Results: 3217
Innovative primary care delivery in rural Alaska: a review of patient encounters seen by community health aides. (2012)
For more than 50 years, Community Health Aides and Community Health Practitioners (CHA/Ps) have resided in and provided care for the residents of their villages. This study is a systematic description of the clinical practice of primary care health workers in rural Alaska communities. This is the first evaluation of theRead more…
Integrated Community Case Management: Findings from Senegal, the Democratic Republic of the Congo, and Malawi (2013)
To generate key lessons, Senegal, the Democratic Republic of Congo, and Malawi have conducted assessments of their programs related to community case management (CCM) of childhood illness programs. The CCM programs in all three countries included the treatment of three major childhood illnesses by community health workers: diarrheal disease, malariaRead more…
Indicator Guide: Monitoring and Evaluating Integrated Community Case Management (2013)
This guide aims to encourage integrated Community Case Management (iCCM) programs to more effectively monitor and evaluate iCCM implementation and results across all of the iCCM benchmark components. Aimed at program managers, M&E officers, researchers, and organizations supporting/implementing iCCM, specific objectives of this guide are to: Compile iCCM indicators usefulRead more…
Understanding where parents take their sick children and why it matters: a multi-country analysis (2013)
Developing effective context-specific strategies to ensure that a high proportion of children receive timely and appropriate care requires knowing the source from which care is sought. Although Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS) collect such data in disaggregated form, they are not made available inRead more…
Innovative primary care delivery in rural Alaska: a review of patient encounters seen by community health aides. (2012)
For more than 50 years, Alaskan Community Health Aides and Community Health Practitioners (CHA/Ps) have resided in and provided care for the residents of their villages. This study is a systematic description of the clinical practice of primary care health workers in rural Alaska communities. This is the first evaluation ofRead more…
Community health workers’ perspectives on their contribution to rural health and well-being in Iran. (2011)
The activities of community health workers (CHWs) have been identified as key to improvements in the health of Iran’s rural population. We explored the perceptions of CHWs regarding their contribution to rural health in Iran. Three research assistants familiar with the Iranian primary health care network conducted face-to-face interviews with CHWsRead more…
Outreach services to improve access to health care in South Africa: lessons from three community health worker programmes (2013)
This article examines three South African community health worker programs, a small local non-governmental organisation, a local satellite of a national NGO, and a government-initiated service, that provide a range of services from home-based care, childcare, and health promotion to assist clients in overcoming poverty-related barriers to health care toRead more…
Role and outcomes of community health workers in HIV care in sub-Saharan Africa: a systematic review (2013)
The provision of HIV treatment and care in sub-Saharan Africa faces multiple challenges, including weak health systems and attrition of trained health workers. One potential response to overcome these challenges has been to engage community health workers (CHWs). A systematic literature search for quantitative and qualitative studies describing the roleRead more…
Patient- and delivery-level factors related to acceptance of HIV counseling and testing services among tuberculosis patients in South Africa: a qualitative study with community health workers and program managers. (2011)
South Africa has a high tuberculosis (TB)-human immunodeficiency virus (HIV) coinfection rate of 73%, yet only 46% of TB patients are tested for HIV. To date, relatively little work has focused on understanding why TB patients may not accept effective services or participate in programs that are readily available inRead more…
Community health workers support community-based participatory research ethics: lessons learned along the research-to-practice-to-community continuum. (2012)
Ethical principles of community-based participatory research (CBPR)–specifically, community engagement, mutual learning, action-reflection, and commitment to sustainability–are particularly relevant in cancer disparities research because vulnerable populations are often construed to be powerless, supposedly benefiting from programs over which they have no control. The long history of exploiting minority individuals and communitiesRead more…
Learning from the Brazilian community health worker model in North Wales. (2013)
Health policymakers in many countries are looking at ways of increasing health care coverage by scaling up the deployment of community health workers. Traditionally this has been seen as an option for low and middle income countries with inadequate numbers of trained health professionals. In this commentary, we describe theRead more…
Culturally sensitive care for elderly immigrants through ethnic community health workers: design and development of a community based intervention programme in the Netherlands. (2013)
In Western countries, health and social welfare facilities are not easily accessible for elderly immigrants and their needs are suboptimally addressed. A transition is needed towards culturally sensitive services to overcome barriers to make cure and care accessible for elderly immigrants. This research developed an intervention programme in which ethnicRead more…
The Tanzania Connect Project: a cluster-randomized trial of the child survival impact of adding paid community health workers to an existing facility-focused health system (2013)
Tanzania has been a pioneer in establishing community-level services, yet challenges remain in sustaining these systems and ensuring adequate human resource strategies. In particular, the added value of a cadre of professional community health workers is under debate. While Tanzania has the highest density of primary health care facilities inRead more…
Community-based Validation of Assessment of Newborn Illnesses by trained Community Health Workers in Sylhet district of Bangladesh (2009)
This article attempts to validate trained community health workers’ (CHWs’) recognition of signs and symptoms of newborn illnesses and classification of illnesses using a clinical algorithm during routine home visits in rural Bangladesh. Between August 2005 and May 2006, 288 newborns were assessed independently by a CHW and a study physician.Read more…
It’s about time: WHO and partners release programming strategies for postpartum family planning (2014)
The postpartum period is a critical time to address high unmet family planning need and to reduce the risks of closely spaced pregnancies. Practical tools are included in the new resource for integrating postpartum family planning at points when women have frequent health system contact, including antenatal care, labor and delivery, postnatal care,Read more…
Keeping community health workers in Uganda motivated: key challenges, facilitators, and preferred program inputs (2013)
In the face of global health worker shortages, community health workers (CHWs) are an important health care delivery strategy for underserved populations. In Uganda, community-based programs often use volunteer CHWs to extend services, including family planning, in rural areas. This study examined factors related to CHW motivation and level ofRead more…
Best Practice Guidelines for Implementing and Evaluating Community Health Worker Programs in Health Care Settings (2014)
There is a growing movement among health care organizations to adopt the Community Health Worker (CHW) model into their system as a way to provide comprehensive care to patients and community members. At the same time there is uncertainty about how to implement the CHW model to achieve better patient outcomes, higher qualityRead more…
Community-based Validation of Assessment of Newborn Illnesses by trained Community Health Workers in Sylhet district of Bangladesh (2009)
This study aims to validate trained community health workers’ (CHWs’) recognition of signs and symptoms of newborn illnesses and classification of illnesses using a clinical algorithm during routine home visits in rural Bangladesh. Between August 2005 and May 2006, 288 newborns were assessed independently by a CHW and a study physician.Read more…
Community Case Management of Fever Due to Malaria and Pneumonia in Children Under Five in Zambia: A Cluster Randomized Controlled Trial (2010)
Pneumonia and malaria, two of the leading causes of morbidity and mortality among children under five in Zambia, often have overlapping clinical manifestations. Zambia is piloting the use of artemether-lumefantrine (AL) by community health workers (CHWs) to treat uncomplicated malaria. Valid concerns about potential overuse of AL could be addressedRead more…
Quality Improvement in Diabetes Care Using Community Health Workers (2008)
Community health centers take care of patients who are at high risk for adverse medical outcomes because of poverty, linguistic isolation, poor education, and poor health habits. Because of their population focus, health centers are positioned to implement systems-level changes affecting many patients. This article discusses the quality improvement initiatives atRead more…
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