Results: 1323
Evaluation of a novel approach to community health care delivery in Ifanadiana District, Madagascar (2020)
Despite the widespread global adoption of community health (CH) systems, there are evidence gaps in how to best deliver community-based care aligned with global best practice in remote settings. PIVOT partnered with the Ministry of Public Health to pilot a new two-pronged approach for care delivery in rural Madagascar: oneRead more…
A Cluster-Randomized Trial to Test Sharing Histories as a Training Method for Community Health Workers in Peru (2020)
Community health workers (CHWs) are increasingly deployed to support adoption of healthy home practices in low- and middle-income countries. However, little is known about how best to train them for the capabilities and cultural competencies needed to support maternal health behavior change. The authors of this article tested a CHWRead more…
Community health workers in humanitarian settings: Scoping review (2020)
This article reviewed the existing evidence of community health workers (CHWs) role in humanitarian settings. The authors note that to achieve impact, policy makers and program implementers will have to address the bottlenecks to CHW service delivery common in stable low-income settings as well as the additional challenges unique toRead more…
The Lived Experiences of HIV+ Community Health Workers Serving HIV+ Clients (2016)
CHWs serving people living with HIV/AIDS contribute to healthy behaviors and better health outcomes; however, there is a gap in the literature regarding how the health of HIV + CHWs is impacted by their jobs. The author of this dissertation used a phenomenological design to gain insight into the livedRead more…
A microplanning model to improve door-to-door health service delivery: the case of Seasonal Malaria Chemoprevention in Sub-Saharan African villages (2020)
CHWs provide door-to-door treatment for children experiencing Malaria in Burkina Faso, but to reduce the spread of the disease CHWs must cover a wide geographic area . André Lin Ouédraogo and colleagues developed a microplanning model to help CHWs better plan how to provide treatment to their assigned region. ImplementationRead more…
The Effects of Community Home Visit and Peer Group Nutrition Intervention Delivery Platforms on Nutrition Outcomes in Low and Middle-Income Countries: A Systematic Review and Meta-Analysis (2020)
The best designed nutrition interventions fail without well-designed delivery systems, especially in low- and middle-income countries (LMIC). Amynah Janmohamed and colleagues reviewed research to understand the evidence related to designing delivery platforms for nutrition interventions in LMICs. CHW home visits emerged as a clear solution to improve dissemination of nutrition-relatedRead more…
An Emerging Model for Community Health Worker-Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia (2020)
CHWs reduce patient demand on primary care systems and decrease the cost of provision of care among those in rural and isolated areas. Richard Crespo and colleagues developed a training model to improve health outcomes among high-risk diabetes patients in rural Appalachia and then evaluated whether training improved diabetes managementRead 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)
As a first point of contact for family planning, Indian ASHA workers must ensure that women receive accurate information and care that is sensitive to and respectful of individual needs. Nadia Diamond-Smith and colleagues evaluated the extent to which training ASHA workers in “person-centered care” has impacts on family planningRead more…
Postnatal home visits by health extension workers in rural areas of Ethiopia: a cross-sectional study design (2020)
CHWs in low-income countries often provide postnatal care services in areas with limited access to formal health care. Yemane Tesfau and colleagues evaluated service area coverage and provision of care by CHWs in Ethiopia to assess health system needs. Health extension workers visited 15% of mothers within three days afterRead more…
Unintended consequences of programmatic changes to infant and young child feeding practices in Bangladesh (2020)
Infant and child mortality, morbidity, and developmental delays largely depend on the quality of feeding practices. Between 2014 and 2018, Bangladeshi NGO BRAC implemented Alive and Thrive, a program designed to improve CHW-led feeding practice education in Bangladesh. Md. Tariquujjaman and colleagues evaluated the impacts of this program on caregiverRead more…
The effectiveness of in-service training “pharmacopeia home health” based on Kirkpatrick’s model: A quasi-experimental study (2020)
CHWs in Iran seeking knowledge about medical care in the absence of physicians can refer to the “pharmacopia home health,” a training package designed for low-resource areas. Mahtab Firooznia and colleagues evaluated the effectiveness of this package in drug maintenance knowledge, awareness, and performance. The program enhanced knowledge and awarenessRead more…
Challenges and prospects for implementation of community health volunteers’ digital health solutions in Kenya: a qualitative study (2020)
Low-resource settings experience increased access to health interventions when they are able to adopt digital health technologies. Pauline Bakibinga and colleagues developed a mobile health app for Kenyan community health volunteers (CHVs) to digitize some of the forms used to collect data for local health facilities. Research evaluating the effectivenessRead more…
Quality of clinical assessment and management of sick children by Health Extension Workers in four regions of Ethiopia: A cross-sectional survey (2020)
Ethiopian primary health care usage for sick children is low, possibly due to poor perceptions about the quality of care in local settings. Dawit Wolde Daka and colleagues evaluated the quality of care among health extension workers for children under-five. Health extension workers failed to adhere to Community Case managementRead more…
Effect of home-based newborn care on neonatal and infant mortality: a cluster randomised trial in India (2020)
Neonatal mortality in rural areas can be reduced through home-based newborn care. Reeta Rasaily and colleagues examined the effectiveness of Shishu Rakshak (SR) and Anganwadi Workers (AWW) in India at reducing neonatal and infant mortality rates. Results indicated that risk of neonatal, early neonatal, young infant, and infant mortality decreasedRead more…
Evaluation of a novel community-based COVID-19 ‘Test-to-Care’ model for low-income populations (2020)
Andrew Kerkhoff and colleagues developed a “Test-to-Care” model to improve the ability of vulnerable populations to isolate and quarantine following a COVID-19 diagnosis. This model includes CHW-led education about COVID-19 and available community resources, ways to receive home deliveries to facilitate safe isolation, and long-term social support. The researchers evaluatedRead more…
Work environment factors and provider performance in health houses: a case study of a developing country (2020)
The way in which health facilities are built impacts the ability of CHWs to perform their roles as intended. Hasan Yusefzadeh and Bahram Nabilou evaluated characteristics of physical work environment factors in Urmia, Iran to understand their impacts on CHW performance. Technical and office equipment layout had the greatest impactsRead more…
Planetary health and the role of community health workers (2020)
CHWs can play a significant role in mitigating the impacts of biodiversity loss, climate change, and global noncommunicable diseases on health by providing culturally-relevant education and behavioral interventions. Manas Behera and colleagues performed a review of the literature to understand how CHWs impact these factors on a global scale. TheRead more…
Methadone Maintenance Treatment Decentralization in Vietnam (2020)
Commune health centers were inaugurated in 2015 in Vietnam to provide methadone maintenance treatment (MMT) for people experiencing both HIV and substance use disorders (SUDs). Diep Bich Nguyen evaluated challenges to provision of care experienced by CHWs working in commune health centers. Challenges often occurred as a result of stigmatizationRead more…
Using Community Health Workers and a Smartphone Application to Improve Diabetes Control in Rural Guatemala (2020)
CHWs in low- and middle-income countries frequently use mobile health (mHealth) technology to support diabetes management. Sean Duffy and colleagues evaluated whether or not mHealth applications could be used to provide CHWs with clinical decision support for primary diabetes management in Guatemala. Results indicated that CHWs effectively helped patients manageRead more…
How COVID-19 Has Affected Frontline Workers in Brazil: A Comparative Analysis of Nurses and Community Health Workers (2020)
Faced with the COVID-19 pandemic, frontline workers addressed emergency situations by applying their own discretion and utilizing whichever tools were available to support their goals. Gabriela Lotta and colleagues evaluated how decisions made by CHWs were influenced by the early stages of the pandemic between March and July in Brazil.Read more…
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