Results: 3217
The role of community health workers (CHWs) in health promotion research: ethical challenges and practical solutions. (2011)
This article aims to describe the role of community health workers (CHWs) in health promotion research and address the challenges and ethical concerns associated with this research approach. Findings reveal a number of challenges that investigators and project managers encounter when working with CHWs on research projects involving the community.Read more…
60 Million non-facility births: who can deliver in community settings to reduce intrapartum-related deaths? (2009)
For the world’s 60 million non-facility births, addressing who is currently attending these births and what effect they have on birth outcomes is a key starting point toward improving care during childbirth. Skilled childbirth care is recommended for all pregnant women, and community strategies need to be linked to prompt, high-qualityRead more…
Developing the national community health assistant strategy in Zambia: a policy analysis. (2013)
In 2010, the Ministry of Health in Zambia developed the National Community Health Assistant strategy, aiming to integrate community health workers (CHWs) into national health plans by creating a new group of workers, called community health assistants (CHAs). The aim of the paper is to analyse the CHA policy developmentRead more…
5-SPICE: the application of an original framework for community health worker program design, quality improvement and research agenda setting (2013)
Despite decades of experience with community health workers (CHWs) in a wide variety of global health projects, there is no established conceptual framework that structures how implementers and researchers can understand, study and improve their respective programs based on lessons learned by other CHW programs. Engaging a large group of implementers,Read more…
Consumers stated and revealed preferences for community health workers and other strategies for the provision of timely and appropriate treatment of malaria in southeast Nigeria. (2006)
The African Heads of State meeting in Abuja, Nigeria on Roll Back Malaria adopted effective treatment of malaria nearer the home as one of the strategies for malaria control in Africa. A potentially effective strategy for bringing early, appropriate and low cost treatment of malaria closer to the home isRead more…
Factors Associated with Job Satisfaction among Chinese Community Health Workers: A Cross-Sectional Study (2011)
With medical reform, the function of community health centres became more important in China. However, health service capabilities were tremendously different between metropolitan cities and small cities. This study aims to clarify the level of job satisfaction of Chinese community health workers between a metropolitan (Shenyang) and a small cityRead more…
The Uganda Newborn Study (UNEST): an effectiveness study on improving newborn health and survival in rural Uganda through a community-based intervention linked to health facilities – study protocol for a cluster randomized controlled trial. (2012)
Studies in Asia and South America have shown that neonatal mortality can be reduced through community-based interventions, but these have not been adapted to scalable intervention packages for sub-Saharan Africa where the culture, health system and policy environment is different. The aim of the present study is to adapt, developRead more…
The experience of community health workers training in Iran: a qualitative study (2012)
The role of Community Health Workers (CHWs) in improving access to basic healthcare services, and mobilising community actions on health is broadly recognised. The Primary Health Care (PHC) approach, identified in the Alma Ata conference in 1978, stressed the role of CHWs in addressing community health needs. Training of CHWsRead more…
Household Surveillance of Severe Neonatal Illness by Community Health Workers in Mirzapur, Bangladesh: Coverage and Compliance with Referral (2009)
As part of a community-based package of maternal-neonatal health care, community health workers (CHWs) were trained to conduct household surveillance and to identify and refer sick newborns according to a clinical algorithm. Assessments of newborns by CHWs at home were linked to hospital-based assessments by physicians, and factors impacting referral,Read more…
Assessing community health workers’ performance motivation: a mixed-methods approach on India’s Accredited Social Health Activists (ASHA) programme. (2012)
This study examined the performance motivation of community health workers (CHWs) and its determinants on India’s Accredited Social Health Activist (ASHA) programme. The inadequate healthcare delivery status and certain working modalities reduced their motivation. Gender mainstreaming in the community health approach, especially on the demand-side and community participation were the positiveRead more…
Knowledge and Behavioral Effects in Cardiovascular Health: Community Health Worker Health Disparities Initiative, 2007–2010 (2014)
Cardiovascular disease is the leading cause of death in the United States, and disparities in cardiovascular health exist among African Americans, American Indians, Hispanics, and Filipinos. The Community Health Worker Health Disparities Initiative of the National Heart, Lung, and Blood Institute (NHLBI) includes culturally tailored curricula taught by community healthRead more…
Cultural translation of interventions: diabetes care in American Samoa. (2010)
Translation of research advances into clinical practice for at-risk communities is important to eliminate disease disparities. Adult type 2 diabetes prevalence in the US territory of American Samoa is 21.5%, but little intervention research has been carried out there. We discuss our experience with cultural translation, drawing on an emergingRead more…
Community health workers: social justice and policy advocates for community health and well-being. (2008)
Community health workers are resources to their communities and to the advocacy and policy world on several levels. Community health workers can connect people to health care and collect information relevant to policy. They are natural researchers who, as a result of direct interaction with the populations they serve, canRead more…
Exploring the role of community health workers in providing cancer navigation: perceptions of African American older adults. (2012)
Cancer outcomes are unequally distributed across racial and ethnic groups, with minorities experiencing worse outcomes, particularly in overall survival. Several groups have recommended employing community health workers (CHWs) to help eliminate disparities. By identifying and addressing barriers to adherence to cancer screening or treatment recommendations and working with patients to negotiateRead more…
An integrated approach of community health worker support for HIV/AIDS and TB care in Angónia district, Mozambique. (2009)
The need to scale up treatment for HIV/AIDS has led to a revival in community health workers to help alleviate the health human resource crisis in sub-Saharan Africa. Community health workers have been employed in Mozambique since the 1970s, performing disparate and fragmented activities, with mixed results. An integrated community healthRead more…
Access, acceptability and utilization of community health workers using diagnostics for case management of fever in Ugandan children: a cross-sectional study. (2012)
Use of diagnostics in integrated community case management (iCCM) of fever is recognized as an important step in improving rational use of drugs and quality of care for febrile under-five children. This study assessed household access, acceptability and utilization of community health workers (CHWs) trained and provided with malaria rapidRead more…
Community health workers improve contact tracing among immigrants with tuberculosis in Barcelona. (2012)
The important increase in immigration during recent years has changed the epidemiology and control strategies for tuberculosis (TB) in many places. This study evaluates the effectiveness of intervention with community health workers (CHW) to improve contact tracing among immigrants. The study included all TB cases detected by the Barcelona TB ProgramRead more…
Sources of community health worker motivation: a qualitative study in Morogoro Region, Tanzania. (2013)
There is a renewed interest in community health workers (CHWs) in Tanzania, but also a concern that low motivation of CHWs may decrease the benefits of investments in CHW programs. This study aimed to explore sources of CHW motivation to inform programs in Tanzania and similar contexts. Sources of CHW motivationRead more…
A Wellness Course for Community Health Workers in Alaska: “wellness lives in the heart of the community”. (2012)
This study aims to develop, implement, and evaluate a culturally respectful Wellness Course with and for Alaska’s village-based Community Health Workers (CHWs) to support community health promotion and disease prevention.This article describes Wellness Course development, implementation, and evaluation. Five 5-day Wellness Courses were provided for 55 CHWs from communities throughout Alaska. LearningRead more…
‘It’s the sense of responsibility that keeps you going’: stories and experiences of participation from rural community health workers in Guatemala (2012)
In 1978, the Alma-Ata declaration on primary health care (PHC) recognized that the world’s health issues required more than just hospital-based and physician-centered policies. The figure of the community health worker (CHW) remains a central feature of participation within the PHC approach, and being a CHW is still considered to beRead more…
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