Results: 3217
“We are everyone’s ASHAs but who’s there for us?” a qualitative exploration of perceptions of work stress and coping among rural frontline workers in Madhya Pradesh, India. (2023)
Over a million female village-level health workers known as ‘Accredited Social Health Activists (ASHAs)’ in India are experiencing significant stress due to demanding work and low pay, compounded by poverty and gender inequality. Through qualitative research, the study delved into ASHAs’ views on work stress and their coping mechanisms. TheRead more…
Advancing Community Health Worker Models In Health System Reforms: Policy Recommendations From The RADx-UP Initiative (2023)
Community health workers (CHWs) play a crucial role in improving the health of historically marginalized populations by connecting healthcare systems with these communities. Lessons learned from CHW initiatives during the COVID-19 pandemic can guide reforms in national healthcare policies, including proposed changes to the CMS’s Medicare Physician Fee Schedule (CY24Read more…
“””Nos apoyamos mutuamente””: Strategies to supporting community health workers addressing the emergency and chronic needs of Latinx families” (2024)
This study explores the challenges and support systems for community health workers (CHWs) serving Latinx families in metro Atlanta, especially during the COVID-19 pandemic. Through interviews, CHWs identified barriers and strategies to address clients’ needs. The study highlights the importance of removing structural barriers, prioritizing cultural assets, and implementing flexibleRead more…
Differences in Role and Support Between Volunteer and Paid Community Health Workers in the State of Nebraska (2023)
This study examines the roles and employment status of community health workers (CHWs) in Nebraska based on survey data. Results show that most CHWs work full-time, with a significant portion working part-time or volunteering. Volunteer CHWs are a majority of those working with Hispanic communities. Volunteer CHWs receive extensive trainingRead more…
A Review of Community Health Worker Integration in Health Departments (2023)
Community health workers (CHWs) play a vital role in connecting marginalized communities with healthcare and social services. This study examines how health departments (HDs) are integrating CHWs into their workforce and state-level policies for CHW training and certification. Findings reveal that HDs partner with organizations to employ CHWs, leading toRead more…
The experiences of community health workers when communicating with refugees about COVID-19 vaccines in Syracuse, NY: A qualitative study (2024)
This qualitative study explores Community Health Workers’ (CHWs) experiences in vaccine outreach among refugee populations in Syracuse, NY, during the COVID-19 pandemic. Interviews with CHWs reveal diverse refugee beliefs initially, with low vaccine acceptance. Barriers to vaccine intake include contextual issues and misinformation, while facilitators include CHWs’ trust-building efforts andRead more…
Barriers and Facilitators to Implementing an Evidence-Based Community Health Worker Model (2024)
This study explores the challenges and supports in implementing an evidence-based community health worker (CHW) model called IMPaCT. Interviews with 39 individuals involved in the program reveal barriers such as financial and policy constraints and difficulties integrating CHWs into clinical settings. However, the model’s focus on relationships and evidence-based strategiesRead more…
Critical lessons from a pragmatic randomized trial of home-based COVID-19 testing in rural Native American and Latino communities (2024)
This study examines the effectiveness of community health worker (CHW) support in facilitating COVID-19 home testing among Native American and Latino adults in rural areas. Results show that CHW assistance significantly improves test completion rates, especially among older adults. However, challenges such as limited technology literacy, language barriers, and transportationRead more…
Are populations of postpartum women differentially served by community health worker programs an observational cohort study from Zanzibar, Tanzania (2024)
This research examines disparities in the implementation of a community health worker (CHW)-led maternal health intervention in Zanzibar, Tanzania. It focuses on whether certain groups of pregnant women receive the intended postpartum intervention equally. Findings suggest that women with higher parity, unknown HIV status, and those receiving phone consultations experienceRead more…
Optimizing integration of community-based management of possible serious bacterial infection (PSBI) in young infants into primary healthcare systems in Ethiopia and Kenya: successes and challenges (2024)
Ethiopian Health Extension Workers (HEWs) and Kenyan Community Health Volunteers (CHVs) play key roles in implementing community-based treatment for serious newborn infections (PSBI) within their health systems. From November 2020 to August 2021, both countries conducted research to improve PSBI management during COVID-19, employing strategies like coaching for health workersRead more…
Primary health care organization in municipalities of São Paulo, Brazil: a model of care aligned with the Brazilian Unified National Health System’s guidelines (2024)
This study evaluates the organization of primary health care (PHC) services in São Paulo, Brazil, and its alignment with comprehensive care models. Analysis of 461 municipalities reveals two main groups: homogeneous (with similar service arrangements) and heterogeneous (with varied arrangements). Seven patterns are identified, ranging from traditional to mixed setups.Read more…
Home Visits for Postpartum Depression Intervention among Low-Income Latinas: Results from the PST4PPD Project (2024)
This study explored a home-visiting program called PST4PPD, led by bilingual community health workers, for low-income Latina mothers at risk of postpartum depression (PPD). Results showed significant reductions in depressive symptoms and increases in self-efficacy among participants. With a high completion rate and positive outcomes, the study highlights the potentialRead more…
Intention to Use an Electronic Community Health Information System Among Health Extension Workers in Rural Northwest Ethiopia: Cross-Sectional Study Using the Unified Theory of Acceptance and Use of Technology 2 Model (2024)
Implementing digital health information systems, like the electronic Community Health Information System (eCHIS), can improve healthcare delivery in resource-constrained areas like Ethiopia. This study assessed Health Extension Workers’ (HEWs) intentions to use the eCHIS for managing health data and providing services. Findings showed that factors like ease of use, self-expectancy,Read more…
Management of children with danger signs in integrated community case management care in rural southwestern Uganda (2014–2018) (2024)
Community health workers (CHWs) play a vital role in identifying and referring children under 5 with danger signs for prompt medical care in rural areas. This study in Bugoye sub-county, Uganda, found that most children with danger signs were appropriately referred according to iCCM protocols. However, there’s a need forRead more…
Evaluating a peer-to-peer health education program in Australian public housing communities during the COVID-19 pandemic (2024)
The cohealth Health Concierge program operated in Melbourne, Australia from July 2020 to June 2022, aiming to support culturally diverse residents of high-rise public housing during the COVID-19 pandemic. Through peer-to-peer interactions, Concierges promoted COVID-safe behaviors, facilitated access to health services, and shared information. The program reached many residents andRead more…
The role of a community health worker-delivered preconception and pregnancy intervention in achieving a more positive pregnancy experience: the Bukhali trial in Soweto, South Africa (2024)
This qualitative study conducted in Soweto, South Africa, explored the pregnancy and postpartum experiences of young women enrolled in the Bukhali intervention, delivered by community health workers (CHWs). Factors influencing these experiences included feelings about pregnancy, motherhood responsibilities, health challenges, social support, and socioeconomic pressures. The intervention provided emotional support,Read more…
Motivational interviewing experiences from a community health worker-led HIV prevention and care intervention in rural Uganda: a qualitative study (2023)
This study explores the use of Motivational Interviewing (MI) by Community Health Workers (CHWs) to improve HIV outcomes in a rural Ugandan fishing community. Through in-depth interviews, CHWs and clients described positive experiences with MI-informed counseling, highlighting specific MI strategies and collaborative, non-judgmental relationships. The findings suggest that CHWs, evenRead more…
Smartphone-Facilitated In-Situ Hearing Aid Audiometry for community-Based Hearing Testing (2024)
The study investigated the validity of using smartphones and noise-attenuating ear cups (in-situ) to conduct hearing tests in the community, potentially allowing less trained individuals like community health workers (CHWs) to fit hearing aids. Four experiments were conducted to assess the method’s accuracy and reliability. Results showed that smartphone-facilitated in-situRead more…
Reducing the equity gap in under-5 mortality through an innovative community health program in Ethiopia an implementation research study (2024)
Ethiopia implemented a national health program called the Health Extension Program (HEP) to improve access to healthcare, particularly in rural areas, using health extension workers (HEWs). This study examines how Ethiopia utilized the HEP to introduce evidence-based interventions (EBIs) to reduce under-5 mortality (U5M) and address health disparities. Through aRead more…
The use and potential impact of digital health tools at the community level: results from a multi-country survey of community health workers (2024)
Community health workers (CHWs) play a crucial role in healthcare delivery, especially in low-resource settings. This study explores the perspectives of Community Health Workers (CHWs) on using digital health tools in their work across 28 countries. It found that CHWs are already using digital devices and believe in their potentialRead more…
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