Results: 3217
Optimising the performance of frontline implementers engaged in the NTD programme in Nigeria: lessons for strengthening community health systems for universal health coverage (2019)
Successful attainment of Neglected Tropical Disease goals and other health interventions depends on maximizing frontline implementers’ performance. This study aimed to capture and translate knowledge, problems and solutions, identified by implementers, to enhance NTD program delivery at the community level in Nigeria.
Support for Community Health Workers to Increase Health Access and to Reduce Health Inequities (2019)
Communities across the United States face numerous challenges in terms of health status and access to care. Community health workers (CHWs) provide major assistance in delivery of health resources through a community centered approach. This policy document from the American Public Health Association (APHA) updates the organization’s 2001 policy statement: “Recognition and Support forRead more…
Preparing for Community Health Worker Integration Into Clinical Care Teams Through an Understanding of Patient and Community Health Worker Readiness and Intent (2019)
Interest in expanding community health worker (CHW) roles into clinic settings is growing. This study evaluates both CHW readiness to be integrated into clinic-based community health worker programs (CHW) and patient readiness and intent to utilize CHW programs.
Community Health Workers Improve Linkage to Hypertension Care in Western Kenya (2019)
Elevated blood pressure is a growing global public health concern as it is linked to increased mortality. This study assessed whether community health workers (CHWs) using behavior change approaches and smartphone technologies can improve the linkage of individuals to hypertension to care.
Mobile training and support (MOTS) service—using technology to increase Ebola preparedness of remotely-located community health workers (CHWs) in Sierra Leone (2019)
The Ministry of Health in Sierra Leone has operationalized a nationwide Digital Health Strategy to guide the rollout of e-Health and m-Health solutions. This article presents the findings of a pilot that tested a CHW mobile training and support (MOTS) service using interactive voice response technology (IVR). The platform deliversRead more…
The state of community health information systems in West and Central Africa (2019)
The use of stand-alone community-based reporting systems in developing countries provide insufficient information to key stakeholders and policy makers the information they require. there is a need for community-based reporting systems that feed information directly into centralized, government owned information systems. This article presents the results from a one-week communityRead more…
Towards universal health coverage: what are the system requirements for effective large-scale community health worker programmes? (2019)
In order to attain universal health coverage, a range of health systems strengthening efforts have been undertaken to improved health coverage and equity. This article presents key findings from two extensive literature reviews, assessing the foundations of CHW programs and making recommendation for the development of large-scale CHW programs.In orderRead more…
What do Accredited Social Health Activists need to provide comprehensive care that incorporates non-communicable diseases? Findings from a qualitative study in Andhra Pradesh, India (2019)
The Indian National Program for Cardiovascular Disease, Diabetes, Cancer and Stroke (NPCDCS) aims to deliver non- communicable disease (NCD) care via primary healthcare teams which include Indian CHWs know as Accredited Social Health Activists (ASHAs).This study sought to understand the current capacity and challenges faced by ASHAs hrough a desktop review of NPCDCS andRead more…
Mobilizing Community Health Workers to Address Mental Health Disparities for Underserved Populations: A Systematic Review (2019)
This systematic review assesses the evidence on integrating community health workers (CHWs) into the delivery of mental health services in the United States and low- and middle- income countries. It includes 43 articles of which 39 are trials. The article highlights CHW background characteristics, their role in the mental healthRead more…
Integration of mental health into primary care and community health working in Kenya: context, rationale, coverage and sustainability (2019)
Integration of mental health into primary care is essential to meet the growing needs of populations in LMICs. This study presents the case for a collaborative project in Kenya that aims to train primary care and community health workers regarding mental health in a manner through which it can beRead more…
Acceptability and feasibility of using non-specialist health workers to deliver mental health care: Stakeholder perceptions from the PRIME district sites in Ethiopia, India, Nepal, South Africa, and Uganda (2019)
Task sharing as an approach to target mental health through community health workers is slowly gaining attention and support in LMICs. This multi-site study aimed to determine key factors that could drive task sharing in different contexts along with providing insight regarding challenges associated with the approach.
Community health workers obtain similar results using cell-phone based hearing screening tools compared to otolaryngologists in low resourced settings. (2019)
This cross sectional study assesses the ability of community health worker (CHW) led program in Kenya. It aimed to establish CHWs are dependable hearing screening operators for a technology based pre-surgical hearing screening program. The CHWs underwent a short training course for the same.
Opportunities for community health workers to contribute to global efforts to end tuberculosis (2019)
Tuberculosis (TB) represents a leading infectious cause of death globally. New and novel approaches are required to reduce TB rates and mortality. This article reviews community health worker (CHW) led efforts to prevent and treat TB in order to evaluate the potential of CHW driven programs to effectively impact theRead more…
Socio-cultural contextual factors that contribute to the uptake of a mobile health intervention to enhance maternal health care in rural Senegal. (2019)
A notable amount of progress has been made in reducing maternal mortality rates over the past 25 years in Senegal. However, the national maternal mortality ratio remains unacceptably high. With mobile health (mHealth) interventions been used increasingly in rural and remote areas of the country, this study looks at theRead more…
‘He usually has what we call normal fevers’: Cultural perspectives on healthy child growth in rural Southeastern Tanzania: An ethnographic enquiry. (2019)
The general model used for child growth monitoring (CGM) has been largely focused on indicators grounded in the biomedical model. However, for CGW to be effective, it is crucial to include other socio-cultural constructs. This study looks to develop a cultural conceptualization of healthy growth in rural Tanzania. The processRead more…
The community health worker as interlocutor in complementary feeding in Pelotas, Rio Grande do Sul, Brazil (2019)
This paper assesses the knowledge of community health workers (CHWs) regarding complementary feeding and it factors that influence its practice- socioeconomic, work schedules and resources available in primary health care facilities. Questionnaires were designed to test their knowledge and comparisons were drawn between responses recorded from health services and CHWs.
Enabling Community Health Worker Recognition and Referral of Surgical Diseases: Pilot Study Results of a Pictorial Guide (2019)
Access to surgical care represents a pressing challenge in LMICs, particularly for vulnerable populations. Community health workers (CHWs) and lay people play diverse roles in primary health care in these settings. However, they remain disconnected from surgical care in most environments. This study looked to assess the degree to whichRead more…
‘We Are the People Whose Opinions Don’t Matter’. A Photovoice Study Exploring Challenges Faced by Community Health Workers in Uganda (2019)
Understanding the experiences of community health workers (CHWs) is essential in order to gauge the support and resources they require to effectively provide care to the populations they serve. The use of participatory visual methods (PVMs) to develop this understanding has been relatively underexplored. This study captures the challenges facedRead more…
Effect of a Community Health Worker-Based Approach to Integrated Cardiovascular Risk Factor Control in India: A Cluster Randomized Controlled Trial (2019)
Several previous studies have evaluated the ability of community health workers (CHWs) to target individual cardiovascular risk factors. This study presents findings from a randomized control trial aimed at integrating CHW lead efforts for hypertension, diabetes and smoking control. It revealed that CHWs have a significant effort on hypertension andRead more…
End-of-Life Cancer Care Redesign: Patient and Caregiver Experiences in a Lay Health Worker–Led Intervention (2019)
This article discusses a lay health worker-driven (LHW) intervention called The Engagement of Patients with Advanced Cancer (EPAC). The program assists patients with advance care planning and is effective in improving patient experiences, lowering acute care use and reducing overall health care costs. This study presents information on patient andRead more…
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