Results: 3217
“Because Even the Person Living With HIV/AIDS Might Need to Make Babies” – Perspectives on the Drivers of Feasibility and Acceptability of an Integrated Community Health Worker Model in Iringa, Tanzania (2019)
Countries with health workforce shortages are rely on community health workers (CHWs) to extend a diverse set of services to the community. However, there may be a limit to the number of tasks a CHW can perform without causing a severe decline in quality or productivity. This study assessed theRead more…
Integrating Community Health Worker Roles to Improve Facility Delivery Utilization in Tanzania: Evidence from an Interrupted Time Series Analysis (2019)
There has been a renewed interest in the diverse role Community Health Workers (CHWs) play in the community. This study looks at the impact of an integrated HIV and maternal health program in Tanzania. The objective was to see how the program improved facility promotion and utilization of maternal healthRead more…
Outsiders, insiders, and intermediaries: village health teams’ negotiation of roles to provide high quality sexual, reproductive and HIV care in Nakaseke, Uganda (2019)
Community health workers, or Village Health Teams (VHTs) as they are referred to un Uganda, play a vital role in improving access to community-based health services. This project aimed to understand the versatile role played by VHTs as part of the community and as care providers. It focused on sensitiveRead more…
Effects of a Community Health Worker-Led Multimedia Intervention on the Uptake of Cervical Cancer Screening among South Asian Women: A Pilot Randomized Controlled Trial (2019)
The uptake of cervical cancer screening services is low among South Asian women. Multimedia interventions facilitated by community health workers (CHW) offer an approach to improve screening service utilization rates. This randomized controlled pilot study evaluated the feasibility and preliminary effects of a CHW-led intervention on improving cervical cancer screeningRead more…
The division of labour between community medicine distributors influences the reach of mass drug administration: A cross-sectional study in rural Uganda (2019)
Community based mass drug administration (MDA) has been used as strategy for countering neglected tropical diseases. However, there is little known about what combination of community medicine distributor workload is ideal for attaining high treatment rates (over 65-75%) in villages. This study involved tracking and evaluating routine community-based MDA inRead more…
Community Health Workers Improve Linkage to Hypertension Care in Western Kenya. (2019)
Hypertension or raised blood pressure is a leading risk factor for mortality. This study in western Kenya investigated the efficiency of community health workers in utilizing behavioral communication strategies and smartphone technologies to improve the linkage of individuals with raised BP to a hypertension program. It also looked at theRead more…
Development of a tool for assessing quality of comprehensive care provided by community health workers in a community-based care programme in South Africa. (2019)
This study discusses the development of a tool designed to help non-clinical cadres evaluate the quality of care delivered by community health workers. The content of the tool was derived through multiple sources of information including interactions with district managers, national training manuals and an exploratory study that included observationsRead more…
The roles of community health workers who provide maternal and newborn health services: case studies from Africa and Asia. (2019)
Community health workers (CHWs) play a vital role in provision of maternal and newborn health (MNH) services in low- and middle-income settings. However, a better understanding of the roles CHWs play in each setting: services, responsibilities, training duration and type of renumeration. This study presents information on CHWs providing MNHRead more…
Zika virus knowledge, contraception use, and lessons learned from a Dominican Republic pilot study. (2019)
This study assessed knowledge about zika virus among communities in the Dominican Republic. It highlights Charlas, informal discussions lead by community health workers, as the most common source of information about zika virus.
A Collaborative Family Planning Program in Rural Uganda Utilizing Community Health Workers. (2019)
Ugandan villages experience a high fertility rate and a significant unmet need for contraception. The Ugandan Village Project’s community health worker-based family planning program has shown promise in addressing these issues. This study presents results from a household survey conducted in rural eastern Ugandan in 2015 and highlights opportunities forRead more…
Adapting an Evidence-based Cardiovascular Disease Risk Reduction Intervention to Rural Communities. (2019)
The purpose of this study was to apply the RE-AIM framework to evaluate data obtained from focus group discussions to generate information on the availability of cardiovascular disease (CVD) risk interventions through the COACH program in Nebraska. The COACH approach involves interventions provided by nurses and community health workers
A Cancer Education-Plus-Navigation Intervention Implemented Within a Federally Qualified Health Center and Community-Based Settings. (2019)
While cancer screening tests are available, Latinos are screened at a lower rate than non-Hispanic whites. This study looked at the effectiveness of an evidence-based community health worker (CHW) intervention which was designed to increase screening rates, knowledge about screening guidelines and awareness about benefits of early detection. The projectRead more…
Potential for a comprehensive stroke education: Assessing awareness about stroke among community health workers – A qualitative study from Urban Bangalore, Karnataka, India. (2019)
The rising incidence of stroke is growing into a major public health concern. Yet, there is limited awareness about its risk factors and treatment procedures. This study involved a focus group discussion with Accredited Social Health Activists (ASHAs) in India to understand their level of awareness regarding stroke, its causes, andRead more…
Beyond the Barefoot Doctors: Using Community Health Workers to Translate HIV Research to Service. (2019)
Miami-Dade County in the state of Florida, USA, faces the largest burden of new HIV infections in the nation. Building off the success of street-based HIV testing carried out by community health workers (CHWs), this study looks at a community-based approach for HIV testing among Black adults. This CHW-led interventionRead more…
The Impact of Centralized Employment Structure on Community Health Work: A Qualitative Case Study of Community Health Workers and Key Leadership. (2019)
There are myriad models of Community health worker (CHW) employment; however, there is limited knowledge about the link between organizational structures and CHW experiences. This article presents results from seventeen in depth interviews conducted with CHWs, their supervisors and leadership to gather perceptions regarding CHW effectiveness and organizational structure.
Assessing community health workers’ conditions for delivering care to patients in low-income communities. (2019)
This article looks at the barriers faced by community health workers (CHWs) in performing house calls in low-income and violent communities. The objective is to understand the challenges with regards to access to primary health care in developing countries. The study was carried out through field investigations in two clinicsRead more…
Cluster Randomized Trial for Hypertension Control: Effect on Lifestyles and Body Weight. (2019)
Lifestyle modifications such as a healthy diet, regular physical activity and maintaining a health weight are important practices for hypertensive individuals. In this cluster randomized trail, conducted between 2013 to 2016, community health workers (CHWs) delivered a multicomponent intervention targeting hypertensive patients at the health system, provider and family level.Read more…
Stakeholder perceptions on patient-centered care at primary health care level in rural eastern Uganda: A qualitative inquiry. (2019)
In order to improve quality of care, African health systems are shifting to a patient-centered care (PCC) approach. PCC was introduced in Uganda in 2015. This study looks at qualitative data on perceptions from patients/communities, health workers, policy makers and academia and presents recommendations for overcoming implementation barriers associated withRead more…
Health Care Experiences of Youth Living With HIV Who Were Lost to Follow-up in Western Kenya (2019)
HIV represents the leading cause of death among youth in sub-Saharan Africa. This study presents results from focus group discussions with HIV affected youth who were lost to follow up (had not returned to care in at least 4 months) and the community health workers who supported them. The resultingRead more…
Perceived impacts as narrated by service users and providers on practice, policy and mental health system following the implementation of the mhGAP-IG using the TEAM model in a rural setting in Makueni County, Kenya: a qualitative approach. (2019)
A comprehensive, team-based approach is essential to address the current mental health treatment gap. This article presents results from focus group discussions with community health workers (CHWs), traditional healers, faith healers and patients on patient, health provider and health system related strategies that could bridge the existing gap.
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