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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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Evaluation of a Cardiovascular Disease/Diabetes Mellitus Expansion Program for Community Health Workers Employed by Rhode Island Community Health Teams (2024)

The Rhode Island Department of Health’s Diabetes, Heart Disease, and Stroke Program expanded the roles of certified community health workers (CCHWs) with specialized training in cardiovascular disease (CVD) and diabetes mellitus (DM). From 2020 to 2023, the program assessed whether this training improved patient health behaviors and outcomes. High-risk patientsRead more…

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Community Health Care Workers Empowering Advance Care Planning (2024)

Advance care planning (ACP) has faced criticism for not significantly improving end-of-life care quality, decision-making, or experiences for patients, families, and clinicians. Despite limited results, stakeholders persist with ACP due to its ethical importance in giving patients a voice in their care. With growing awareness of systemic racism and healthcareRead more…

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The Integration of Community Health Workers into Health Care Teams in North Carolina (2024)

Community Health Workers (CHWs) play a crucial role in improving health outcomes for marginalized communities. Efforts to integrate CHWs into healthcare teams have increased, but a lack of understanding and support can limit their effectiveness. This study aimed to understand CHW integration into teams and the factors affecting it, usingRead more…

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Family Health Strategy: Reflections focusing on community health agents (2024)

The Family Health Strategy (FHS) focuses on preventive care and health promotion within families and their environments. A core team, including a doctor, nurse, nursing technician, and Community Health Agents (CHAs), carries out these actions. CHAs play a crucial role in connecting users with public health services. This research examinesRead more…

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Spatial Determinants of Health and Culture : health promotion project for TB and HIV Co-Infection in Kisumu- Kenya (2024)

This qualitative cross-sectional study in Kisumu County aimed to explore local cultural beliefs and practices related to Tuberculosis (TB) and HIV, and how service providers integrate cultural sensitivity into infection prevention strategies. Key informants from health facilities were interviewed using open-ended questions. Cultural events like weddings and funerals were highlightedRead more…

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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…

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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…

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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…

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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…

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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…

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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…

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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…

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