Results: 3217
Cost-Effectiveness of Facility and Home Based HIV Voluntary Counseling and Testing Strategies in Rural Uganda (2013)
This article evaluates the cost effectiveness of facility-and home-based voluntary counseling and testing (VCT) in rural Uganda. A cost analysis using the “ingredients” approach and based on a programmatic perspective. Effectiveness was measured as the number of HIV sero-positive case identified. Home based VCT was the least costly strategy per client testedRead more…
Engaging People Living With HIV as Lay Counsellors in HIV Care and Treatment Services: Experiences in Kilimanjaro, Tanzania (2010)
This document summarises the key components of the lay counsellors programme that have contributed to its success, such as careful recruitment practices and recognition of lay counsellors as valued members of health-care teams. The lay counsellors trained over the past two years play essential roles: they encourage and support HIVRead more…
Sitting in Different Chairs: Roles of the Community Health Workers in the Poder es Salud/Power for Health Project (2008)
Evaluations of Community Health Worker programs consistently document improvements in health, yet few articles clearly describe the roles of Community Health Workers (CHWs) from the CHWs’ perspective. This article presents the CHWs’ points of view regarding the various roles they played in a community-based participatory research (CBPR) project, Poder esRead more…
Community-Based HIV/AIDS Prevention Care and Support Project (COPHIA) (2005)
The COPHIA program emphasizes the provision of home-based care and support services by multi-purpose community-based health workers to vulnerable households coping with the burden of caring for seriously ill family members or orphans and vulnerable children. The COPHIA community-based health workers, with the support of clinical and non-clinical supervisors, provideRead more…
Outcomes of Community Health Worker Interventions (2009)
This report provides a systematic review of the literature to document evidence on characteristics of community health workers (CHWs) and CHW interventions, outcomes of such interventions, costs and cost-effectiveness of CHW interventions, and characteristics of CHW training. CHWs can serve as a means of improving outcomes for underserved populations forRead more…
President’s Emergency Plan for AIDS Relief Report on Work Force Capacity and HIV/AIDS (2006)
The paucity of trained health professionals and other human resources to combat HIV/AIDS in the focus countries is a stark indicator of the challenges facing the Emergency Plan. Policies that mandate that only health professionals can provide health services, when trained community health workers could provide components of prevention, care, and treatment services atRead more…
Community Home-Based Care for People and Communities Affected by HIV/AIDS: Training Course and Handbook for Community Health Workers (2006)
This pre-tested and peer-reviewed curriculum focuses on the knowledge and skills necessary for providing holistic CHBC for people living with HIV/AIDS, transferring knowledge and skills to caregivers and CHBC clients, and mobilizing communities around HIV/AIDS prevention, care, treatment, and support. The trainer’s guide includes comprehensive units that cover topics fromRead more…
Informal Health Workers: To Be Encouraged or Condemned? (2006)
Informal health workers are found in every health system, and the impact of their role increases as the strength of the formal sector weakens. Informal health workers can be significant players in communities and deserve to be acknowledged, encouraged and supported. This editorial discusses the role informal health workers playRead more…
Modelling the returns on options for improving malaria case management in Ethiopia (2013)
Diverse opinions have emerged about the best way to scale up malaria interventions. Three controversies seem most important: (1) should the scale-up focus on a broader target of febrile illness (including infectious disease and pneumonia)? (2) should the scale-up feature a single intervention or be targeted to the situation? (3)Read more…
Community Health Workers: Part Of The Solution (2010)
Community health workers are recognized in the Patient Protection and Affordable Care Act as important members of the health care workforce. The evidence shows that they can help improve health care access and outcomes; strengthen health care teams; and enhance quality of life for people in poor, underserved, and diverse communities. This article tracesRead more…
Paving a Path to Advance the Community Health Worker Workforce in New York State: A New Summary and Recommendations (2011)
The New York State Community Health Worker Initiative has researched the role of community health workers (CHWs) and identified how to advance this workforce through state-level recommendations on employment and practice, training and certification, and financing. In order for CHWs to be better integrated into the health care and social service systems, theRead more…
Community Health Workers Then and Now: An Overview of National Studies Aimed at Defining the Field (2011)
This article compares and contrasts 3 national studies of the US Community Health Worker (CHW) field spanning 15 years. Findings cover 4 areas of overlap among the 3 studies: CHW Demographics, Core Roles and Competencies, Training and Credentialing, and Career Advancement and Workforce Issues. Implications for the future development ofRead more…
Community Case Management Improves Use of Treatment for Childhood Diarrhea, Malaria and Pneumonia in a Remote District of Ethiopia (2009)
Ethiopia’s health extension workers (HEW) deliver preventive interventions and treat childhood diarrhea and malaria, but not pneumonia. Most of Ethiopia’s annual estimated 4 million childhood pneumonia cases go untreated. The purpose of this study was to evaluate the performance of volunteers in providing community case management for diarrhea, fever andRead more…
Health Workers’ and Managers’ Perceptions of the Integrated Community Case Management Program for Childhood Illness in Malawi: The Importance of Expanding Access to Child Health Services (2012)
Community case management (CCM) is a promising task-shifting strategy for expanding treatment of childhood illness that is increasingly adopted by low-income countries. This study uses qualitative methods to explore health workers’ and managers’ perceptions about CCM provided by health surveillance assistants during the program’s first year in Malawi.
Scaling Up Integrated Community Case Management of Childhood Illness: Update from Malawi (2012)
This paper documents progress in the scale up of a program to train an existing cadre of community based health workers, known as health surveillance assistants, to provide integrated community case management of childhood illness between 2008 and 2011. It describes some critical challenges that affect the effectiveness and sustainabilityRead more…
Health Systems Supports for Community Case Management of Childhood Illness: Lessons from an Assessment of Early Implementation in Malawi (2013)
This paper presents the results of a mixed-methods assessment of selected health systems supports for community-based health workers in a national community case management program for childhood illness in Malawi during the first year of implementation.
Insights from Community Case Management Data in Six Sub-Saharan African Countries (2012)
This study analyzed monitoring data from community case management (CCM) programs supported by the International Rescue Committee, covering over 2 million treatments provided from 2004 to 2011 in six countries by 12,181 community health workers to generate evidence on how to implement CCM.
Community Health Workers Providing Government Community Case Management for Child Survival in Sub-Saharan Africa: Who Are They and What Are They Expected to Do? (2012)
This article describes community health workers (CHWs) in government community case management (CCM) programs for child survival across sub-Saharan Africa. There were diverse incentives, training, and methods of treatment. Even if CHWs are as varied as the health systems in which they work, more work must be done in termsRead more…
Comparison of Methods for Assessing Quality of Care for Community Case Management of Sick Children: An Application with Community Health Workers in Malawi (2012)
As part of an assessment of quality of community case management services in Malawi, this report examines the bias associated with measuring community health worker performance by using register reviews, case scenarios, and direct observation only methods compared with direct observation with re-examination by a higher-level clinician, and discusses theRead more…
Interventions to Improve Motivation and Retention of Community Health Workers Delivering Integrated Community Case Management (iCCM): Stakeholder Perceptions and Priorities (2012)
This work reports the results of semi-structured interviews with 15 international stakeholders, selected because of their experiences in community health worker program implementation, to elicit their views on strategies that could increase community health worker motivation and retention.
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