Results: 3217
Equity and empowerment effects: Multiple styles of ‘voluntarism’ in community-based health projects (2024)
Community health workers (CHWs), often women without formal health training, play vital roles in addressing health disparities. This study examines a program employing CHWs as “change agents” to provide nutrition education in eastern India. It explores how different forms of voluntarism, such as laissez-faire and honorarium-based, influence CHW efficacy, empowerment,Read more…
Acceptability of Integrated Community-Based HIV and Cervical Cancer Screening in Mayuge District, Uganda (2024)
This study evaluated the acceptability of integrating cervical cancer and HIV screening in rural Uganda. Surveys conducted among patients and community health workers showed that 99% of women and 100% of CHWs found integrated screening acceptable. Reasons included time-saving, privacy, and peer support. Integrating screening could help overcome barriers toRead more…
Evaluation of the implementation of a community health worker-led COVID-19 contact tracing intervention in Chiapas, Mexico, from March 2020 to December 2021 (2024)
Mexico faced a significant burden of COVID-19, with marginalized areas and healthcare workers being particularly affected. Compañeros En Salud (CES) implemented a community health worker (CHW)-led contact tracing program in rural Chiapas. This study evaluated this intervention from March 2020 to December 2021. Among 2,177 named contacts, 54.5% received homeRead more…
Scoping review of interventions to improve continuity of postdischarge care for newborns in LMICs (2024)
The first 28 days of life are critical for newborns, with millions of deaths occurring globally, especially in sub-Saharan Africa. Efforts to reduce neonatal mortality focus on improving care continuity after discharge from healthcare facilities. This review examined interventions in low- and middle-income countries (LMICs) aimed at enhancing post-discharge careRead more…
Experiences in Improving the Quality of Community-Based Fever Management from Three Malaria-Endemic African Countries (2024)
The WHO emphasizes the effectiveness of trained, supervised, and supported community health workers (CHWs) in delivering quality healthcare. In response, the U.S. President’s Malaria Initiative Impact Malaria Project conducted a study focusing on Madagascar, Malawi, and Mali to document approaches for improving community-based fever management. The study involved interviews andRead more…
Feasibility, Acceptability, and Preliminary Effectiveness of a Combined Digital Platform and Community Health Worker Intervention for Patients with Heart Failure: Protocol for a Randomized Controlled Trial (2024)
Heart failure (HF) is a major cause of hospital readmissions, posing challenges for patients. Combining remote monitoring with community health worker (CHW) support can improve HF management. This study aims to assess the acceptability, feasibility, and effectiveness of such an intervention for HF patients transitioning from hospital to home. AdultRead more…
50-state scan of Medicaid payment for community health workers (2024)
This study examined Medicaid coverage for community health worker (CHW) services in 50 states. Key findings show that 24 states currently reimburse for CHW services, with 3 more, in the process of implementation. Coverage varies by state, including services covered, target populations, and payment methods. Most states offer CHW servicesRead more…
“Too Many Jobs and Not Enough Hands”: Immigrant and Refugee Community Health Workers at the Frontlines of the COVID-19 Pandemic (2023)
This study investigated the challenges faced by refugee and immigrant community health workers (riCHWs), who play a crucial role in supporting community health. The findings revealed that riCHWs are at risk of burnout due to limited recognition and heavy workloads. The study used a narrative approach to explore the stressors,Read more…
Training-of-trainers program for community health workers involved in an innovative and community-based intervention against malaria among goldminers in the Guiana shield a quality and effectiveness evaluation (2024)
In the Guiana Shield, where malaria persists among hard-to-reach populations involved in gold mining, a community-based intervention relies on trained community health workers (CHWs). This study evaluated the quality and effectiveness of the training program for CHWs using a mixed-method case study. The training-of-trainers model, based on the CDC framework,Read more…
Development and effect of a coordinated Community Health Worker (CHW) Intervention (C-CHW-I) model for the stroke survivors in Kerala, South India (2024)
A community health worker (CHW) intervention model was developed and tested to enhance medication adherence and risk factor monitoring for stroke survivors in community settings. The model included CHW home visits, telephone calls, and health education over 6 months, with some groups receiving additional SMS alerts. The results showed improvementRead more…
Partnering With Community Health Workers to Address COVID-19 Health Inequities: Experiences of the California Alliance Against COVID-19 (2024)
Promotoras and Community health workers (P/CHWs), whether formally certified or not, leverage shared life experiences to serve as trusted leaders in their communities. In response to the COVID-19 pandemic, P/CHWs played a pivotal role in designing and implementing culturally relevant outreach, addressing structural barriers, and promoting testing and vaccination inRead more…
Preparing Community Health Workers to Empower Latino(a)s With Diabetes: A Real-World Implementation Study (2024)
This study aimed to assess the effectiveness of community health workers (CHWs) in delivering diabetes self-management education (DSME) to Latino(a) adults. The researchers developed a bilingual (Spanish/English) curriculum, trained 10 CHWs, who then implemented 6-month diabetes group visit programs in community clinics. The evaluation showed high participant satisfaction, improved qualityRead more…
The effectiveness of rural community health workers in improving health outcomes during the COVID-19 pandemic: a systematic review (2024)
This systematic review aimed to evaluate the effectiveness of rural Community Health Workers (CHWs) in Low and Middle-Income Countries (LMICs) during the COVID-19 pandemic in improving access to health services and health outcomes. Fifteen studies from 10 countries were analyzed, indicating that rural CHW interventions increased household access to healthRead more…
Association between the use of Accredited Social Health Activist (ASHA) services and uptake of institutional deliveries in India (2024)
This study investigates the impact of Accredited Social Health Activists (ASHAs) on increasing institution-based deliveries in India, focusing on low-performing states. Analyzing National Family Health Survey data, the study reveals that women using ASHA services were 1.6 times more likely to have institution-based deliveries. The study emphasizes the effectiveness ofRead more…
Stability in care and risk of loss to follow-up among clients receiving community health worker-led differentiated HIV care: Results from a prospective cohort study in northern Tanzania (2024)
In Tanzania, a pilot program introduced a Community Health Worker (CHW)-led HIV treatment club model (CHW-DCM) to enhance care for stable clients on antiretroviral therapy (ART). The study compared CHW-DCM to the standard of care (SoC) in terms of care stability, adherence, and loss to follow-up. Results showed that CHW-DCMRead more…
Community Health Worker Navigation for Patients With Cancer: It Is Time to Scale up (2024)
The challenges faced by cancer patients, such as negative impacts on quality of life, uncoordinated healthcare interactions, and disparities among low-income, minority, and non-English speaking patients, highlight the need for interventions that break this cycle. The study by Patel et al. focuses on a community health worker (CHW) intervention forRead more…
Design and Evaluation of Peer Supervision for Community Mental Health Workers: A Task-Shifting Strategy in Low-Resource Settings (2023)
In low-resource settings with significant mental health treatment gaps, Lay Mental Health Workers (LMHWs) are utilized to improve access to care. This study evaluated a pilot program in Kerala, India, implementing peer supervision for LMHWs based on Social Cognitive Theories of Self-Efficacy. Experienced LMHWs supervised 12 peers, leading to improvedRead more…
Pilot Implementation of a Nutrition-Focused Community-Health-Worker Intervention among Formerly Chronically Homeless Adults in Permanent Supportive Housing (2024)
This project utilized a human-centered design to implement a community health worker (CHW) intervention in permanent supportive housing (PSH) for formerly chronically homeless adults. The aim was to reduce food insecurity and improve nutritional outcomes. Food-security screening identified 64% of residents with low food security. Major themes from resident feedbackRead more…
They should’ve talked to us more”: lay health advisors’ experiences with community-engaged hypertension research (2024)
Community health workers (CHWs), particularly those with personal experience as patients with hypertension, were trained as lay health advisors (LHAs) for a research study in Cleveland, Ohio. Despite learning much from the training, LHAs felt used and excluded from decision-making by project gvgfleadership. The study, which ended prematurely due toRead more…
Community Health Workers as Rights Defenders: Exploring the Collective Identity (2023)
This paper explores the Mitanin program, a community health worker initiative in Chhattisgarh, India. It highlights the collective identity of Mitanins, emphasizing their sense of solidarity and sisterhood, fostering multi-issue activism. The study reveals that Mitanins go beyond traditional health roles, acting as empowered women leaders dedicated to community welfare.Read more…
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