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Tuberculosis and the Training of Treatment: A Dive into the Flip Side of Global Health | Professor Bill Bower (2024)

In this episode of “What is Global Health,” Kyle Tong interviews Professor Bill Bower from Columbia University Mailman School of Public Health. They discuss lay health worker training, the current Tuberculosis landscape, and Bower’s extensive global health experience. Bower, with 19 years of work in Latin America, Africa, and Asia,Read more…

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Exploring the motivations of female community health volunteers in primary healthcare provision in rural Nepal: a qualitative study. (2024)

This study explores what motivates Female Community Health Volunteers (FCHVs) in rural Nepal, crucial for achieving Primary Healthcare (PHC) goals. Through interviews and focus groups, motivations were found to be strong despite challenges. FCHVs are committed but face financial strain, lack of community recognition, and bureaucratic burdens. These issues undermineRead more…

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“Come to a Conclusion Together”—Feedback on the Collaboration around Technology Using Community Health Workers in Type 1 Diabetes (T1D-CATCH) Study (2024)

This study explores the T1D-CATCH intervention, aiming to enhance diabetes technology adoption among minoritized young adults with type 1 diabetes (T1D). Through post-intervention interviews with 11 participants (mean age 25 yrs, 73% female, including Hispanic and non-Hispanic Black individuals), findings indicate high satisfaction and increased engagement with diabetes management. ParticipantsRead more…

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Diabetes Training for Deaf and Hard-of-Hearing Community Health Workers (2024)

This pilot study describes an adapted Community Health Worker (CHW) training for individuals in the Deaf and hard of hearing (DHH) community interested in supporting diabetes self-management education. Three participants completed an extended 22-hour training program designed specifically for (American Sign Language) ASL communication needs, which included adapted training videosRead more…

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Optimizing community health workers and non-biomedical approaches to assess the burden of soil-transmitted helminthiasis in a school-aged population in rural Rwanda (2024)

This study assessed a community health worker (CHW)-led program in rural Rwanda to screen and manage soil-transmitted helminth (STH) infections among school-aged children. Using a non-biomedical screening tool called Beta CommScreen, CHWs identified 43% of children with potential STH symptoms. About 29% were referred for clinic treatment, while deworming medicationRead more…

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Home visit to the older adults from the perspective of community health workers and the notion of health territory (2024)

This study analyzed how community health workers engage with older adults in Foz do Iguaçu, Southern Brazil, focusing on home visits. It involved 114 workers, mostly women, with an average age of 43 years and primarily with high school education. The study identified three main challenges: understanding the health needsRead more…

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Reimagining the role of community health workers in saarc countries (2024)

After the Alma Ata declaration, SAARC countries established community health workers (CHWs) to address primary healthcare needs, initially focusing on maternal and child health. Now facing rising non-communicable diseases (NCDs) and mental health issues, these countries are creating specialized CHWs for these new challenges. The effectiveness of CHWs, especially duringRead more…

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Factors associated with perceived health of school-aged children in rural Rwanda: An opportunity to leverage community health workers to enhance primary healthcare systems linkages (2024)

Public schools can improve health, but children’s needs in rural areas are under-researched. This study assessed children’s health and the role of community health workers (CHWs) in rural Rwandan schools. Surveys and interviews with 479 participants (425 community members, 54 teachers) revealed that 46% rated children’s health as poor. FactorsRead more…

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Perception and reasons for the choice of informal provider among women receiving antenatal care services from traditional birth attendants in rural communities of Lagos state, Nigeria (2024)

Unskilled delivery, especially with traditional birth attendants (TBAs), poses a major risk to reducing maternal mortality in Africa. This study examined why pregnant women in rural Lagos, Nigeria, continue to use TBA services. Among 347 pregnant women surveyed, 70.3% used only TBA services, while 29.7% used both TBA and healthcareRead more…

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The Power of Tailoring a Government-Funded Heart Health Program for Marginalized Women: Lessons from WISEWOMAN and Mujer Poderosa/Powerful Woman (2024)

The PA-WISE program, funded by the CDC’s WISEWOMAN award, aims to prevent cardiovascular disease in Pennsylvania, especially among low-income women. PA-WISE partnered with Latino Connection to create Mujer Poderosa/Powerful Woman (MP/PW), using bilingual community health workers to engage and educate marginalized women. Latino Connection found that different communities required differentRead more…

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Testing an Innovative Approach to Improve Hypertension Management at a Federally Qualified Health Center (2024)

Hypertension control rates are still inadequate in the U.S. and Los Angeles County. To address this, QueensCare Health Centers launched a team-based hypertension management program led by clinical pharmacists. The program tackled barriers at the system, provider, and patient levels. Strategies included integrating self-monitored blood pressure data into electronic healthRead more…

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Core principles of Malakit intervention for transferability in other contexts (2024)

To eliminate malaria, reaching all populations is essential, especially those not covered by the health care system. The innovative Malakit strategy, which provides self-diagnosis and self-treatment kits, was successfully tested in the Suriname-French Guiana-Amapá (Brazil) region, showing effectiveness and good acceptability. This complex intervention needs adaptation to other regions andRead more…

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Improving maternal and child nutrition services in community based health planning and services zones in the Jirapa municipality of northern Ghana-challenges and strategies the perspective of community health officers (2024)

The Community-based Health Planning and Services (CHPS) initiative in Ghana faces several challenges in delivering maternal and child nutrition services in rural Northern Ghana. This study, conducted in April 2019, involved interviews with the municipal nutrition officer and Community Health Officers (CHOs) from eleven CHPS zones to identify bottlenecks andRead more…

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Conducting a diabetes mellitus prevention trial in women with GDM in Pakistan a feasibility study (2024)

Women with gestational diabetes mellitus (GDM) are at a higher risk of developing type 2 diabetes. This study tested the feasibility of a diabetes prevention program for South Asian women with GDM in Karachi. Using a randomized controlled trial, 180 women with GDM were divided into an intervention group, receivingRead more…

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Community Mental Health Workers: Their Workplaces, Roles, and Impact (2024)

The U.S. faces a mental health care crisis, worsened by a shortage of providers and high costs, particularly affecting marginalized and rural communities. Community health workers (CHWs) have long increased access to physical health care and are now being used in mental health care to improve access. However, their roleRead more…

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How do family members influence smokeless tobacco consumption during pregnancy in India? Perspectives of pregnant women (2024)

In South Asia, smokeless tobacco (ST) use is culturally ingrained. This study explored how family and community health workers influence pregnant women’s attitudes and behaviors toward ST use in selected Indian populations. Interviews with pregnant and postpartum women revealed a shift in social norms, with family members increasingly encouraging womenRead more…

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Knowledge, attitudes and practices towards yaws in endemic areas of Ghana, Cameroon and Côte d’Ivoire (2024)

Yaws, a disease affecting children in remote areas of West Africa, was studied in Ghana, Cameroon, and Côte d’Ivoire to understand community knowledge and practices. The study found differing beliefs about the causes of yaws: many in Ghana attributed it to germs, while in Cameroon and Côte d’Ivoire, it wasRead more…

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Integration of Acute Malnutrition Treatment Into Integrated Community Case Management in Three Districts in Southern Mali: An Economic Evaluation (2024)

In this study conducted in Mali, the cost and cost-effectiveness of community health workers (CHWs) treating acute malnutrition were evaluated across three districts. Different levels of CHW and health center supervision were assessed for their impact on treatment outcomes. Costs per child treated ranged from US$203.40 to US$279.90, depending onRead more…

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Acceptability and Feasibility of a Community Dementia Stigma Reduction Program in Kenya (2024)

In rural Kenya, this study developed and piloted a dementia stigma reduction intervention using Community Health Workers (CHWs). Ten CHWs were trained to conduct four workshops for 59 participants, focusing on reducing negative beliefs about dementia treatment, living well with dementia, and caregiving. The intervention was well-received, especially for itsRead more…

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Community health worker perspectives examining current responsibilities and strategies for success (2024)

Community health worker (CHW) interventions have proven effective globally, especially highlighted during the COVID-19 pandemic for their frontline support in prevention and healthcare delivery. This study in Chicago explores experienced CHWs’ perspectives on their roles and success strategies. Interviews conducted between January and April 2022 revealed key themes: CHWs provideRead more…

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