Results: 3217
Webinar Resources and Recording -Quality improvement approaches for community health programmes (2019)
In 2018, three global healthcare quality reports were published which resolutely move the UHC discourse from coverage to quality but fail to extend this to the quality of community health worker (CHW) programmes. Late in 2018, the WHO released its guidelines for optimising CHW programmes and health systems, in lineRead more…
A Performance-Based Incentives System for Village Health Workers in Kisoro, Uganda (2019)
Village health worker programs in Uganda have met with limited success in the past partly due to a reliance on volunteerism and a lack of incentivization. Doctors for Global Health developed a performance-based incentive mechanism for village health workers (VHWs) in Uganda. The given paper looks at the feasibility andRead more…
Effect of a community health worker mHealth monitoring system on uptake of maternal and newborn health services in Rwanda (2019)
This study evaluates the impact of a mobile phone (mHealth) monitoring system- RapidSMS on improving access to proven maternal and newborn health interventions. Using an interrupted time series design, the study looks at the effect of the mHealth intervention on antenatal care, health facility delivery and vaccination.
Taking stock of 10 years of published research on the ASHA programme: examining India’s national community health worker programme from a health systems perspective (2019)
This systematic review analyses the research undertaken with respect to India’s accredited social health activist (ASHA) scheme as the programme enters its second decade. The review focused on whether the programme has suitable health systems interfaces to ensure sustainability and areas to focus upon as the programme evolves.
Can community health workers increase modern contraceptive use among young married women? A cross-sectional study in rural Niger (2019)
The Republic of Niger reports the highest rates of early marriage and adolescent fertility in the world. This study assesses cross-sectional data from household surveys to determine if the deployment of volunteer community health workers in rural settings has improved family planning services in adolescents and youth.
Community health extension program of Ethiopia, 2003–2018: successes and challenges toward universal coverage for primary healthcare services (2019)
Since 2003, Ethiopia has been implementing a community health extension program (HEP). This systematic review assesses the improvements that the program has brought about particularly in terms of maternal and childcare, hygiene and sanitation, knowledge and healthcare seeking. It also looks at the weaknesses of this dynamic program with respectRead more…
Community health workers to improve uptake of maternal healthcare services: A cluster-randomized pragmatic trial in Dar es Salaam, Tanzania (2019)
In addition to quality of care of maternal health services, increased uptake of antenatal care (ANC) and facility- based delivery are key contributors to improved maternal and neonatal health in resource limited settings. This cluster randomized trial attempted to assess the impact of a community health worker (CHW) intervention onRead more…
Rethinking integrated nutrition‐health strategies to address micronutrient deficiencies in children under five in Mozambique (2019)
This paper presents the results of a study using trained CHWs to compare in-person auditory brainstem response (ABR). The intervention linked CHWs to a tele-medicine approach in a community-based pediatric hearing screening program; it concludes that a tele-medicine approach is viable.
Rethinking integrated nutrition‐health strategies to address micronutrient deficiencies in children under five in Mozambique (2019)
This case study highlights the different aspects of micronutrient program evaluating vitamin A and Iron supplementation by CHWs in Mozambique.
“Being seen” at the clinic: Zambian and South African health worker reflections on the relationship between health facility spatial organisation and items and HIV stigma in 21 health facilities, the HPTN 071 (PopART) study (2019)
In this article, the authors assess the relationship between the spatial organization of healthcare services and the stigmatization of people living with HIV in Zambia and South Africa. CHWs were involved in collecting data and providing their own insights into how patients experience facility spaces.
Visibility in community health work mediated by mobile health systems: A case of Malawi (2019)
The authors assess community health workers’ visibility within a technological space. They argue that mHealth makes CHW’s work more visible by showing their use of mHealth and data systems in different locations and making their data accessible beyond their direct supervisors.
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)
In this article, a cost effectiveness analysis is used to compare outpatient facility–based treatment of severe acute malnutrition with one delivered by community health workers in rural Pakistan. The study found that facility based treatment was only slightly more cost-effective than the alternative.
Dealing with context in logic model development: Reflections from a realist evaluation of a community health worker programme in Nigeria (2019)
The authors in this article assess the extent to which community health worker programs improve access to maternity services. They use the integration of contextual factors into a logic model to frame the assessment and argue that the logic model can serve as an analytical tool rather than an endRead more…
Does the provision of community health services offset the effects of poverty and low maternal educational attainment on childhood mortality? An analysis of the equity effect of the Navrongo experiment in Northern Ghana (2019)
This paper assesses the contribution of Ghana’s Community-based Health Planning and Services (CHPS) strategy in mitigating the effects of poverty and low parental education on childhood mortality. It stresses that comprehensive training and provision of a package of essential are needed to achieve improved health outcomes.
Improving oral health in migrant and underserved populations: evaluation of an interactive, community-based oral health education program in Washington state (2019)
This paper presents evaluation results for a CHW-led oral health education program that uses an interactive approach to engage with participants.
Effect of A Community Health Worker led Intervention on Skilled Birth Care in Rural Mwingi West Sub-County, Kenya: A Quasi Experimental Study (2019)
This paper presents evaluation results for a CHW-led oral health education program that uses an interactive approach to engage with participants.
A community-based diabetes group pilot incorporating a community health worker and photovoice methodology in an urban primary care practice (2019)
Over a three-month period, this study evaluated a community-based diabetes self-management intervention that incorporated photovoice and community health workers to identify diabetes management approaches that work in an African American community.
The Governance of National Community Health Worker Programmes in Low- and Middle-Income Countries: An Empirically Based Framework of Governance Principles, Purposes and Tasks (2019)
This article proposes a framework for the design and scale up of CHW program governance. Drawing from factual observations of South Africa’s community health system and theoretical insights on governance, the article frames key governance principles and outputs.
Community health workers trained to conduct verbal autopsies provide better mortality measures than existing surveillance: Results from a cross-sectional study in rural western Uganda (2019)
The findings presented in this article assess the practicality of training CHWs to conduct high quality verbal autopsies that can be analyzed to estimate disease burden and mortality in resource-constrained settings.
Performance of low‐literate community health workers treating severe acute malnutrition in South Sudan (2019)
This article presents the findings of a study assessing the use of low literate CHWs in treating uncomplicated severe acute malnutrition by following a simplified treatment protocol.
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