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Opening up the ‘black-box’: what strategies do community mental health workers use to address the social dimensions of mental health? (2024)

This study investigates the strategies employed by community health workers (CHWs) collaborating with people with psychosocial disabilities in urban north India to address social dimensions of mental health. Through interviews with CHWs, the research reveals that CHWs possess social, cultural, and psychological skills, forming trusting relationships and exhibiting in-depth knowledgeRead more…

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CARING FOR SICK CHILDREN IN THE COMMUNITY (2024)

This open-access training is designed to enhance the skills of Community Health Workers (CHWs) in identifying signs of common childhood illnesses, providing care for sick children at home, and making appropriate referrals when necessary. Children aged two months to five years often succumb to treatable or preventable illnesses. The course,Read more…

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A time-motion study of community health workers delivering community-based primary health care in Neno District, Malawi (2023)

Community health workers (CHWs) play a crucial role in providing primary health care within communities. However, there have been limited studies examining the specific time and tasks involved in CHWs’ work. This descriptive quantitative study used a time observation tracker to record the time CHWs dedicated to addressing specific healthRead more…

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Motivation and job satisfaction of community health workers in Ethiopia: a mixed-methods approach (2023)

Since 2004, Ethiopia has been using Community health workers (Health Extension Workers – HEWs) who are credited with several achievements in improving the country’s health indicators. However, information about the HEWs’ motivation and job satisfaction is limited. Using a mixed methods study approach, the authors sought to assess the HEWs’Read more…

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Health Systems Assessment and Improvement Matrix (S-AIM) (2024)

The Health Systems Assessment and Improvement Matrix (S-AIM) tool was created to recognize the essential factors within health systems necessary for implementing Community Health Worker (CHW) programs effectively. Employing a mixed methods approach, the authors sought to provide guidance to health stakeholders involved in designing, planning, assessing, and improving communityRead more…

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Bangladesh: 50 Years of Advances in Health and Challenges Ahead (2024)

In this review, the authors discuss the recently published book, ’50 Years of Bangladesh: Advances in Health’, highlighting the positive strides the country has made in health and development since gaining independence in 1971. Initially the world’s second poorest nation, Bangladesh has transformed into a lower-middle income country, showcasing aRead more…

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Engaging Community Health Workers (CHWs) in Africa: Lessons from the Canadian Red Cross supported programs (2024)

The Canadian Red Cross (CRC) has partnered with different National Red Cross/Red Crescent Societies and Ministries of Health in Africa in the implementation of programs where CHWs contributed to the provision of various health services. Using a qualitative methodology, this study reports on key findings (i.e., beneficiaries reached, CHWs engaged,Read more…

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Knowledge and practices surrounding outbreaks and COVID-19 among community health workers in rural Rwanda: a cross-sectional mixed-methods study (2023)

This cross-sectional multimethod investigates CHWs knowledge and practices related to outbreaks and COVID-19 in Rwanda. It assesses associations between outbreak related knowledge and receipt of training, and between COVID-19 related knowledge, CHW characteristics and adoption of prevention methods. Results indicate that 56.2% of CHWs had received training on a  healthRead more…

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Community health worker intervention to improve tooth brushing in young children: Results from a cluster randomized controlled trial (2022)

This study investigated the impact of a trial testing the efficacy of a CHW intervention to improve tooth brushing in low-income children. Oral-health-specific CHW services were not associated with improved brushing behaviors in these young children. However, caregiver involvement with brushing supported more quality brushing. 

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Incentivizing community health workers for scaling up mental health care in rural communities in India: A critical look at principles that work (2023)

This paper discusses the effects of monetary and non monetary incentives on the performance of Community health workers (ASHAs) in India. 

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Voices, Images, And Experiences Of Community Health Workers: Advancing Antiracist Policy And Practice (2023)

Community Health Workers are front-line public health personnel who share common attributes with or have a nuanced understanding of the communities they serve.  Their membership gives them expertise on delivering interventions but also places them in greatest risk of exposure. In this study, researchers used photovoice to illuminate how theRead more…

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Editorial: Strengthening the Community Health Worker Practice (2023)

This study analyzes trends in CHW strengthening efforts and features a series of papers on topics including recruitment, CHW capacity building; organizational and system readiness for CHW integration. CHWs served in direct roles in the projects and programs as well as in the writing as co-authors and contributors of theRead more…

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Community Health Workers as change agents in improving equity in birth outcomes in Detroit (2023)

The purpose of this study is to examine the effects of an integrated pregnancy care model and the role  of  community health workers  in improving  the pregnancy outcome of 254 Black women.  

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Task shifting and community engagement as the keys to increasing access to modern contraception: Findings from mixed methods operational research in coastal Kenya (2023)

This study examined the effect of the Riziki Demonstration Project on contraceptive service provision and identified drivers of the intervention’s success in increasing public sector contraceptive uptake. Findings demonstrate the potential for task sharing combined with community engagement efforts to improve contraceptive awareness, knowledge and supply. Community engagement should includeRead more…

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Community Health Workers: what do international studies tell us? (2023)

This review provides a comparative overview of CHW program   implementation, expansion and reconfiguration for program managers and decision makers.  Out of the 38 countries reviewed, only two ensured higher education for CHWs. Most countries do not guarantee adequate training and the majority of CHW work is carried out byRead more…

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Community Health Workers as Vaccinators: A Rapid Review of the Global Landscape, 2000-2021 (2023)

This rapid review of scanned peer reviewed literature from 3 databases, gray literature identified through web searches, and resources suggested by CHW subject matter experts. It identifies countries where CHWs administer vaccines and synthesizes health systems factors that may contribute or detract from the feasibility of CHW administering vaccines. TheRead more…

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Sustainability of a 12-month lifestyle intervention delivered by community health workers in reducing blood pressure in Nepal: 5-year follow-up of the COBIN open-label, cluster randomised trial (2023)

This study aimed to investigate sustainable blood pressure reduction through a 12-month lifestyle intervention led by CHWs in Nepal.  Results show that from baseline to 60 months, the mean systolic blood pressure increased by 10·4 mm Hg in the intervention group and 6·0 mm Hg (4·6–7·5) in the control group.Read more…

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Implementing community-based health program in conflict settings: documenting experiences from the Central African Republic and South Sudan (2023)

This study explored the feasibility, barriers, and strategies for context-specific agile programming in armed conflict affected settings through community-based health services in the Central African Republic and South Sudan. Community engagement, collaboration and negotiating safe passage; comprehensive delivery of services; and continued training were key strategies identified for agile programmingRead more…

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Heart 2 Heart: Pilot Study of a Church-Based Community Health Worker Intervention for African Americans with Hypertension (2023)

This study explores the implications of a church-based community health worker (CHW) intervention to reduce blood pressure among African Americans. Interventions included support and strategies to improve diet and medication adherence. Results from the study included a mean change in systolic blood pressure of -5 mm/Hg, an increase in medicationRead more…

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Starting at the community: Treatment-seeking pathways of children with suspected severe malaria in Uganda (2023)

While CHWs are key in identifying malaria cases, skilled clinical care is needed for children under five years of age with severe malaria. This study aimed to  identify post-referral treatment-seeking pathways for appropriate antimalarial treatment in children less than five years with suspected severe malaria. Results showed that 96% visitedRead more…

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