Results: 3217
Integrating national community-based health worker programmes into health systems: a systematic review identifying lessons learned from low-and middle-income countries (2015)
A systematic review of published research was conducted in order to understand factors that may influence the integration of national community-based health worker (CBHW) programs into low- and middle –income countries. Four programs – Brazil, Ethiopia, India, and Pakistan – met the inclusion criteria and were integrated into their specificRead more…
Global Health Content for Local Solutions: Consultations Synopsis (2015)
This report outlines a series of workshops convened by mPowering Frontline Health Workers and partners to consider whether the global health community is following the most beneficial route to provide relevant and effective health training for FLHWs. Focusing in particular on CHWs, who work directly in the communities they serve, theRead more…
Supporting close-to-community providers through a community health system approach: case examples from Ethiopia and Tanzania (2015)
Close-to-community (CTC) providers, including community health workers or volunteers or health extension workers, can be effective in promoting access to and utilization of health services. Tasks are often shifted to these providers with limited resources and support from CTC programmes or communities. The Community Health System Strengthening (CHSS) model isRead more…
What do community health workers have to say about their work, and how can this inform improved programme design? A case study with CHWs within Kenya (2015)
Community health workers (CHWs) are used increasingly in the world to address shortages of health workers and the lack of a pervasive national health system. However, while their role is often described at a policy level, it is not clear how these ideals are instantiated in practice, how best toRead more…
Supervising Illiterate Community Health Workers in South Sudan to Deliver Integrated Community Case Management Services for Newborns and Children (2015)
Improving and maintaining the clinical skills of frontline health workers over time is critical for strengthening health systems and providing adequate care to mothers, newborns, and children – supervision is widely recognized as a key to improving health worker performance. In Warrap State, South Sudan, a 13-month study was undertakenRead more…
Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development (2015)
Remarkable gains have been made in global health in the past 25 years, but progress has not been uniform. Mortality and morbidity from common conditions needing surgery have grown in the world’s poorest regions, both in real terms and relative to other health gains. At the same time, development ofRead more…
Becoming and remaining community health workers: Perspectives from Ethiopia and Mozambique (2013)
Many global health practitioners are currently reaffirming the importance of recruiting and retaining effective community health workers (CHWs) in order to achieve major public health goals. This raises policy-relevant questions about why people become and remain CHWs. This paper addresses these questions, drawing on ethnographic work in Addis Ababa, theRead more…
Using theory and formative research to design interventions to improve community health worker motivation, retention and performance in Mozambique and Uganda (2015)
The aim of this paper is to demonstrate how a behavioural theory, which accounts for the influence of group identification, in combination with data generated from qualitative interviews with CHWs and stakeholders, can be used to inform the design of interventions to improve CHW motivation, retention and performance in twoRead more…
Exploring perceptions of community health policy in Kenya and identifying implications for policy change (2015)
Background: Global interest and investment in close-to-community health services is increasing. Kenya is currently revising its community health strategy (CHS) alongside political devolution, which will result in revisioning of responsibility for local services. This article aims to explore drivers of policy change from key informant perspectives and to study perceptionsRead more…
mPowering Frontline Health Workers: CHW Consultations (2015)
This report outlines a series of workshops convened by mPowering Frontline Health Workers and partners to consider whether the global health community is following the most beneficial route to provide relevant and effective health training for FLHWs. Focusing in particular on CHWs, who work directly in the communities they serve, the forums explored the potential forRead more…
Better Health Through Equity (2015)
Healthy People 2020, the nation’s health objectives for the current decade, defines health equity as the “attainment of the highest level of health for all people. Achieving health equity requires valuing everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and the eliminationRead more…
Community Health Workers in California: Sharpening Our Focus on Strategies to Expand Engagement (2015)
The Patient Protection and Affordable Care Act (ACA) provides a policy framework to re-imagine a system of care that emphasizes health and wellness through new models of primary care and population health interventions. These new models offer the potential to deliver care services at a lower cost, to detect andRead more…
Community Health Worker (CHW) Toolkit (2015)
CDC has compiled evidence-based research that supports the effectiveness of CHWs in the Community Health Worker Toolkit. The toolkit also includes information that state health departments can use to train and further build capacity for CHWs in their communities, as well as helpful resources that CHWs can use within theirRead more…
In Depth Interviews of Health Workers in Sierra Leone (2014)
Coherent human resource for health (HRH) policies should be designed to address the challenges faced in recruitment and retention of health workers, particularly in developing countries. In Sierra Leone, there are challenges in providing equitable healthcare for all due in part to the current HRH situation, which includes an unequalRead more…
Kisumu Final Report (2014)
Kenya’s third largest city, Kisumu, serves as a trading and transportation hub for west- ern Kenya and bears the dubious distinction of having Kenya’s worst set of health indicators and one of the nation’s highest poverty levels. While much work lies ahead for Kisumu to attain the Millennium Development GoalsRead more…
Policy for Community Health Workers in Sierra Leone (2012)
Health systems in Sierra Leone are undergoing considerable change, often in a context of ongoing health sector reforms. In Sierra Leone, decentralization of health services is very central to these changes, and consequently there is a need to prepare and empower those working at the district level for their newRead more…
Community Health Workers: A Review of Program Evolution, Evidence on Effectiveness and Value, and Status of Workforce Development in New England (2013)
Disparities across racial and socioeconomic lines in the utilization of health care services and in patient outcomes continue to plague healthcare systems in the U.S. (AHRQ, 2008; Smedley, 2003; Children’s Defense Fund, 2006). Policies to address health care disparities have varied, including steps to increase access to health insurance coverage at both theRead more…
Addressing Chronic Disease through Community Health Workers: A Policy and Systems-level Approach (2014)
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, it sets forth evidence demonstrating the value and impact of CHWs in preventing and managing a variety of chronic diseases, including heart diseaseRead more…
Policy Evidence Assessment Report: Community Health Worker Policy Components (2014)
Policy Evidence Assessment Reports summarize the evidence bases for components of chronic disease policy. Evidence based policy can be used to prevent, control, and improve the outcomes of chronic disease, but the strength of the evidence for many components of policy is unknown. The Policy Evidence Assessment Reports are intended to inform researchers, evaluators, and practitioners about theRead more…
Patient-Centered Community Health Worker Intervention to Improve Posthospital Outcomes A Randomized Clinical Trial (2014)
Objective: To determine whether a tailored community health worker (CHW) intervention would improve posthospital outcomes among low-SES patients. Results: Using intention-to-treat analysis, we found that intervention patients were more likely to obtain timely posthospital primary care, to report high-quality discharge communication, and to show greater improvements in mental health andRead more…
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