Results: 3217
Impact of lay health worker programmes on the health outcomes of mother-child pairs of HIV exposed children in Africa: A scoping review (2019)
In countries with a heavy burden of HIV, the demand for healthcare services is often met with a dearth of health workers. This has led to a need for task shifting of lay health workers (LHWs) to improve healthcare delivery. This approach has been particularly successful in the case ofRead more…
Do community health workers affect non-urgent, ambulatory healthcare utilization among low-income, minority patients with diabetes? (2019)
Community health workers (CHWs) play a key role in addressing social determinants of health especially among low-income, ethnic minority groups. This study comprises a secondary analysis of a randomized control trail which examined how CHWs support ambulatory healthcare among Hispanic and African American patients with uncontrolled type-2 diabetes.
Community health worker-delivered counselling for common mental disorders among chronic disease patients in South Africa: a feasibility study (2019)
This study assessed the feasibility and acceptability of two approaches of community health worker (CHW)-delivered mental health counselling for patients with chronic diseases. The ‘designated’ approach involved CHWs providing counselling in addition to their regular duties while the ‘dedicated’ approach involved the CHWs taking sole responsibility of delivering mental healthRead more…
Empowering Community Health Workers With Mobile Technology to Treat Diabetes (2019)
The global prevalence of diabetes has been rising steadily since the 1980s and low- and middle-income countries (LMICs) are struggling to manage the epidemic. This article looks at a clinical decision support smartphone app designed to provide support to community health workers in rural Guatemala . The app aids withRead more…
Qualitative assessment of facilitators and barriers to HIV programme implementation by community health workers in Mopani district, South Africa (2018)
South Africa has implemented a community-based HIV programme (CBHP) as part of its strategy to re-engineer its primary healthcare (PHC) delivery systems. This article consists of insights gathered from focus group discussions with community health workers (CHWs) and PHC nurses in order to understand the barriers and facilitating factors relatedRead more…
Setting the global research agenda for community health systems: literature and consultative review (2019)
Post the recent Astana Declaration, there has been a renewed interest in building momentum for strengthening community health systems. This review proposes a global research agenda to improve community health worker programs.
The Role of Nurses and Community Health Workers in Confronting Neglected Tropical Diseases in Sub-Saharan Africa: A Systematic Review (2016)
Neglected Tropical Diseases (NTDs) constitute a large portion of the disease burden in poor and disenfranchised populations in sub-Saharan Africa. This article looked to combine recent relevant literature on the impact of nurses and community health workers on managing NTDs.
The everyday political economy of health: community health workers and the response to the 2015 Zika outbreak in Brazil (2019)
This article looks at the daily political economy of health with focus on four primary pillars: power, agency, intersectionality and the mutual implication of global and local. This framework is used to assess the role of community health workers in bridging the gap between health systems and vulnerable groups inRead more…
Podcast: Roundtable Discussion with the Community Health Team from Mbarara University of Science and Technology in Western Uganda (2019)
In the Kasese district of western Uganda, the Bugoye Health Center (a public sector health center in Uganda) and Mbarara University of Science and Technology have partnered with Massachusetts General Hospital to strengthen the local health system, working with community health workers in this endeavor. Dr. Palazuelos sits down withRead more…
The Opioid Crisis and the Role of Community Health Workers (2014)
The epidemic of opioid addiction has spread at a rapid pace across the United States since the 1990s. A number of medical and non medical factors have contributed to its progression. As such, Community Health Workers play an important role in addressing social determinants of health and ensuring access toRead more…
Project ECHO (Extension for Community Healthcare Outcomes): A new model for educating primary care providers about treatment of substance use disorders (2016)
Project ECHO (Extension for Community Health care Outcomes) is an effort focused at providing training and mentorship to primary care providers for management of patients with complex conditions. This article looks at teleECHO, a clinic based out of the University of New Mexico Health Sciences Center which aims to benefitRead more…
Policy review on the management of pre-eclampsia and eclampsia by community health workers in Mozambique (2019)
Pre-eclampsia is one of the major contributors to maternal deaths in the Mozambique. This study looks to identify and review health policies associated with CHW management of pre-eclampsia and eclampsia.
Integrating community health workers into the formal health system to improve performance: a qualitative study on the role of on-site supervision in the South African programme (2019)
This qualitative study compared the affects of two CHW supervision models – clinic-based supervision versus community-based supervision – on CHW team performance. It also examined CHW team performance when supervised by a senior nurse versus a junior nurse. The study outlines some of the characteristics of effective supervision and findsRead more…
Proximity to a community health worker is associated with utilization of malaria treatment services in the community among under-five children: a cross-sectional study in rural Uganda (2019)
Health facilities are difficult to access in rural parts of Sub-Saharan Africa. For malaria, poor access contributes to delayed treatment. Community Health Workers provide a viable option for extending access to prompt malaria treatment. This study evaluated utilization of CHW service in relation distance from the CHW.
Evaluation of the cost-effectiveness of the treatment of uncomplicated severe acute malnutrition by lady health workers as compared to an outpatient therapeutic feeding programme in Sindh Province, Pakistan. (2019)
There is limited evidence of the cost-effectiveness of community health workers (CHWs) with regards to delivering treatment for severe acute malnutrition (SAM). This two -arm randomized trial looked at the costs and cost-effectiveness of treatment of uncomplicated SAM cases carried out by lady health workers (LHWs).
Urban young women’s preferences for intervention strategies to promote physical and mental health preconception: a Healthy Life Trajectories Initiative (HeLTI) (2019)
This study is a qualitative assessment of women’s preferences for preconception intervention strategies to promote physical and mental health in urban settings. The evaluation was carried out through focus group discussions in Soweto, South Africa.
SOSAS Study in Rural India: Using Accredited Social Health Activists as Enumerators (2019)
As per global estimates, nearly 5 billion people lack access to safe, quality and timely surgical care. This pilot study assessed the local burden of disease in a rural area of India through the Surgeons OverSeas Assesssment of Surgical Need (SOSAS) survey. The study also evaluated the feasibility of using AccreditedRead more…
Driving the precision medicine highway: community health workers and patient navigators (2019)
Despite the availability of precision medicine – treatments tailored to patient’s particular needs based on their genetic make-up, environment and other factors – many minority or underserved populations do not have access to or cannot understand information related to precision medicine. This study proposes a coordinated expansion of community healthRead more…
Improving uptake and completion of pulmonary rehabilitation in COPD with lay health workers: feasibility of a clinical trial (2019)
There is reasonable evidence that pulmonary rehabilitation (PR) is beneficial for alleviating the symptoms and disability brought about by chronic obstructive pulmonary disease (COPD) and can improve health status and quality of life. This cluster randomized control trial evaluates the efficacy of lay health workers (LHWs) to improve uptake andRead more…
Integration of Traditional Birth Attendants into Mental Healthcare: A Multistakeholder Qualitative Study Exploration (2019)
A large number of common mental disorders often go undiagnosed at primary healthcare facilities. This study looks at the feasibility of integrating traditional birth attendants into maternal mental health care through an analysis of views from multiple key stakeholders in Kenya.
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