Results: 3217
Final Report: Safety and Feasibility of Community-Based Distribution of Depo Provera in Nakasongola, Uganda (2005)
The goal of this intervention was to improve access to contraceptive services in rural Nakasongola, Uganda, two hours north of the capital, by assessing the safety, quality and feasibility of DMPA provision by community reproductive health workers as compared with DMPA provided in clinics. The findings from this research reinforceRead more…
Comparing the Effectiveness and Costs of Alternative Strategies for Improving Access to Information and Services for the IUD in Ghana (2008)
This report describes a study conducted in Ghana to explore utilizing Community Health Officers (CHOs) and Community Health Volunteers (CHVs) to increase interest in using IUDs and other long-acting and permanent methods. The study utilized a pre- and post-test quasi-experimental design and included two intervention groups (where CHOs and CHVsRead more…
Implementing the HMC Resolution on Task Shifting- Focus on Injectables. Evidence Review and Development of Country Workplans (2010)
The East, Central and Southern Africa Health Community (ECSA-HC) in collaboration with Family Health International (FHI), held a regional workshop on expanding community-based access to family planning- focus on injectable contraception.
Increasing contraceptive use in rural Pakistan: an evaluation of the Lady Health Worker Programme (2005)
The Lady Health Worker (LHW) Programme was initiated by the Pakistani Ministry of Health in the early 1990s to integrate family planning into doorstep provision of primary health care. This paper presents findings from the first national evaluation of the Programme. The data provides strong evidence that the Programme succeededRead more…
Health Workforce “Innovative Approaches and Promising Practices” Study: Providing Doorstep Services to Underserved Rural Populations: Community Health Officers in Ghana (2006)
Through its Community-Based Health Planning and Services (CHPS) initiative, Ghana has deployed over 300 auxiliary nurses in 53 of the country’s deprived districts. These nurses, who receive two years of training and the title Community Health Officer (CHO), are part of an innovative approach that shifts staff from low-impact staticRead more…
Brief 3: Effectiveness of Community-based Distribution of DMPA (2007)
This brief outlines how community based distribution (CBD) of injectable DMPA (Depo-Provera) can be effective. It posits key elements to ensure CBD success: workers must have consistent links to supplies, a system for follow up of clients to ensure they receive their injections every three months and training in howRead more…
Improving the Quality of Care (2010)
This tool describes a quality assurance process for ensuring that TB, HIV, and dual-infected clients are provided with quality of care. The approach relies on observation, use of scorable supervisory checklists to assess performance and instructions for addressing low-scoring tasks. Summary data informs improvement actions. Reports are submitted to theRead more…
Community home-based prevention of disability due to lyphatic filariasis (2003)
This tool provides CHWs with 5 key messages as well as visual aids to help treat and prevent lymphatic filariasis in the community.
Engaging Men at the Community Level (2008)
This training manual helps participants develop and use activities at the community level to create a supportive environment for work related male engagement. It provides guidance on discussing HIV and AIDS, gender norms, gender equity and creating community action teams.
Task Shifting: Global Recommendations and Guidelines (2008)
Task shifting is one approach to address the shortage of health staff by rational redistribution of tasks among health workforce teams. This document contains 22 recommendations and guidelines developed through a process of country consultation, extensive evidence gathering, and broad consultation among a wide range of experts and stakeholders. TheRead more…
People first: African solutions to the health worker crisis (2007)
This brief draws on AMREF’s experience, looking at three key issues: appropriate training, task-shifting to lower cadres of worker, and training and supporting CHWs to bring health care closer to communities. It emphasizes both the need for global commitment to scale up proven models at the national level and leadershipRead more…
Implementing a Community Strategy within the Aphia II Nyanza Project (2009)
This document describes Aphia II Nyanza’s 2006-10 strategy to support Kenya’s Ministry of Health as well as FBOs and CBOs to: improve and expand facility based services, civil society activities to increase healthy behaviors and care, and support for people and families affected by HIV and AIDS.
Do lay or community health workers in primary health care improve maternal and child health and tuberculosis outcomes? A SUPPORT Summary of a systematic review (2011)
This systematic review is helpful for people who need to make decisions about the use of lay health workers in primary and community care delivery. The authors reviewed 82 studies to assess the effects of lay health worker interventions on improving MCH and TB outcomes. Key findings and considerations ofRead more…
The Ife South Breastfeeding Project: training community health extension workers to promote and manage breastfeeding in rural communities (1997)
This article presents the findings of a project to promote exclusive breastfeeding in rural communities through the training of community health extension workers in rural Nigeria. The authors found that the training of extension health workers in rural communities is feasible, can have a beneficial impact on breastfeeding promotion, andRead more…
Supply Chain Models and Considerations for Community-Based Distribution Programs: A Program Manager’s Guide (2010)
This document provides guidance in the design of systems for community-based distribution (CBD) programs. The guide aims to assist program managers and other stakeholders in designing and implementing stronger and more sustainable supply chains for their CBD programs. The guide is intended to serve as a resource of tools thatRead more…
Promising Practices in Supply Chain Management for Community-Based Distribution Programs: Global Survey of CBD Programs (2010)
This global survey documents the preliminary research and findings that the JSI team compiled to inform the final project document, Supply Chain Models and Considerations for Community‐Based Distribution Programs: A Program Manager’s Guide. It can be used as a reference to any person or organization interested in CBD programs.
Malaria Rapid Testing by Community Health Workers is Effective and Safe for Targeting Malaria Treatment: Randomised Cross-Over Trial in Tanzania (2011)
This study assessed the impacts of use of rapid malaria diagnostic tests (RDTs) by CHWs on the provision of artemisinin-based combination therapy (ACT) and health outcome in fever patients in Tanzania. The authors found that RDTs administered by CHWs may improve early and well-targeted ACT treatment in malaria patients atRead more…
The lady health worker program in Pakistan- a commentary (2011)
This short commentary discusses the Lady Health Worker (LHW) program in Pakistan. LHWs serve as an important link between community and health facilities, providing both preventative and curative care. However, additional improvements are suggested that could further facilitate a thriving program. These include: incentives for LHWs (improving salaries, timely contractRead more…
Improving community health worker use of malaria rapid diagnostic tests in Zambia: package instructions, job aid and job aid-plus-training (2008)
This study examined: (i) whether Zambian CHWs could prepare and interpret RDTs accurately and safely using manufacturer’s instructions alone; (ii) whether mostly pictorial instructions (a “job aid”) could raise performance; and (iii) whether a brief training program would produce further improvement. The authors found that manufacturers’ instructions, like those providedRead more…
Supervision of community peer counsellors for infant feeding in South Africa: an exploratory qualitative study (2010)
This paper reports on a qualitative study of the experiences of three CHW supervisors who were responsible for supporting infant feeding peer counselors in three diverse settings in South Africa. This study highlights the need to pay attention to the experiences of supervisors in order to better understand the componentsRead more…
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