Results: 3217
Community health workers in rural India, analyzing the opportunities and challenges Accredited Social Health Activists (ASHAs) face in realising their multiple roles (2015)
Globally, there is increasing interest in community health worker’s (CHW) performance; however, there are gaps in the evidence with respect to CHWs’ role in community participation and empowerment. Accredited Social Health Activists (ASHAs), whose roles include social activism, are the key cadre in India’s CHW programme which is designed to improveRead more…
Payday, ponchos, and promotions: a qualitative analysis of perspectives from non-governmental organization programme managers on community health worker motivation and incentives (2014)
Community health workers (CHWs) have been central to broadening the access and coverage of preventative and curative health services worldwide. Much has been debated about how to best remunerate and incentivize this workforce, varying from volunteers to full time workers. Policy bodies, including the WHO and USAID, now advocate forRead more…
Barriers and facilitators to expanding the role of community health workers to include smoking cessation services in Vietnam: a qualitative analysis (2014)
According to the 2010 Global Tobacco Survey, 47.4% of men in Vietnam are current smokers, a smoking prevalence that is the second highest among South East Asian countries (SEAC). If current smoking rates are not addressed it is estimated that in 10 years tobacco use will be responsible for aboutRead more…
Community health workers recruitment from within: an inner-city neighborhood-driven framework (2015)
Community health workers (CHWs) are frontline public health workers who are trusted members of and/or have an unusually close understanding of the community served. Among other roles, they are effective in closing critical communication gap between healthcare providers and patients as they possess key abilities to overcome cultural barriers, minimize disparities, andRead more…
Task-shifting and prioritization: a situational analysis examining the role and experiences of community health workers in Malawi (2014)
As low- and middle-income countries face continued shortages of human resources for health and the double burden of infectious and chronic diseases, there is renewed international interest in the potential for community health workers to assume a growing role in strengthening health systems. A growing list of tasks, some ofRead more…
Assessment of the quality of antenatal care services provided by health workers using a mobile phone decision support application in northern Nigeria: A pre/post-intervention study (2015)
Nigeria’s maternal mortality ratio is the tenth highest in the world, with an estimated 630 maternal deaths per 100,000 live births, and 40,000 maternal deaths annually. There is now a critical need to support Nigeria’s efforts to make significant progress in achieving the Millennium Development Goal 5 target of reducing maternalRead more…
Interprofessional Teamwork and Collaboration Between Community Health Workers and Healthcare Teams: An Integrative Review (2015)
Community health workers (CHWs) can improve outcomes for underserved people. Evidence exists that CHW interventions in underserved populations improve health care management, disease prevention, and health promotion. Community health workers improve management of chronic illnesses such as asthma, diabetes, maternal–child health issues, increase health promotion activities such as vaccinations and cancerRead more…
CHWs and Social Determinants of Health: How Far Upstream Are We looking? (2015)
Shared during the 2015 American Public Health Association (APHA) Annual meeting, Geoff Wilkinson and Durrell Fox presentation focused on community health workers and the social determinants of health. This document shares ways CHWs can help improve the negative effects of social determinants of health, describes risks associated with imprecise thinkingRead more…
How CHW Leadership Strengthens Certification: A View from Two States (2015)
Shared during the 2015 American Public Health Association (APHA), this document summarizes CHW certification initiatives, describes certification in Florida and Massachusetts, and shares lessons about certification that may be useful in other states.
Establishing Village Health Clubs to improve community health worker motivation and performance (2015)
Malaria Consortium’s inSCALE project has been working in Uganda to help scale up quality integrated community case management programmes to improve child health. This Learning Paper details the process of establishing Village Health Clubs with the aim of improving the motivation and performance of community health workers – known asRead more…
Integrating mental health and HIV services in Zimbabwean communities: A nurse and community-led approach reach the most vulnerable (2015)
Globally, mental health disorders, including harmful alcohol and substance use, are the leading causes of years lost to disability, accounting for up to 189 million disability-adjusted life years annually. Depression accounts for up to 50% of disability-adjusted life years caused by mental health disorders, while alcohol and substance use accountsRead more…
Estimating the cost of referral and willingness to pay for referral to higher-level health facilities: a case series study from an integrated community case management programme in Uganda (2015)
Malaria, pneumonia and diarrhoea are among the leading killer diseases among children aged five years and below. Efforts in realizing the Millennium Development Goals are tailored towards tackling the three diseases at community level through integrated community case management (iCCM). iCCM involves diagnosis and treatment of malaria, pneumonia and diarrhoeaRead more…
A qualitative assessment of health extension workers’ relationships with the community and health sector in Ethiopia: opportunities for enhancing maternal health performance (2015)
In 2004, the Government of Ethiopia introduced the Health Extension Programme (HEP), a free primary health care package with four components: disease prevention and control, family health, hygiene and environmental sanitation, and health education and communication. A female cadre of salaried community health workers (CHWs) called health extension workers (HEWs)Read more…
Potential Roles of Mhealth for Community Health Workers: Formative Research With End Users in Uganda and Mozambique (2015)
Community health workers are reemerging as an essential component of health systems in low-income countries. However, there are concerns that unless they are adequately supported, their motivation and performance will be suboptimal. mHealth presents an opportunity to improve support for community health workers; however, most interventions to date have beenRead more…
Community health workers can improve child growth of antenatally-depressed, South African mothers: a cluster randomized controlled trial (2015)
Maternal antenatal depression has long-term consequences for children’s health. We examined if home visits by community health workers (CHW) can improve growth outcomes for children of mothers who are antenatally depressed. Maternal and child health intervention strategies have tended to address only one health risk at a time. As aRead more…
A systematic review of community-to-facility neonatal referral completion rates in Africa and Asia (2015)
An estimated 2.8 million neonatal deaths occur annually worldwide, three-quarters in Africa and Asia. These deaths are due largely to preventable causes, with neonatal infection accounting for 24% of all neonatal deaths. In low-resource community-based settings, care-seeking for neonatal illnesses can be triggered through two paths. One is through household self-identificationRead more…
Impact of an integrated community case management programme on uptake of appropriate diarrhoea and pneumonia treatments in Uganda: A propensity score matching and equity analysis study (2015)
Pneumonia and diarrhoea disproportionately affect children living in low-income countries. As a vehicle to increase coverage of lifesaving treatment for children suffering from these three child killers, a joint statement was produced by the World Health Organisation (WHO) and United Nations Children’s Fund (UNICEF) in 2004 calling for integrated community caseRead more…
Impact of a community-based perinatal and newborn preventive care package on perinatal and neonatal mortality in a remote mountainous district in Northern Pakistan (2015)
Under-five mortality has fallen globally from 12.6 million deaths in 1990 to 6.6 million deaths in 2012. The share of neonatal mortality among under-five deaths increased from 37% in 1990 to about 44% in 2012, because of a slower decline in the neonatal mortality rate compared to deaths in olderRead more…
Identifying common impairments in frail and dependent older people: validation of the COPE assessment for non-specialised health workers in low resource primary health care settings (2015)
Among older people, impairments in mobility, nutrition, vision, hearing, cognition, mood, and behaviour make an important contribution to years lived with disability, and dependence, and mortality. A recent systematic review concluded that, in primary care and community settings, interventions targeting risk factors and functional impairments may be more effective than diseaseRead more…
Evaluating the effect of innovative motivation and supervision approaches on community health worker performance and retention in Uganda and Mozambique: study protocol for a randomized control trial (2015)
Scaling up interventions that increase access to timely and appropriate treatment at the community level could prevent more than 60% of these deaths. As a way of increasing access to treatment for sick children, several African countries are investing in community health workers (CHWs) as a cost-effective way of extendingRead more…
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