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Assessing Early Access to Care and Child Survival during a Health System Strengthening Intervention in Mali: A Repeated Cross Sectional Survey (2016)

In 2012, 6.6 million children under age five died worldwide, most from diseases with known means of prevention and treatment. A delivery gap persists between well-validated methods for child survival and equitable, timely access to those methods. A health systems strengthening intervention was implemented in peri-urban Mali designed to improveRead more…

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A Randomized Controlled Trial of a Trauma-Informed Support, Skills, and Psychoeducation Intervention for Survivors of Torture and Related Trauma in Kurdistan, Northern Iraq (2016)

An evaluation of trauma-informed support, skills, and psychoeducation interventions provided by CHWs on depressive symptoms, dysfunction, post-traumatic stress, traumatic grief and anxiety symptoms was conducted in the northern Dohuk region of Kurdistan Iraq. Recruited community health workers included pharmacists, nurses, and physician assistants without any prior formal mental health training.Read more…

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Community health workers for universal health-care coverage: from fragmentation to synergy (2016)

To achieve universal health coverage, health systems will have to reach into every community, including the poorest and hardest to access. Since Alma-Ata, inconsistent support of community health workers (CHWs) and failure to integrate them into the health system have impeded full realization of their potential contribution in the contextRead more…

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Safety and Acceptability of Community-Based Distribution of Injectable Contraceptives: A Pilot Project in Mozambique (2016)

Mozambique has witnessed a climbing total fertility rate in the last 20 years. Nearly one-third of married women have an unmet need for family planning, but the supply of family planning services is not meeting the demand. This study aimed to explore the safety and effectiveness of training 2 cadresRead more…

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Cracking the Nut Health 2016: The Role of Communities in Building Resilient Health Systems (2016)

The learning event, Cracking the Nut Health: The Role of Communities in Building Resilient Health Systems took place July 18-19, 2016 in Washington, D.C., which focused on the three core themes: Using Measurement and Analytics to Improve Accountability, Leveraging Partnerships to Promote Resilience; and Scaling Technology and Innovation to IncreaseRead more…

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Outcomes Brief: Collaboration for Scaling Digital Health at the National Level (2016)

This brief describes the key outcomes of a meeting held by mPowering and partners to discuss stronger cross-sector collaboration between health and ICT authorities in order to reach national scale in digital health to improve service delivery and health outcomes.

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Outcomes Presentation: Collaboration for Scaling Digital Health at the National Level (2016)

This presentation recaps a meeting held by mPowering and partners to discuss stronger cross-sector collaboration between health and ICT authorities in order to reach national scale in digital health to improve service delivery and health outcomes.

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Challenges Facing Successful Scaling Up of Effective Screening for Cardiovascular Disease by Community Health Workers in Mexico and South Africa: Policy Implications (2016)

The integration of community health workers (CHWs) into primary and secondary prevention functions in health programs and services delivery in Mexico and South Africa has been demonstrated to be effective. This paper aims to identify barriers and challenges to these types of CHW programs by comparing the experiences of earlierRead more…

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Community point distribution of insecticide-treated bed nets and community health worker hang-up visits in rural Zambia: a decision-focused evaluation (2016)

In 2013, the Zambian Ministry of Health distributed over two million insecticide-treated bed nets (ITNs) using a door-to-door distribution strategy, and distributed more than six million ITNs in 2014. This research study measures attendance rates at community point distribution and examines the impact of follow-up community health worker visits onRead more…

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Balancing workload, motivation and job satisfaction in Rwanda: assessing the effect of adding family planning service provision to community health worker duties (2015)

While task shifting to CHWs is widely practiced to address healthcare provider shortages, it can add to an already heavy workload for CHWs. In order to reflect how CHWs perceive and react to their circumstances, this study combined perception and objective measures of workload to examine quality of services, workerRead more…

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Industrial action by healthcare workers in Nigeria in 2013–2015: an inquiry into causes, consequences and control—a cross-sectional descriptive study (2016)

In the past 36 months, Nigeria has suffered several healthcare workers’ strikes, resulting in decreased access to quality healthcare for Nigerians. The researchers in this study aimed to identify the root cause(s) for these strikes and determine potential solutions. 150 Nigerian healthcare workers participated in a cross-sectional survey and questionnaireRead more…

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ECONOMIC EVALUATION OF COMMUNITY BASED PRACTITIONERS IN LOW- AND MIDDLE-INCOME COUNTRIES A literature review, country case studies and a generalized cost-effectiveness model (2016)

Despite the well-known benefits of community-based practitioners, there is lack of evidence regarding the cost effectiveness of their work. This study aims to address this lack of information on the cost effectiveness to meet health systems goals using literature review, mapping, and case studies. The researchers concluded that community-based practitionersRead more…

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What role for district-led quality improvement approaches in priority setting for Universal Health Coverage: Learning from Bangladesh, Ethiopia, Indonesia, Kenya, Malawi, Mozambique (2016)

Due to deficiencies in low- and middle-income countries, policy makers are suggesting different methods to achieving universal health coverage. One strategy is the expansion of cadres of close-to-community providers, which plays an important role for connecting communities with the formal health sector. This poster from the Reachout Consortium identifies someRead more…

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Female Community Health Volunteer (FCHV) National Survey 2014 Nepal (2016)

The FCHV Program in Nepal was initiated in 1988/89 with the goal of supporting national health through community involvement. Currently there are 52,000 FCHVs with varying roles and responsibilities related to health. This presentation discusses the 2014 survey aimed at understanding FCHVs perceptions of their work, as well as theRead more…

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Yield of Community Health Worker-Driven Intensified Case Finding for Tuberculosis among HIV-Positive Patients in Rural Malawi (2016)

At the 21st International AIDS Conference in Durban, South Africa in July 2016, Dr. Katie Simon presented findings from a study highlighting how community health workers can be utilized to address tuberculosis case detection, which often infects people living with HIV. This study found that intensified tuberculosis case finding (TBRead more…

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How States Can Fund Community Health Workers through Medicaid to Improve People’s Health, Decrease Costs, and Reduce Disparities (2016)

This brief explains how community health workers improve people’s health, reduce health care costs, and address barriers to care. The brief continues to discuss key questions regarding sustainable funding of CHW programs through Medicaid reimbursement for states that want to start or expand such programs. Case studies in Massachusetts, Minnesota,Read more…

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Engaging the Missing Link: Evidence from FALAH for Involving Men in Family Planning in Pakistan (2016)

Results from the United States Agency for International Development (USAID)-funded Family Advancement for Life and Health project (FALAH), implemented from 2008-2012, show that the inclusion of men in family planning (FP) efforts is a feasible and effective intervention to help shift attitudes and behaviours in Pakistan and perhaps in otherRead more…

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Community Health Workers: Bringing Family Planning Services to Where People Live and Work (2015)

This brief discusses how integrating community health worker programs into the health system can help increase access to family planning by bringing information, services, and supplies to women and men in the communities where they live and work, rather than requiring them to visit health facilities. CHWs address geographic, financial,Read more…

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USAID/Madagascar and Community Health Volunteers: Working in Partnership to Achieve Health Goals (2015)

Community Health Volunteers (CHVs) have played a critical role in the success of USAID in Madagascar’s health sector. As CHVs, they can provide basic health care services and health education at the community level, thus improving health care access in remote regions. This report highlights the successes and challenges ofRead more…

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The cost-effectiveness of close-to-community health programmes: What do we know and where are the gaps? (2015)

Critical shortages in the health workforce in many developing countries – specifically the number, skills and geographic distribution of health workers – pose a significant challenge to the achievement of universal health coverage and the Sustainable Development Goals (SDGs). Increasing attention has therefore been focused on the potential of communityRead more…

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