Results: 1537
Laboring With the Heart: Promotoras’ Transformations, Professional Challenges, and Relationships With Communities (2021)
This study engaged with promotores de salud in LA county to understand the Latinx health promotion work they perform. Through qualitative interviews, the study determined that promotores have unique insight on the community they serve but struggle to find opportunities for professional growth. The study recommends strengthening community-based capacity forRead more…
Community Health Workers at the Dawn of a New Era 8. Incentives and remuneration (2021)
Incentives and remuneration are core issues that affect the performance of individual CHWs and of CHW programs. This paper details case study data about CHW compensation and incentives in 29 national CHW programmes, describing the range and types of incentives offered to CHWs and the underlying factors affecting CHW motivationRead more…
Community health workers at the dawn of a new era: 2. Planning, coordination, and partnerships. (2021)
Community health worker (CHW) programs are often hindered by weak health systems, poor planning, lack of coordination, and failed partnerships. Through key consultations with government leaders and other public health experts, and a non-comprehensive literature review, this paper determined that CHW interventions should be integrated into formal health systems and,Read more…
A Community Health Worker–Led Multicomponent Program to Promote Cervical Cancer Screening in South Asian Women: A Cluster RCT (2021)
South Asian women in Hong Kong have low cervical cancer screening uptake because of multiple barriers to utilizing health services. This study evaluates the effects of a community health worker−led intervention on improving cervical cancer screening uptake in this population. The study population received a 3 month intervention from CHWsRead more…
Community- based maternal and newborn interventions in Africa: Systematic review (2021)
Most neonatal deaths occur in low- and middle-income countries (LMIC), particularly in Sub-saharan Africa. CHWs often encourage delivery in healthcare facilities and ensure timely referral of mothers and newborns. Through a systematic review, the authors of this paper found that the main components of the antenatal, delivery and postnatal careRead more…
Determinants of quality in home-based management of malaria by community health volunteers in rural Kenya. (2021)
Trained community health volunteers (CHVs) provide community case management of malaria (CCMM) in rural Kenya, but information on the quality of services is limited. Through a cross-sectional survey, this study found that 62% of CHVs offered quality services for malaria management. The study found a direct association between quality ofRead more…
Exploring community health worker roles, support, and experiences in the context of the COVID-19 pandemic in Haiti (2021)
In Haiti, CHWs, called “agents de santé communautaire polyvalent” (ASCPs), are the primary deliverers of health information and services, especially during the COVID-19 pandemic. This brief highlights the demographics, services provided, and challenges ASCPs faced during the early stages of the COVID-19 pandemic. It finds that ASCPs continued providing healthRead more…
Opportunities for and Perceptions of Integrating Community Health Workers Via the Affordable Care Act: Medicaid Health Homes (2022)
Medicaid Health Homes (MHHs) are an innovative way to engage CHWs, seeking to improve patients’ health by providing care coordination for chronic conditions via virtual health care networks for states with expanded Medicaid access. Through qualitative interviews, this study aimed to understand the perceptions of MHH administrators regarding CHW engagementRead more…
Innovative COVID-19 Programs to Rapidly Serve New Mexico: Project ECHO (2020)
This case study evaluated Project ECHO (Extension for Community Healthcare Outcomes), a telemonitoring program connecting healthcare providers with subject experts. In March 2020, Project ECHO created 10 COVID-19 telemonitoring programs to address public health needs of rural/underserved areas. By evaluating these programs and the sessions provided, this paper demonstrated howRead more…
Community health workers at the dawn of a new era: 1. Introduction: Tensions confronting large-scale CHW programme (2021)
CHW programs are receiving more attention globally, but face numerous challenges, particularly in low and middle-income countries. Based on case studies and previous literature, this review outlines how to design and implement large scale CHW programs. The review also highlights five potential challenges in implementing large-scale CHW programs.
Community health workers at the dawn of a new era: 6. Recruitment, training, and continuing education (2021)
CHWs are providing an increasing range of care, managing more complex health issues, collaborating more closely with other health workers and the communities without explicitly defined roles. This paper explores key themes of (1) professionalism, (2) quality and performance, and (3) scaling up for training of CHWs in response toRead more…
Barriers to the utilization of community-based child and newborn health services in Ethiopia: a scoping review (2021)
This review examined existing literature to understand the barriers of utilization of health extension workers (HEW) services in Ethiopia and to identify potentially effective interventions to increase service utilization for children ages 0-5 yrs. Papers from 2010 to 2021 were screened with the inclusion/exclusion criteria and categorized by the followingRead more…
Bridging the Gap Between Resources and Marginalized Families (2021)
To address educational gaps for people with historically marginalized backgrounds, schools have been working to provide supporting resources by incorporating community health and education workers (CHEWs) trained in cultural humility, emotional intelligence, community organizing, and school district standards. They served as liaisons between families, resources, and schools, providing health andRead more…
An exploratory study of the barriers and facilitators to the implementation of community health worker programmes in conflict-affected South Sudan. (2021)
This study explored the characteristics, barriers, and facilitators to the implementation of CHW interventions in South Sudan between 2011 and 2019 through key informant interviews of CHWs. The findings in the study provide insight on the factors influencing CHW programs, and also inform on the contextual and health system relatedRead more…
Assessing Village Health Workers’ Ability to Perform and Interpret Rapid Diagnostic Tests for Malaria 4 Years after Initial Training: A Cross-Sectional Study (2020)
Village health workers (VHWs) in Bugoye, Uganda, provide integrated community case management (iCCM) care to children under 5 for malaria, pneumonia, and diarrhea. This study assessed the longevity of VHWs’ skills in performing and reading malaria rapid diagnostic tests (RDTs) comparing VHWs who had completed initial iCCM training 1 yearRead more…
Barriers to the utilization of community-based child and newborn health services in Ethiopia: a scoping review (2021)
The Ethiopian Federal Ministry of Health and partners have scaled up integrated community case management (iCCM) and community-based newborn care allowing health extension workers (HEWs) to manage the major causes of child and newborn death at the community level. This study aimed to assess barriers to the utilization of HEWRead more…
New England State of the Evidence 2021 (2022)
CHW Central annually collects and records resources related to CHWs, their work, training, and effectiveness. To help CHWs and other stakeholders keep track of this information and how the field is evolving, CHW Central publishes a brief state of the evidence. The “New England State of the Evidence” focuses primarilyRead more…
State of the Evidence 2021 (2022)
Every year, CHW Central collects and makes available in our resource database as many resources related to CHWs—articles, gray literature, tools—as we can find. In 2021, we found 442 resources. That’s a lot of information—far too much for most program managers, CHWs, or researchers to go through. To make theRead more…
State of the Evidence 2021- Appendix (2022)
The State of the Evidence report was created by conducting a title/keyword search in six electronic databases for both peer-reviewed and gray literature: Medline (PubMed), Google Scholar, MedNar, Cochrane Database of Systematic Reviews, World Wide Science, and WHO Global Index Medicus. Our completed search returned a total of 1,130 results, ofRead more…
Does integrated community case management (iCCM) target health inequities and treatment delays? Evidence from an analysis of Demographic and Health Surveys data from 21 countries in the period 2010 to 2018 (2021)
Integrated community case management (iCCM) improves access for hard-to-reach populations by deploying CHWs to deliver essential treatment for children. This study reviewed demographic and health survey data from 21 countries over 9 years to evaluate iCCM programs. The study determined that iCCM can address treatment delays and target underserved populations.
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