Results: 3217
Recommendations for developing and sustaining community health workers. (2011)
This report provides recommendations for the development and sustenance of community health workers. These recommendations are a result of the San Antonio Community Health Worker Summit held January 2010. Recommendations include defining the workforce, training standards, evaluating financial benefit, strategizing Medicaid reimbursement, and creating support networks
COACH trial: a randomized controlled trial of nurse practitioner/community health worker cardiovascular disease risk reduction in urban community health centers: rationale and design. (2011)
Despite well-publicized guidelines on the appropriate management of cardiovascular disease (CVD) and type 2 diabetes, implementation of risk-reducing practices remains poor. This paper describes the rationale and design of a randomized controlled clinical trial evaluating the effectiveness of a comprehensive program of CVD risk reduction delivered by nurse practitioner (NP)/communityRead more…
Improving Breast Cancer Control via the Use of Community Health Workers in South Africa: A Critical Review (2011)
Breast cancer is a growing concern in low- and middle-income countries (LMCs). We explore community health worker (CHW) programs and describe their potential use in LMCs. We use South Africa as an example of how CHWs could improve access to breast health care because of its middle-income status, existing cancerRead more…
Profiles, Perceptions and Motivations of Community Health Workers of NGOs in a Border City of US-Mexico (2012)
This study analyzes the profile, perceptions and motivations of Community Health Workers (CHWs) from nongovernmental organizations (NGOs) in the border city of US-Mexico and describes the type of community interventions they perform. Analysis of focus group discussions lead to the development of four conceptual categories: personal development, motivation, perception of their community participation and institutionalRead more…
Salud Para Su Corazon (Health for Your Heart) Community Health Worker Model: Community and Clinical Approaches for Addressing Cardiovascular Disease Risk Reduction in Hispanics/Latinos (2011)
This article describes 6 Salud Para Su Corazon (SPSC) family of programs that have addressed cardiovascular disease risk reduction in Hispanic communities facilitated by community health workers (CHWs) or Promotores de Salud (PS). A synopsis of the programs illustrates the designs and methodological approaches that combine community-based participatory research for 2 types of settings:Read more…
Community health worker integration into the health care team accomplishes the triple aim in a patient-centered medical home: a bronx tale (2014)
Community health workers are ideally suited to the care coordination niche within the patient-centered medical home (PCMH) team, but there are few case studies detailing how to accomplish this integration. This qualitative study documents how community health workers (CHWs) were integrated into a PCMH in South Bronx, New York. ResultsRead more…
A framework for outcome-level evaluation of in-service training of health care workers (2013)
In-service training is a key strategic approach to addressing the severe shortage of health care workers in many countries. However, there is a lack of evidence linking these health care worker trainings to improved health outcomes. In response, the United States President’s Emergency Plan for AIDS Relief’s Human Resources for Health Technical WorkingRead more…
A review of generalist and specialist community health workers for delivering adolescent health services in sub-Saharan Africa (2013)
The health of adolescents is increasingly seen as an important international priority because the world’s one point eight billion young people (aged 10 to 24 years) accounts for 15.5% of the global burden of disease and are disproportionately located in low- and middle-income countries (LMICs). Furthermore, an estimated 70% ofRead more…
Community health workers: Expanding the scope of the health care delivery system (2008)
Recent state experience suggests that states and Medicaid programs are increasingly using community health workers (CHW) to expand the health care safety net to reach underserved populations. CHWs do not provide clinical care or replace other health care providers. Instead, they complement services delivered through the more formal health care networkRead more…
Community Health Workers in the Midwest: Understanding and developing the workforce (2012)
Community Health Workers (CHWs) play a unique and valuable role in their communities, particularly in reducing health disparities by reaching underserved populations. To support efforts to build CHWs into a sustainable component of the health care system, the American Cancer Society – Midwest Division sought to increase understanding of and document the work ofRead more…
Making the Connection: The Role of Community Health Workers in Health Homes (2012)
The development of health homes creates a unique opportunity to develop and implement care management models that meet the complex needs of high-need and high-cost patients. Incorporating CHWs into care management teams is an effective – and cost-effective – approach to achieving the goals of health homes. The roles and tasks CHWs performRead more…
Knowledge gaps and a need based Global Research Agenda by 2015 (2013)
Though a wealth of knowledge and evidence is available on key aspects of CHW programs, critical knowledge gaps remain. To enable the environment for increased evidence-based decision making at the country level, adequate emphasis must be placed on continuing to strengthen the evidence base for CHWs. This paper attempts to identify all CHWRead more…
Monitoring and accountability platform – for national governments and global partners In developing, implementing, and managing CHW programs (2013)
This paper, together with the Framework for Partners’ Harmonized Support, proposes complementary operational frameworks through which national and international partners may align their actions with the collective goal to normalize a cadre of community workers and collaborate toward integrated, harmonized program designs rather than competitive, siloed, and parallel interventions. As laid out in theRead more…
A framework for partners’ harmonised support (2013)
Fragmentation is one of the main challenges to successful and sustainable CHW scale-up – in terms of programming, the service delivery chain, and the multiplicity of public and private organizations, training, deploying and supporting CHWs. This paper proposes a set of generally agreed guiding principles to support countries and their partners inRead more…
Applying the HRH Action Framework to Develop Sustainable Excellence in the Health Supply Chain Workforce (2013)
To ensure that medicines and other health commodities reach the people who need them and contribute to improved health, people in the supply chain management (SCM) field must understand and apply effective approaches for developing and managing supply chain workforces. At the same time, those in the human resources forRead more…
Building on safety, feasibility, and acceptability: the impact and cost of community health worker provision of injectable contraception (2013)
A critical shortage of doctors, nurses, and midwives in many sub-Saharan African countries inhibits efforts to expand access to family planning services, especially in rural areas. One way to fill this gap is for community health workers (CHWs) to provide injectable contraceptives, an intervention for which there is growing evidenceRead more…
Factors Affecting Availability of Essential Medicines among Community Health Workers in Ethiopia, Malawi, and Rwanda: Solving the Last Mile Puzzle (2012)
To understand how supply chain factors affect product availability at the community level, the Improving Supply Chains for Community Case Management of Pneumonia and Other Common Diseases of Childhood Project developed a theory of change (TOC) framework for gathering, organizing, and interpreting evidence about supply constraints to community case management (CCM). Baseline assessmentsRead more…
Factors Affecting Availability of Essential Medicines among Community Health Workers in Ethiopia, Malawi, and Rwanda: Solving the Last Mile Puzzle (2012)
To understand how supply chain factors affect product availability at the community level, the Improving Supply Chains for Community Case Management of Pneumonia and Other Common Diseases of Childhood Project developed a theory of change (TOC) framework for gathering, organizing, and interpreting evidence about supply constraints to community case management (CCM). Baseline assessmentsRead more…
Predictors and a Framework for Fostering Community Advocacy as a Community Health Worker Core Function to Eliminate Health Disparities (2013)
In the United States, CHWs have been recognized as integral to providing patient-centered care and reducing health inequalities among disenfranchised groups. The workforce impact of CHWs is far-reaching in the realms of the prevention and control of chronic and infectious disease, the reduction of health care costs, and improved outreach, communication, and adherence, as well as in connectingRead more…
Establishing a Professional Profile of Community Health Workers: Results from a National Study of Roles, Activities and Training (2011)
This paper presents results from the 2010 National Community Health Worker Advocacy Survey (NCHWAS) in an effort to strengthen a generalized understanding of the CHW profession that can be integrated into ongoing efforts to improve the health care delivery system. Results indicate that regardless of geographical location, work setting, andRead more…
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