Results: 3217
Observational stepped-wedge analysis of a community health worker-led intervention for diabetes and hypertension in rural Mexico (2020)
This study evaluated a CHW-led intervention focusing on patients suffering from diabetes and hypertension in rural Mexico. The results indicated a decrease in glycated haemoglobin (HbA1c) in diabetic patients by 0.35%; similarly, the research showed a decrease in systolic blood pressure (SBP) in hypertensive patients by 4.7 mm Hg.
Role of home visits by volunteer community health workers: to improve the coverage of micronutrient powders in rural Bangladesh (2020)
This evaluation study used cross-sectional survey data to assess the effectiveness of Shasthya Shebikas (SSs) visiting homes to distribute micronutrient powder (MNP) in Bangladesh. According to the results, SS coverage increased the population’s knowledge and use of MNP.
Theory-Based Development of an Implementation Intervention Using Community Health Workers to Increase Palliative Care Use (2020)
This two-phased qualitative study conducted among 15 stakeholder groups explored the use of CHWs to improve patient and provider understanding and use of palliative care services for African Americans. The researchers found that CHWs are effective agents for promoting palliative care awareness and use among physicians and patients.
Effects of team-based goals and non-monetary incentives on front-line health worker performance and maternal health behaviours: a cluster randomised controlled trial in Bihar, India (2019)
Conducted in India, this study assessed a ‘Team-Based Goals and Incentives’ intervention aimed to enhance frontline (community health) worker (FLW) performance and promote healthier behaviors. The results revealed a significant rise in antenatal home visits and iron-folic acid tablet ingestion, along with progress in teamwork among FLWs. Changes in otherRead more…
‘Our village is dependent on us. That’s why we can’t leave our work’. Characterizing mechanisms of motivation to perform among Accredited Social Health Activists (ASHA) in Bihar (2019)
This study aimed to identify factors that inspire Accredited Social Health Activists (ASHAs) in India. The results highlight the importance of self-empowerment, adequate financial compensation, and connection to the community’s health system as a few motivating factors for ASHAs. Conversely, implementation and management challenges are sources of ASHA discontent.
The fidelity of implementation of recommended care for children with malaria by community health workers in Nigeria (2020)
Conducted in Nigeria, this study measured the fidelity of implementation (FOI) for CHWs performing a recommended malaria treatment. The evidence found that CHW adherence was highest for following malaria treatment guidelines and lowest for post-treatment counseling. verall CHW adherence to guidelines was 83%.
Implementation research on community health workers’ provision of maternal and child health services in rural Liberia ()
This study conducted in rural Liberia examined changes in maternal and child health after the implementation of an upgraded CHW intervention. Results indicated increased percentages of children receiving care, facility-based delivery, and formal sector care for acute respiratory infection and diarrhea. The percentage of mothers that received antenatal and postnatalRead more…
Piloting a participatory, community-based health information system for strengthening community-based health services: findings of a cluster-randomized controlled trial in the slums of Freetown, Sierra Leone (2019)
This operations research study in Sierra Leone observed the impact of a participatory community-based health information system (PCBHIS) approach to community engagement. The study showed improved results on selected CHW performance indicators at intervention sites, but more limited improvements in ward development committee and health management committee capacity.
The first mile: community experience of outbreak control during an Ebola outbreak in Luwero District, Uganda (2016)
In 2012, Uganda implemented an Ebola outbreak control initiative using community health workers and social mobilization approaches to curb the outbreak. This ethnographic study assessed community perspectives of the ebola control initiative. It found skepticism and distrust among community members about biomedical explanations for Ebola and about community health workers,Read more…
Lessons Learned from Reinforcing Epidemiologic Surveillance During the 2017 Ebola Outbreak in the Likati District, Democratic Republic of the Congo (2020)
The Democratic Republic of Congo created an Ebola virus disease (EVD) surveillance team in response to new EVD cases in 2017. Early mobilization of a cohort including CHWs led to the successful detection and containment of cases. The authors note several key lessons and recommendations to improve disease outbreak controlRead more…
Community Health Workers and Pandemic Preparedness: Current and Prospective Roles (2019)
Gathering insight from the Ebola and Zika pandemics, this article highlights the roles of CHWs in pandemic preparedness. It analyzes how CHWs promote community health before, during, and after a pandemic’s emergence noting their roles in health service delivery, ability to deliver culturally relevant health messages, and motivation to serveRead more…
Design and implementation of a mobile health electronic data capture platform that functions in fully-disconnected settings: a pilot study in rural Liberia (2020)
Mobile data collection in rural Liberia is limited by a lack of cellular connection. In this study CHWs and supervisors implemented an application allowing for offline data collection using Bluetooth services. Results demonstrated that the functioning of the application is worthwhile, with the program still operating 4 years after itsRead more…
An educational intervention in rural Uganda: Risk-targeted home talks by village health workers (2020)
This study analyzed the retention of health information delivered through a family home health talk approach. Village health workers (VHWs) counseled high-risk families in their homes on targeted health topics and selected control topics. Results indicated that although overall retention was low, participants retained more knowledge at 3 months onRead more…
An Emerging Model for Community Health Worker–Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia (2020)
CHWs can help improve population health by guiding individuals through behavioral changes. Through a chronic care model managed by mixed teams of qualified medical providers and CHWs, this intervention sought to improve diabetes control in an underserved rural population. From baseline to six months, 63% of the cohort had decreasedRead more…
Using mHealth to improve health care delivery in India: A qualitative examination of the perspectives of community health workers and beneficiaries (2020)
Common Application Software (CAS) is a new mHealth intervention aimed at addressing time efficiency and quality of healthcare by CHWs. The objective of this study was to collect data on CHWs’ perspectives on CAS, changes in CHW-beneficiary interactions after CAS implementation, and challenges CHWs faced as a result of CAS.Read more…
Factors associated with home visits by volunteer community health workers to implement a home-fortification intervention in Bangladesh: a multilevel analysis (2020)
BRAC engaged community health workers, known as Shasthya Shebikas (SS), to implement home-based fortification of foods with micronutrient powders. This study examined the factors that influenced the frequency of SS home visits. It determined the number of home visits was influenced by SS characteristics such as age, monetary incentivisation, andRead more…
Integrating Community Health Workers Within Patient Protection and Affordable Care Act Implementation (2015)
The Patient Protection and Affordable Care Act (PPACA) incorporates a plan for CHW integration to improve access to healthcare for marginalized populations. The authors argue that the PPACA provides an opportunity to sustain CHW programs and improve care.
Community Engagement for COVID-19 Infection Prevention and Control: A Rapid Review of the Evidence (2020)
Produced by the Community Health Community of Practice (CH CoP), this rapid evidence review collected key information on the involvement of communities in addressing COVID-19. It highlighted the importance of community engagement (CE) in pandemic response and control and provides a succinct list of key findings.
Remuneration systems of community health workers in India and promoted maternal health outcomes: a cross-sectional study (2020)
This cross-sectional study compared the performance of “paid-for-performance” Accredited Social Health Activists (ASHAs) and salaried Anganwadi workers (AWWs) in various Indian states. While results varied among them, the study found that AWWs’ visits had a stronger connection with positive health behaviors compared to ASHAs. ASHA visits had weaker impacts onRead more…
Efficacy of a Community Health Worker–Based Intervention in Improving Dietary Habits Among Community-Dwelling Older People: A Controlled, Crossover Trial in Japan (2020)
This study analyzed the effects of CHW-led interventions promoting improved diets for the elderly in Japan. Findings showed that CHW-based interventions proved to be viable methods to motivate healthier lifestyles.
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