Results: 3410
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…
“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…
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