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Training Promotoras to Implement a Mindfulness-based Healthy Lifestyle Program in Rural Communities (2024)

This report discusses the facilitators and barriers encountered while training promotoras to implement a mindfulness-enhanced healthy eating and physical activity intervention, ADAPT+, using the Train-the-Trainer model. The aim was to establish guidelines for sustained implementation of ADAPT+ beyond the training process. These guidelines may inform promotora training in other mindfulness-relatedRead more…

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Healthy Outcomes through Peer Educators: Feasibility of a peer support diabetes prevention programme for African-American grandmother caregivers (2024)

This study aimed to assess the feasibility and acceptability of a community-based, peer support diabetes prevention program (DPP) for African-American grandmother caregivers at risk for diabetes. Grandmothers were randomized to either DPP alone or DPP plus HOPE (Healthy Outcomes through Peer Educators). The intervention group received additional support from aRead more…

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On-demand mobile hypertension training for primary health care workers in Nigeria: a pilot study (2024)

This pilot study evaluates a self-paced online training program designed for Nigerian health workers to diagnose and manage hypertension. The course, accessible via smartphones, consisted of 12 modules based on WHO and Nigerian guidelines. Participants showed significant improvement in knowledge, with a pre-test score of 65.4% increasing to 78.2% post-test.Read more…

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“… He’s not beating me”-Socio-cultural construction of intimate partner violence and traditional birth attendants: implications for maternal & child health in rural communities in Hohoe, Ghana (2024)

This study examines nursing mothers’ experiences of financial support from their partners and the role of traditional birth attendants (TBAs) in rural Ghana. Through interviews and focus groups, participants discussed the lack of support from partners for housekeeping and finances. Interestingly, nursing mothers did not perceive this lack of supportRead more…

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Impact of training on knowledge, confidence and attitude amongst community health volunteers in the provision of community-based palliative care in rural Kenya (2024)

This study evaluated the impact of a palliative care (PC) training program on community health volunteers (CHVs) in Kenya. After training, CHVs showed improved knowledge, confidence, and clinical practice in providing PC. They conducted patient evaluations, referrals, and teleconsultations with PC providers. Follow-up assessments at 12 months revealed sustained improvementsRead more…

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Success in vaccination programming through community health workers: a qualitative analysis of interviews and focus group discussions from Nepal, Senegal and Zambia (2024)

This multiple case study investigated the role of community health workers (CHWs) in successful early childhood immunization programs in Nepal, Senegal, and Zambia. Through interviews and focus group discussions, factors contributing to CHW effectiveness were identified, including CHW organization, motivation, and trust. Improvements in immunization coverage were attributed to CHWRead more…

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Testing the Effectiveness of a Community-Based Peer Support Intervention to Mitigate Social Isolation and Stigma of Adolescent Motherhood in Zimbabwe (2023)

This study aimed to reduce social isolation and stigma experienced by adolescent mothers in Harare, Zimbabwe, through a community-based peer support intervention. Community health workers and peer educators facilitated peer support groups for adolescent mothers, addressing topics like income generation and depression. Results showed decreased depressive symptoms and improved mentalRead more…

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Large Language Models to Support Community Health Workers (2024)

ChatCHW is a smartphone app designed to enhance the quality of care provided by community health workers (CHWs) worldwide, with consistent and quality care. By combining large language models like ChatGPT with local clinical guidelines, ChatCHW provides expert medical advice tailored to each CHW’s region. The app features user-friendly design,Read more…

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Understanding critical factors associated with integration of community health workers into health and hospital systems (2023)

This study investigates how to effectively integrate community health workers (CHWs) into a large state university health system. Through qualitative analysis of the University of Illinois at Chicago’s Hospital and Health Science System (UI Health), factors critical to CHW integration were identified. Fourteen factors were grouped into individual, team, organization,Read more…

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Enhancing sexual health and empowerment among migrant women sex workers: a community health worker-led intervention in Marseille, France (2024)

This study focuses on improving sexual health outcomes for migrant women sex workers (WSWs) in Marseille, France, who face high rates of sexually transmitted infections (STIs). Community health workers (CHWs) conducted a one-year intervention involving prevention, care support, and empowerment activities. Through respondent-driven sampling, 132 migrant WSWs were recruited, manyRead more…

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Decentralising DOT for drug-susceptible TB from the health facilities to the community level in Togo (2024)

In Togo, during the COVID-19 pandemic, two community-based approaches for directly observed treatment (DOT) for tuberculosis (TB) were evaluated: one led by community health workers (CHW-DOT) and the other by families (FB-DOT). Results showed that the CHW-DOT group had higher rates of sputum conversion and more favorable treatment outcomes comparedRead more…

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The Role of Community Health Agents in Promoting Social Change in Peru (2023)

This study examines the impact of Community Health Agents (CHAs) on gender and social norms in peri-urban areas of Peru. Through group discussions with 53 female CHAs, it was found that their role led to changes in family dynamics, including increased support and status, and shifts in gender roles withinRead more…

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Implementation and Evaluation of a Large Community-Based Colorectal Cancer Screening Program (2024)

This study outlines a community-based colorectal cancer (CRC) screening program aimed at increasing screening rates among uninsured individuals in a predominantly Hispanic US-Mexico border population. The program, led by community health workers, provided tailored health education, no-cost testing, and navigation services. With a focus on uninsured individuals, the program achievedRead more…

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Public health surveillance through community health workers: a scoping review of evidence from 25 low-income and middle-income countries (2024)

This review examines the roles, impacts, and challenges of community health workers (CHWs) in public health surveillance across 25 low- and middle-income countries (LMICs). CHWs play a significant role in disease control by engaging communities, gathering data, conducting screenings, and promoting health education. Their involvement, often facilitated by technology, improvesRead more…

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Engaging with peers to integrate community care: Knowledge synthesis and conceptual map (2024)

This article explores the concept of peer support in healthcare, highlighting its growing importance in bridging communities with formal healthcare systems. It presents a conceptual map based on a 3-year knowledge synthesis project, offering six key questions to navigate various peer support approaches. These questions help identify peers’ roles, pathways,Read more…

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Prevalence and factors associated with inadequate work ability among community health workers in Montes Claros, Minas Gerais state, Brazil: a cross-sectional study, 2018 (2024)

This cross-sectional study investigated the prevalence and factors associated with inadequate work ability among community health workers (CHWs) in Montes Claros, Brazil. Of the 675 CHWs surveyed, 25.8% showed inadequate work ability. Factors such as longer service length, poor health status, depressive symptoms, and voice disorders were associated with thisRead more…

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Optimizing delivery strategies for 3HP TB preventive treatment in Tanzania: A qualitative study on acceptability of family approach in HIV care and treatment centers (2024)

Before Tanzania implemented a 12-dose TB preventive treatment regimen, this study explored a family-based approach involving support from family members, SMS reminders, and health education sessions. Interviews and focus groups with people living with HIV (PLHIV), treatment supporters (TS), and community health workers (CHWs) revealed positive attitudes towards the approach.Read more…

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Empowering Community Health Worker to Reduce Stunting Among Toddlers Systematic Review (2024)

This systematic review examines the impact of empowering Community Health Workers (CHWs) on reducing stunting in toddlers. Seven articles were found, indicating that the CHW approach influences stunting reduction. Although not statistically significant, CHW home visit interventions show positive effects on Height for Ages z Score (HAZs) and stunting reduction.Read more…

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Increased adherence to Integrated Management of Childhood Illness (IMCI) guidelines by community health workers in Kano State, Nigeria through use of a clinical decision support (CDS) platform (2024)

This study assessed the impact of using THINKMD’s digital clinical decision support (CDS) platform on community health workers’ (CHWs) adherence to Integrated Management of Childhood Illness (IMCI) guidelines in Nigeria. Results showed a significant increase in CHWs’ ability to capture key IMCI clinical data points after implementing the CDS platform.Read more…

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COMMUNITY HEALTH WORKERS AND CHRONIC KIDNEY DISEASE: A GLOBAL PERSPECTIVE (2024)

This scoping review examines the role of community health workers (CHWs) in chronic kidney disease (CKD) care. Analysis of 23 studies from 10 countries revealed CHWs’ involvement in CKD diagnosis, health education, and patient navigation, primarily in home or clinic settings. Training was common among CHWs, indicating their potential toRead more…

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