Results: 3217
Home visits by community health workers in rural South Africa have a limited, but important impact on maternal and child health in the first two years of life (2020)
Generalist CHWs were integrated into the South African health care system in 2011 to support limited availability of primary health care providers. Areas particularly needing support included rural communities struggling to address maternal and child health needs. Linnea Stansert Katzen and her colleagues followed 313 mothers in two rural SouthRead more…
Positionality of Community Health Workers on Health Intervention Research Teams: A Scoping Review (2020)
Even the most effective solutions will fail if they do not align with the experiences, interests, and beliefs of the communities they are designed to help. As people who are intimately involved within their communities, CHWs represent a group with the knowledge and insight to help researchers tailor projects toRead more…
Community Health Workers as Influential Health System Actors and not “Just Another Pair Of Hands” (2020)
CHWs across the world have mixed status, with some feeling appreciated as important contributors to their community and others feeling used and undervalued by more advanced health professionals. Sumit Kane and his colleagues surveyed CHWs in India to better understand their lived experiences. Many CHWs described initially feeling as ifRead more…
Community health worker interventions to promote psychosocial outcomes among people living with HIV– A systematic review (2018)
Some CHWs learn how to help people experiencing HIV and AIDS reframe their thinking about the disease to reduce depression, improve quality of life, and engage in treatment. Hae-Ra Han and her colleagues gathered available research about whether different types of training contribute to positive changes in HIV- and AIDS-relatedRead more…
Financing Alliance for Health Country Case Study: Ghana (2020)
Financing Alliance for Health has produced a series of country case studies providing robust information on community health system profiles, taking a financing lens. Each case study includes insights on community health system context, structure and lessons on financing. Ghana’s national CHW program began with field experiments in Navrongo andRead more…
Financing Alliance for Health Country Case Study: Kenya (2020)
Financing Alliance for Health has produced a series of country case studies providing robust information on community health system profiles, taking a financing lens. Each case study includes insights on community health system context, structure and lessons on financing. Kenya’s community health program was introduced in 2006 and has undergoneRead more…
Financing Alliance for Health Financing Curriculum (2020)
This presentation slide deck provides an overview of six key steps for financing a community health system: aligning political will to policy costing creating a “case” engaging funders building a gap analysis identifying new sources
Financing Alliance for Health Community Health Financing Compendium (2017)
Developed by Financing Alliance for Health, this compendium aims to support governments, i.e., ministries of health and finance, with information as they assess how to finance community health systems. More and more governments are formalizing their community health systems in Africa Financing is a critical enabler of these efforts; healthRead more…
The community health worker as service extender, cultural broker and social change agent: A critical interpretive synthesis of roles, intent, an accountability (2020)
CHWs connect the communities in which they live and the health systems in which they are immersed. Marta Schaaf and her colleagues identified the three main roles of CHWs in bridging this gap: the service extender (bringing medical services to the people), the cultural broker (interpreting medical services for theRead more…
Community Health Worker employer survey: Perspectives on CHW workforce development in the midwest (2018)
US states increasingly seek to enact CHW workforce development programs to provide frontline support for community health, but limited guidelines offer consensus about how to develop and implement these programs. Virginia Chaidez, Angela Palmer-Wackerly, and Kate Trout surveyed CHW employers in Nebraska to inform Nebraskan CHW workforce development. Based onRead more…
Task sharing in health workforce: An overview of community health worker programmes in Afghanistan, Egypt and Pakistan (2018)
People living in WHO Eastern Mediterranean Region countries rely on CHW programs to receive health support. Rachel Folz and Moazzam Ali examined the available evidence on three CHW programs across Egypt, Pakistan, and Afghanistan to understand how to scale up or develop CHW programs in the region. Results underscore theRead more…
Effect of a Community Health Worker-led multicomponent intervention on blood pressure control in low-income patients in Argentina: A randomized clinical trial (2017)
Patients in low- and middle-income countries often experience challenges controlling hypertension-related blood pressure. Jiang He and his team examined whether a CHW-led Hypertension Control Program in Argentina could be an effective tool to help patients improve hypertension control. Results indicated that this lifestyle modification intervention represented an effective tool forRead more…
Community Health Worker support for disadvantaged patients with multiple chronic diseases: A randomized clinical trial (2017)
Training for CHWs tends to focus on disease-specific interventions, but this training might not fully address the health needs of patients experiencing multiple chronic conditions. Shreya Kangovi and her team created IMPaCT (Individualized Management for Patient-Centered Targets) to teach CHWs how to provide tailored coaching, social support, advocacy, and navigationRead more…
Financing Alliance for Health Country Case Study: Zambia (2020)
Financing Alliance for Health has produced a series of country case studies providing robust information on community health system profiles, taking a financing lens. Each case study includes insights on community health system context, structure and lessons on financing. Zambia’s Ministry of Health in 2007 synthesized evidence based practices fromRead more…
Strengthening Primary Health Care through Community Health Workers: Closing the $2 Billion Gap (2020)
This report strengthens the knowledge base around the need for community health financing and draws lessons from two unique examples—Zambia and Ethiopia—on financing pathways to secure additional resources.
A monitoring and evaluation gap for WHO’s community health worker guidelines, Botswana (2020)
A 2018 literature review conducted by the World Health Organization (WHO) indicated that CHWs are effective at improving population health across countries in sub-Saharan Africa, South Asia, and the Americas. Based on their results, the WHO developed guidelines to ensure CHWs perform their roles effectively. Stephanie Watson-Grant and co-authors reportedRead more…
Impact of mobile health-enhanced supportive supervision and supply chain management on appropriate integrated community case management of malaria, diarrhoea, and pneumonia in children 2-59 months: A cluster randomized trial in Eastern Province, Zambia (2020)
Poor supply chain management and a lack of supportive supervision represent challenges to successful treatment of childhood illnesses like diarrhoea, malaria, and pneumonia. Godfrey Biemba and his team wanted to know whether a mobile health (mHealth) system could help CHWs monitor medical stock and improve the quality of supervision andRead more…
When financial incentives backfire: A community health worker experiment in Uganda (2020)
CHWs sometimes charge for health products like those used to treat child diarrhea, but limited research has examined whether or not a fee-for-service model improves CHW performance. Zachary Wagner and his team compared the performance of Uganda-based CHWs who charged for their services against those who did not. Those whoRead more…
How do decision-makers use evidence in community health policy and financing decisions? A qualitative study and conceptual framework in four African countries. (2020)
Decisions about whether and how to finance and support close-to-community community health programming are best driven by evidence about what “works,” but a recent study by Meghan Bruce Kumar and her team suggests that the evidence base is limited. The researchers took a look at financing decisions in Ethiopia, Kenya,Read more…
The distinctive roles of urban community health workers in low- and middle-income countries: A scoping review of the literature (2020)
As low- and middle-income cities grow in size, community health workers increasingly require evidence-based guidance to understand how to deliver health services to the urban poor. Teralynn Ludwick and her team reviewed the literature to understand the role of CHWs in urban health systems. CHWs often took on similar rolesRead more…
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