Results: 3217
Reservation wage of female volunteer community health workers in Dhaka urban slums: a bidding game approach (2014)
BRAC, a large Bangladeshi NGO, recently has been using female volunteer community health workers (CHWs) in Dhaka urban slums to provide maternal and child health services. Due to erratic performance-based income and higher opportunity cost the urban CHWs lose motivation which contributes to high dropout and poor performance. This resultsRead more…
A comparative study of an NGO-sponsored CHW programme versus a ministry of health sponsored CHW programme in rural Kenya: a process evaluation (2014)
The varied performance of Community Health Worker (CHW) programmes in different contexts has highlighted the need for implementation of research that focuses on programme delivery issues. This paper presents the results of process evaluations conducted on two different models of CHW programme delivery in adjacent rural communities in the GemRead more…
Performance of community health workers managing malaria, pneumonia and diarrhoea under the community case management programme in central Uganda: a cross sectional study (2014)
Lay community health workers (CHWs) have been widely used to provide curative interventions in communities that have traditionally lacked access to health care. Optimal performance of CHWs managing children with malaria, pneumonia and diarrhoea in communities is desired if a reduction in childhood morbidity and mortality is to be achieved. Few studiesRead more…
Rwanda’s evolving community health worker system: a qualitative assessment of client and provider perspectives (2014)
Community health workers (CHWs) can play important roles in primary health care delivery, particularly in settings of health workforce shortages. However, little is known about CHWs’ perceptions of barriers and motivations, as well as those of the beneficiaries of CHWs. In Rwanda, which faces a significant gap in human resources for health, theRead more…
Individual and contextual factors associated with community health workers’ performance in Nyanza Province, Kenya: a multilevel analysis (2015)
Several African and South Asian countries are currently investing in new cadres of community health workers (CHWs) as a major part of strategies aimed at reaching the Millennium Development Goals. However, one review concluded that community health workers did not consistently provide services likely to have substantial effects on health and that qualityRead more…
Comparing a paper based monitoring and evaluation system to a mHealth system to support the national community health worker programme, South Africa: an evaluation (2014)
In an attempt to address a complex disease burden, including improving progress towards MDGs 4 and 5, South Africa recently introduced a re-engineered Primary Health Care (PHC) strategy, which has led to the development of a national community health worker (CHW) programme. The present study explored the development of a cell phone-based andRead more…
Evaluation of the impact of a mobile health system on adherence to antenatal and postnatal care and prevention of mother-to-child transmission of HIV programs in Kenya (2015)
The Millennium Villages Project (MVP) implemented in Western Kenya a mobile Health tool that uses text messages to coordinate Community Health Worker (CHW) activities around antenatal care (ANC) and Prevention of Mother-to-Child Transmission of HIV (PMTCT), named the ANC/PMTCT Adherence System (APAS). End-user changes in health-seeking behavior in ANC and postnatal care (PNC)Read more…
Experiences engaging community health workers to provide maternal and newborn health services: Implementation of four programs (2015)
A paucity of skilled health providers is a considerable impediment to reducing maternal, infant, and under-five mortality for many low-resource countries. Although evidence supports the effectiveness of community health workers (CHWs) in delivering primary healthcare services, shifting tasks to this cadre from providers with advanced training has been pursued withRead more…
The community case management of pneumonia in Africa: a review of the evidence (2015)
Pneumonia causes around 750 000 child deaths per year in sub-Saharan African (SSA) countries. The lack of accessibility to prompt and effective treatment is an important contributor to this burden. Community case management of pneumonia (CCMp) uses trained community health workers (CHWs) to administer antibiotics to suspected child pneumonia casesRead more…
Do community health workers perceive mechanisms associated with the success of community case management of malaria? A qualitative study from Burkina Faso (2015)
The use of community health workers to administer prompt treatments is gaining popularity in most sub-Saharan African countries. Their performance is a key challenge because it varies considerably, depending on the context, while being closely associated with the effectiveness of case management strategies. What determines community health workers’ performance isRead more…
Use and Acceptance of Social Media among Community Health Workers (2015)
The use of social media as a means for health communication has greatly increased among health promotion specialists. Community Health Workers (CHWs), who serve as liaisons between health services and community members, are one group of health professionals who could benefit from integrating social media into occupational practice. The purposeRead more…
Task shifting in maternal and newborn health care: Key components from policy to implementation (2015)
The dramatic shortage of skilled providers creates challenges to the provision of both facility- and community-based healthcare services, including services for maternal and newborn health (MNH). Task shifting has been promoted as one response to this global health worker crisis, shifting tasks to one provider cadre and from another. TheRead more…
Addressing Chronic Disease through Community Health Workers: A policy and systems-level approach (2015)
This document provides guidance and resources for implementing recommendations to integrate community health workers (CHWs) into community-based efforts to prevent chronic disease. After providing general information on CHWs in the United States, this document sets forth evidence demonstrating the value and impact of CHWs in preventing and managing a varietyRead more…
A framework for integrating childhood tuberculosis into community-based child health care (2013)
The World Health Organization (WHO) estimates that approximately 500,000 children each year are diagnosed with tuberculosis (TB) and 64,000 HIV-negative children die annually due to TB. The true burden of childhood TB is unknown; children are often undiagnosed and therefore do not receive appropriate care. Childhood TB is often seenRead more…
Valuing the work of unpaid community health workers and exploring the incentives to volunteering in rural Africa (2015)
Community health worker (CHW) programmes are currently being scaled-up in sub-Saharan Africa to improve access to healthcare. CHWs are often volunteers; from an economic perspective, this raises considerations whether reliance on an unpaid workforce is sustainable and how to appropriately cost and value the work of CHWs. Both these questionsRead more…
Engaging community health workers in maternal and newborn care in eastern Uganda (2015)
Community health workers (CHWs) have been employed in a number of low- and middle-income countries as part of primary health care strategies, but the packages vary across and even within countries. The experiences and motivations of a multipurpose CHW in providing maternal and newborn health have not been well described.Read more…
How does context influence performance of community health workers in low- and middle-income countries? Evidence from the literature (2015)
Community health workers (CHWs) are increasingly recognized as an integral component of the health workforce needed to achieve public health goals in low- and middle-income countries (LMICs). Many factors intersect to influence CHW performance. However, research seldom focuses on the implications of context for CHW or programme performance. Understanding theRead more…
Effect of self-collection of HPV DNA offered by community health workers at home visits on uptake of screening for cervical cancer (the EMA study): a population-based cluster-randomized trial (2015)
Control of cervical cancer in developing countries has been hampered by a failure to achieve high screening uptake. In Argentina, more than 60% of women with low education have not had a Papanicolaou (Pap) test in the past 2 years. HPV DNA self-collection could increase screening coverage, but implementation ofRead more…
Hypertension education and adherence in South Africa: a cost-effectiveness analysis of community health workers (2014)
Of the non-communicable diseases (NCDs), hypertension is a major burden in general and in particular in South Africa with trends showing a growth of 20% for both men and women over the past decade. Of further significance is that adherence to hypertension medication varies significantly from under 10% in theRead more…
Initial experience and innovations in supervising community health workers for maternal, newborn child health in Morogoro region, Tanzania (2015)
Supervision is meant to improve the performance and motivation of community health workers (CHWs). However, most evidence on supervision relates to facility health workers. The Integrated Maternal, Newborn, and Child Health (MNCH) Program in Morogoro region, Tanzania, implemented a CHW pilot with a cascade supervision model where facility health workersRead more…
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