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Engaging Community Health Workers/Youth Ambassadors to Improve Health Literacy (2023)

A workshop held on April 20, 2023, during National Minority Health Month explored the role of community health workers and youth ambassadors in promoting health literacy. Grantees from different health programs shared lessons on implementing health literacy approaches during public health emergencies. The workshop highlighted the excessive impact of publicRead more…

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TB Contact Investigations (2023)

This is a recently developed online resource for training frontline healthcare providers, community health workers (CHWs) on Contact Investigation for persons with Tuberculosis from the USAID

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Analyzing Primary Healthcare Governance in Indonesia: Perspectives of Community Health Workers (2024)

This study examines the challenges facing community-integrated health posts (Posyandu) in Indonesia, focusing on the roles of village and township governance and community health center management.Community health workers (CHWs) currently function as the main service delivery actors for Poysandu. Analysis of 638 Posyandus reveals common issues like funding shortages andRead more…

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A qualitative analysis of community health worker perspectives on the implementation of the preconception and pregnancy phases of the Bukhali randomised controlled trial (2024)

This study explores the factors affecting the implementation of a preconception and pregnancy intervention called Bukhali in Soweto, South Africa, from the perspective of community health workers (CHWs) known as Health Helpers (HHs). Through focus group discussions with 13 HHs, six themes emerged, including challenges with the public healthcare sector,Read more…

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Evaluation of a novel approach to community health care delivery in Ifanadiana District, Madagascar (2024)

This study evaluates the impact of an Enhanced Community Health (ECH) model implemented by Pivot and the Ministry of Public Health in rural Madagascar. The model aimed to improve access to healthcare by professionalizing community health workers (CHWs) and enhancing supervision. Over 18 months, the ECH model led to significantRead more…

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A systematic review of the types, workload, and supervision mechanism of community health workers: lessons learned for Indonesia (2024)

This systematic review examines the performance of Community Health Workers (CHWs) in delivering public health services in various countries, with a focus on workload and supervision. Sixty articles were analyzed, revealing that CHWs undertake diverse roles across the human life cycle and face challenges such as heavy workloads and inadequateRead more…

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Integration of a tobacco cessation program into a rural community-based maternal and child health program in India: A stakeholders’ perspective on task shifting (2024)

In rural India, where tobacco use among pregnant women is prevalent, a study explored the feasibility of task-shifting tobacco cessation support to female Community Health Workers (CHWs) within maternal and child health (MCH) programs. Through interviews and focus groups, stakeholders expressed willingness to integrate cessation interventions into existing MCH services.Read more…

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Perinatal Community Health Workers: Lessons From California (2024)

Increasing access to perinatal community health workers (CHWs) is seen as a solution to disparities in maternal outcomes. These CHWs offer support throughout the perinatal period, including prenatal and postpartum care, crucial for those facing socioeconomic or systemic barriers. The US government’s new Transforming Maternal Health Model aims to expandRead more…

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Integration of HIV Testing in a Community Intervention for Tuberculosis Screening Among Household Contacts of Patients with Tuberculosis in Cameroon and Uganda (2024)

This study integrates HIV testing into community-based household tuberculosis (TB) contact screening in Cameroon and Uganda. Trained community health workers offer TB screening and voluntary HIV testing to household contacts of TB patients. Results show high acceptance of HIV testing among contacts, with 88.2% accepting testing. Factors influencing acceptance includeRead more…

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‘Our hands are bound’:Pathways to Community Health labor in Kenya (2023)

The traditional model for selecting Community Health Workers (CHWs) involves electing a willing, trusted, educated community member. However, this ideal is rarely practiced. Through life history interviews with CHWs in Isiolo, Kenya, five predominant pathways to community health work were identified: model, handpicked, shadow, outsider, and dispossession. Each pathway, illustratedRead more…

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An ounce of prevention for a pound of cure: efficiency of community based healthcare (2023)

This study examines the impact of community health teams in El Salvador, a common approach for primary healthcare in low- and middle-income countries. The nationwide expansion of this model led to more efficient healthcare delivery. Investments in community-based healthcare, involving less-specialized health workers, resulted in increased preventive care, reduced hospitalizationsRead more…

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Status of Women after joining the profession as lady health workers (2023)

In Pakistan’s healthcare system, Lady Health Workers (LHWs) are crucial community-based professionals serving women and children. This study explores the opinions and experiences of LHWs regarding their family and community status after starting their careers. Most reported family complaints about neglect due to work obligations, but the community generally respectedRead more…

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Task-Shifting Can Community Health Workers Be Part of the Solution to an Inactive Nation (2024)

In low-to-middle income countries (LMICs), non-communicable diseases (NCDs) are increasing, stressing healthcare systems. To address this, the report proposes expanding the role of community health workers (CHWs) in prescribing and promoting physical activity. This discussion paper introduces a model for task-shifting, assigning CHWs tasks like assessment, screening, counseling, and prescriptionRead more…

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The importance of community health workers as frontline responders during the COVID-19 pandemic, Somalia, 2020-2021 (2023)

In the early stages of the COVID-19 pandemic, Somalia faced challenges in responding due to a fragile health system. This study highlights the crucial role of community health workers as frontline responders for community-based surveillance. Over 30% of detected COVID-19 cases were identified through community based surveillance systems, and communityRead more…

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Acceptability and Feasibility of a Nurse-Led, Community Health Worker Partnered Latent Tuberculosis Medication Adherence Model for Homeless Adults (2023)

Homeless adults are at increased risk of latent tuberculosis infection (LTBI), which can lead to active tuberculosis (TB) disease. This study focuses on a six-month, nurse-led, and community health worker (CHW)-partnered treatment for latent tuberculosis infection (LTBI) among homeless adults. Through focus group discussions, barriers like lack of readiness andRead more…

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Equity and empowerment effects: Multiple styles of ‘voluntarism’ in community-based health projects. (2023)

Community health workers (CHWs), often volunteers or minimally paid, play vital roles in addressing health disparities. This study focuses on “change-agent” CHWs in an Indian nutrition education program.The analysis reveals challenges in volunteer selection, tensions between volunteer expectations, training and empowerment, and varied perspectives on CHWs payments. While payments mayRead more…

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Training Latinx Community Health Workers as Clinical Research and Health Care System Navigators (2023)

Community health workers (CHWs), also known as promotores de salud, serve as vital connectors between community members, organizations, and healthcare systems. Primarily from the communities they serve, CHWs play crucial roles in providing culturally appropriate health information, navigating systems, and building trust, especially with marginalized groups like Latino/Hispanic populations. AlthoughRead more…

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Learning from the universal, proactive outreach of the Brazilian Community Health Worker model: impact of a Community Health and Wellbeing Worker initiative on vaccination, cancer screening, and NHS health check uptake in a deprived community in the UK. (2023)

In the UK, delays in preventive services are rising. A new approach using Community Health and Wellbeing Workers (CHWs) integrated at GP practices and local authorities shows promise. This model, inspired by the Brazilian Family Health Strategy (CHWWs), provides personalized health promotion at the household level. This study suggests thatRead more…

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Labour conditions in dual-cadre community health worker programmes: a systematic review. (2023)

Community health workers, mainly women, play a vital role in improving health outcomes and equity, offering a good return on investment. However, many are unpaid, especially in the Africa region where over 80% are not salaried. Some countries use dual-cadre systems, combining paid and unpaid workers, to address health workersRead more…

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Towards stunting eradication in Indonesia: Time to invest in community health workers. (2023)

Indonesia, home to a large population of young children, faces a high prevalence of stunting, a serious issue with lasting consequences. The government aims to eliminate stunting by 2030, with community health workers (CHWs) playing a central role. Over 1.5 million Indonesian CHWs conduct crucial monthly monitoring and counseling. ThisRead more…

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