hemoglobin A1C (HbA1c) and a trend forRead more…
Understanding community health workers’ activities in a community-based child health promotion project in Kyrgyzstan (2023)
This study investigated CHW activities in Kyrgyzstan migrant villages and their impact on individuals and communities. Through a mixed method design, researchers analyzed CHW activities through descriptive statistics and thematic qualitative analysis. Results showed that after home visits, CHWs reported a sense of increased autonomy, confidence in resource mobilization, greaterRead more…
Economic evaluation of a community health worker model for tuberculosis care in Ho Chi Minh City, Viet Nam: a mixed-methods Social Return on Investment Analysis (2023)
CHWs play an important role in TB case finding. This study investigated the benefits and return on investment of a CHW model for finding active TB cases. Using the social return on investment methodology. The study found a return of US$36.08 for each dollar invested in the CHW model.
Leveraging community health workers as vaccinators: a case study exploring the role of Malawi’s Health Surveillance Assistants in delivering routine immunization services (2023)
This study highlighted the operational and programmatic characteristics of a functional CHW-led routine immunization program. It included interviews with Health Surveillance Assistants (HSAs), HSA supervisors, ministry of health officials, and community members in Malawi. Results from the case study showed HSAs as a high-functioning vaccination cadre, skilled and dedicated toRead more…
Training and experience outperform literacy and formal education as predictors of community health worker knowledge and performance, results from Rongo sub-county, Kenya. (2023)
This study investigated the predictors of CHW knowledge of obstetric and early infant danger signs as well as performance in achieving antenatal care and immunization uptake among their clients. The study found that recency of training and experience were associated with improved CHW knowledge and performance. Clients of CHWs trainedRead more…
Recruitment and selection of community health workers in Iran; a thematic analysis. (2023)
The study aimed to investigate the views of different stakeholders regarding the selection criteria and competency of CHWs in Iran. Thematic analysis identified three themes: “criteria for employing competent people”, “barriers to employing competent people”, and “identifying the barriers to employing competent people”. The authors recommend that the selection andRead more…
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