Results: 3217
Generalizing from qualitative data a case example using critical realist thematic analysis and mechanism mapping to evaluate a community health worker-led screening program in India (2024)
This study highlights how qualitative data and mechanism maps can improve the understanding of why health programs succeed or fail. Using a community health worker (CHW)-led gestational diabetes (GDM) screening program in Pune, India, as an example, researchers identified factors that increased screening uptake, such as CHWs’ support and educationRead more…
Malaria elimination challenges in countries approaching the last mile: a discussion among regional stakeholders (2024)
Cambodia, Nepal, and Bhutan aim to eliminate malaria by 2025–2030 but face challenges like isolated outbreaks and imported cases. A 2022 outbreak in Cambodia, likely linked to forest workers, was quickly contained with support from village malaria workers and health centers. Nepal and Bhutan also reported outbreaks, often traced toRead more…
Mental Health Literacy Among Female Community Health Workers: A Multi-setting Cross-sectional Study (2024)
This study examined mental health knowledge among 454 female community health workers in Indonesia. Many had misconceptions about mental illness, including its causes, symptoms, and treatment. For example, most believed stress and personal weakness cause mental illness, while fewer recognized hereditary factors. Many thought medication alone could fully cure mentalRead more…
Cost-effectiveness analysis of proactive home visits compared with site-based community health worker care on antenatal care outcomes in Mali: a cluster-randomised trial (2024)
This study assessed the cost-effectiveness of community health workers (CHWs) making proactive home visits to improve antenatal care (ANC) in Mali. Compared to fixed-site CHW services, home visits significantly increased ANC use, including early and frequent visits, while saving costs. The approach was more effective and cost-efficient, showing strong potentialRead more…
Assessing feasibility and acceptability of increasing access to sexual and reproductive health and rights through pharmacy outlets and community health volunteers: lessons from pilot study in Kenya (2024)
This study explored the use of private pharmacies and community health volunteers to increase access to medication abortion and other sexual and reproductive health services in Homa Bay County, Kenya. Between April and December 2022, 527 clients received medication abortion drugs from participating pharmacies, with a steady rise in theRead more…
Dynamics of extra-medical attitude-related among pregnant women in the Kirotshe health zone in North Kivu, eastern DRC (2024)
This study focused on the impact of attitudes towards malaria prevention among pregnant women in the Kirotshe health zone, Democratic Republic of Congo. The research found that shame about pregnancy and negative views towards modern medicine were key factors influencing whether women sought and followed malaria prevention treatments. Many pregnantRead more…
A Community-Driven Approach to Rural Healthcare: Lessons from the CHE Model (2024)
This case study looks at how India’s rural areas face healthcare challenges due to a lack of qualified professionals and changing health needs. It highlights the Community Health Entrepreneurs (CHEs) model, developed by the Healing Fields Foundation, where rural women are trained to provide preventive care, collect health data, andRead more…
A mixed-methods exploration on whether and how community health navigators impact the mental health of adults with chronic health conditions in ENCOMPASS (2024)
This study looked at how the Community Health Navigator (CHN) program, part of the ENCOMPASS study in Calgary, Canada, helps patients with chronic health conditions (CHCs) manage their mental health, particularly anxiety and depression. CHNs assist patients by connecting them to care, resources, and offering emotional support. The study involvedRead more…
A Novel Cascaded Approach for Classification of Tuberculosis Using Cough Audio in Real-Time Environment (2024)
This study explores using artificial intelligence to diagnose tuberculosis (TB) by analyzing cough sounds. The researchers developed a system that first distinguishes between coughs and background noise, then classifies the cough as either TB-related or not. They collected cough recordings from patients at a hospital in Lahore, Pakistan, and testedRead more…
Sustainable Financing For Kenyan Community Health Worker Programs (2024)
This study examines different ways to fund Kenya’s community health worker (CHW) program by analyzing seven case studies. These include traditional grants, loans, social enterprises, and public-private partnerships. The research shows that while public funding has supported disease-specific projects, relying too much on external funding can be risky for long-termRead more…
Strategies for effective and efficient delivery of primary health care by village health workers: A scoping review using the Rodgers’ Evolutionary Concept Analysis Framework (2024)
Village health workers (VHWs) in Zimbabwe play a vital role in primary healthcare but face challenges addressing new health issues. This study reviewed 52 articles and reports to identify ways to improve their effectiveness. Key factors include creating supportive work environments, involving communities, providing training, and ensuring supervision. With theseRead more…
Effectiveness of prenatal intervention on neonatal hyperbilirubinemia management in rural Bangladesh: Results from a cluster-randomized trial (2024)
A study in Bangladesh found that educating pregnant women at home about newborn jaundice, led by community health workers, significantly improved their knowledge and attitudes. After the intervention, awareness of jaundice signs and management rose from 33% to 71%. Mothers who gained more knowledge were five times more likely toRead more…
Health economic evaluation alongside randomised clinical trial of a health behaviour intervention to manage type 2 diabetes in Nepal (2024)
Managing type 2 diabetes through community-based health behavior interventions in Nepal is cost-effective. This study compared a program led by community health workers with usual care for 6 months. The intervention, including training, phone support, and peer guidance, showed better health outcomes at a low cost. It provided good valueRead more…
The role of a structured community health worker network in achieving malaria elimination goals in the Dominican Republic: An impact evaluation amid COVID-19 disruptions (2024)
Community health workers (CHWs) in the Dominican Republic played a key role in reducing malaria cases in urban areas of Greater Santo Domingo. From 2019 to 2022, malaria cases dropped from 1,243 to just 6. CHWs identified and treated cases faster than health facilities, with most cases found through proactiveRead more…
Changing power narratives: an exemplar case study on the professionalisation of community health workers in Liberia (2024)
Community health workers (CHWs) are vital for health equity, yet most are unpaid and unrecognized as part of the health workforce. This study examines Liberia’s success in creating a nationwide policy to professionalize and pay CHWs. Liberia overcame resistance from funders by showing strong political commitment, uniting government departments, andRead more…
Community-based epilepsy care in an onchocerciasis-endemic area: A 3-year cohort study in Mahenge, Tanzania (2024)
In Mahenge, Tanzania, a community-based epilepsy care program helped reduce seizures and improve medication adherence among people with epilepsy in a region affected by onchocerciasis. Community health workers screened for epilepsy, distributed antiseizure medications (ASMs), promoted ivermectin use for onchocerciasis, and monitored progress monthly. The program significantly reduced seizures fromRead more…
The Power of Promotoras (2024)
Hispanics are the largest and fastest-growing population in the U.S., yet they face significant health inequities due to social challenges like limited healthcare access. Community health workers (CHWs), or promotoras in Hispanic communities, play a vital role in improving health outcomes by offering support, education, and care coordination. They haveRead more…
A multi-phase structured cascade model for mass training of community healthcare workers in performing clinical breast exams in remote regions (2024)
A pilot training program in Pakistan used a cascade model to teach outreach healthcare workers (HCWs) in remote areas how to perform clinical breast exams (CBEs). Six HCWs were trained by breast surgeons, who then trained 15 more HCWs. The program significantly improved HCWs’ confidence and skills, with gains sustainedRead more…
Factors Associated With Digital Capacity for Health Promotion Among Primary Care Workers: Cross-Sectional Survey Study (2024)
This study examined the digital skills of 1199 community health workers in Shanghai for promoting health using digital media. On average, their digital capacity scored 16.71 out of 25. Factors like higher education, trust in digital media, positive attitudes, and prior experience improved skills, while senior job titles were linkedRead more…
Leveraging Women’s Groups: Evidence on Pro-equity Interventions to Improve Immunization Coverage for Zero-dose Children and Missed Communities (2024)
This brief highlights the potential of women’s groups as a strategy to improve child health, particularly in reaching underserved communities and zero-dose children (those who haven’t received any vaccines). Based on a review of studies from 2010 to 2022, supported by FHI 360 and Gavi, it found that women’s groups—community-basedRead more…
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