Results: 3217
Feasibility of Community-based Hypertension Screening and Referral by Village Health Teams in Eastern Uganda: a Quasi-experimental Study (2024)
This study in Eastern Uganda explored the feasibility of Village Health Teams (VHTs) in screening for hypertension (HTN) among adults. Trained VHTs successfully screened 5,215 individuals, revealing a 22.4% prevalence of HTN. Their blood pressure measurements showed high agreement with health professionals. Despite this, only 23.8% of those identified withRead more…
Development and evaluation of a training program on non-communicable diseases to empower community health workers in rural India (2024)
This study developed and tested a 5-day training program for Accredited Social Health Activists (ASHAs), female community health workers in India, focusing on non-communicable diseases (NCDs). In a randomized trial in Tehri-Garhwal district, 36 ASHAs participated. The program significantly increased NCD knowledge among ASHAs compared to controls. ASHAs in theRead more…
Working conditions of community health workers in a digital health context: old and new challenges (2024)
This article examines the impact of digital health tools on Community Health Workers (CHWs) in Primary Health Care (PHC). Through qualitative methods involving union leaders, managers, and health professionals, it identifies both longstanding and new challenges. Traditional issues like bureaucratic burden and work division persist, while new concerns include toolRead more…
A community health worker led diabetes self-management education program: Reducing patient and system burden (2024)
In the TIME made simple trial (SIMPLE), this study conducted a secondary analysis focusing on healthcare utilization and factors influencing hemoglobin A1c (HbA1c) levels among low-income, uninsured Hispanics with or at risk for type 2 diabetes. The study compared outcomes between groups receiving telehealth-supported community health worker (CHW) interventions andRead more…
Reducing stigma and promoting HIV wellness/mental health of sexual and gender minorities: RCT results from a group-based programme in Nigeria (2024)
In Lagos, Nigeria, this study developed and tested a group-based intervention using cognitive behavioral therapy (CBT) techniques for men who have sex with men (MSM) and transgender women (TGW) at risk for or living with HIV. This involved four weekly sessions led by community health workers. Through a randomized controlledRead more…
Enhancing cervical cancer knowledge among women of reproductive age: a dialogue-based community health education intervention in rural Kisumu County, Kenya (2024)
This study in rural Kisumu County, Kenya, aimed to improve knowledge about cervical cancer among women of reproductive age through dialogue-based community health education led by trained community health volunteers. A pre- and post-intervention comparison with a control group showed significant knowledge improvement among participants who received the intervention. ThisRead more…
Expanding community case management of malaria to all ages can improve universal access to malaria diagnosis and treatment results from a cluster randomized trial in Madagascar (2024)
This study in rural Madagascar explored expanding malaria community case management (mCCM) to all age groups to enhance access to malaria care. Thirty health centers and associated community health workers (CHWs) were involved, with half implementing mCCM for all ages and the other half restricted to children under 5. ResultsRead more…
A Multicomponent Intervention (POSSIBLE) to Improve Perceived Risk for HIV Among Black Sexual Minority Men: Feasibility and Preliminary Effectiveness Pilot Study (2024)
The study aimed to increase HIV prevention among Black sexual minority men by using a multicomponent intervention called POSSIBLE, which combined the PrEPme smartphone app with a peer change agent (PCA). Conducted in Baltimore between 2019 and 2021 with 69 participants, the intervention targeted increasing perceived risk for HIV (PRH)Read more…
Effectiveness of a Population Health Intervention on Disparities in Hypertension Control: A Stepped Wedge Cluster Randomized Clinical Trial (2024)
Disparities in hypertension control exist across race, ethnicity, and language in the U.S. This study at 15 clinics tested if an intervention could improve hypertension control and reduce these disparities.Primary Care Clinics (PCPs) used an equity dashboard, conducted equity huddles with Population Health Coordinators (PHCs), and received support from CommunityRead more…
On the Front Line: Investing in community health workers to improve health and nutrition (2024)
Community health workers are essential in reaching isolated and deprived communities. They ensure children get vaccinated, help parents understand the importance of immunization, and support pregnant women and new mothers with nutrition. These frontline workers, mostly women, also strengthen health systems to better handle future pandemics and disasters.This UNICEF briefRead more…
Long-term effectiveness of a village doctor-led multifaceted strategy on blood pressure control: a cluster randomized trial (2024)
This study tested a village doctor-led strategy to control blood pressure (BP) in rural China over 36 months. Village doctors, who provide basic primary care, managed hypertension through a stepped-care protocol, delivering medications, and offering health coaching on lifestyle changes and BP monitoring. In 326 villages, patients aged 40 andRead more…
The effect of a multilevel community health worker-led intervention on patient knowledge and receipt of precision medicine: Updated findings from a randomized clinical trial. (2024)
The authors developed the Addressing Latinx CANcer Care Equity Study to improve access to precision medicine for low-income and Latinx cancer patients in Monterey County, California. Clinicians received training, and community health workers educated patients to discuss precision medicine with their oncologists. In the study, 110 patients were split intoRead more…
Postpartum recovery after severe maternal morbidity in Kilifi, Kenya: A Grounded Theory of recovery trajectories beyond 42 days (2024)
In sub-Saharan Africa, severe maternal morbidity poses a significant health burden, particularly as maternal mortality rates decline. This study, part of the PRECISE research in Kilifi, Kenya, explored women’s long-term recovery experiences beyond the standard 42-day postpartum period. Twenty women were interviewed, including those who experienced near-miss events, life-threatening conditions,Read more…
Patterns of oxytocin use for induction and augmentation of labour among healthcare providers in Nigeria (2024)
The use of oxytocin during labor is increasing globally, with wide variations in its administration and unauthorized use by non-medical staff. This study examined how often oxytocin is used, the doses and methods of administration, and what predicts its use by healthcare providers in Nigeria. A cross-sectional survey of 6,299Read more…
Condom use increased after a peer group intervention implemented by community volunteers in Malawi (2024)
HIV prevention is crucial, especially in sub-Saharan Africa. This study developed an HIV prevention program called Mzake ndi Mzake (Friend to Friend), adapted for community implementation. The study evaluated if the program, led by community volunteers, increased condom use in rural Malawi. The program was rolled out in three communities,Read more…
The Community As A Full Partner: A New Model For Public Health (2024)
The COVID-19 pandemic highlighted the need for stronger community engagement in the US public health system. Online surveys of community-based organizations and metropolitan health departments identified key barriers such as mistrust, funding issues, and limited shared decision-making. To address these, six policy recommendations were made: establish community councils for publicRead more…
Feasibility, Reliability, and Effectiveness of Oral cancer screening in South Asia and Southeast Asian countries: A systematic review and Meta-analysis (2024)
This study assessed the effectiveness of community health workers (CHWs) in detecting oral cancer and potentially malignant disorders (OPMDs) through visual screening in South Asia and Southeast Asia. A systematic review and meta-analysis of 12 studies found that CHWs identified 8% of cases as suspicious and 92% as normal. TheRead more…
Group-based Education and monitoring program delivered by community health workers to improve control of high blood pressure in island districts of lake victoria, Uganda (2024)
This study aimed to address high blood pressure (BP) in remote communities of Uganda by training community health workers (CHWs) to screen and educate residents. In 42 randomly selected villages, CHWs measured BP and invited adults for screening. Those with high BP joined support groups for self-management and lifestyle education.Read more…
The Launch of Massachusetts Community Health Worker Certification: Findings From the Massachusetts Community Health Worker Workforce Surveys (2024)
This study evaluates the impact of the 2018 state certification for community health workers (CHWs) in Massachusetts. Surveys were conducted with CHWs and their employers in 2016 and 2021 to assess the effects of certification. The results showed that certification led to higher pay, better perceptions of CHWs, and betterRead more…
“Close to My Community”: A Qualitative Study of Community Health Worker-Supported Teleaudiology Hearing Aid Services (2024)
This study explores a new service model where Community Health Workers (CHWs) support older Latino adults with hearing loss through teleaudiology. Researchers interviewed participants about their experiences 17 weeks after receiving hearing aids. Of the 28 participants, 19 were interviewed. Both groups, with and without CHWs, reported positive experiences withRead more…
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