Results: 3217
A framework for community health worker optimisation in conflict settings: prerequisites and possibilities from Northwest Syria (2023)
This study aimed to identify and assess factors for optimal CHW programmes in conflict settings, specifically Northwest Syria. The authors assert that, to be effective, CHW programs in conflict settings need to respond to contextual factors.They conclude that while the dynamics of humanitarian funding restrictions, health system capacity and governanceRead more…
Management of children with danger signs in integrated community case management care in rural southwestern Uganda (2014-2018) (2023)
This study investigated the CHW management of danger signs for severe illness implementing integrated community case management (iCCM) in a rural context in Uganda. Of the children that had been recorded as having a danger sign, 78% were referred by the CHWs as per the iCCM protocol. CHWs play aRead more…
mHealth Intervention for Promoting Hypertension Self-management Among African American Patients Receiving Care at a Community Health Center: Formative Evaluation of the FAITH! Hypertension App ()
This study aimed to assess the feasibility of integrating an innovative mHealth intervention into clinical and community settings to improve blood pressure (BP) control among African American patients. Results included a decrease in the mean systolic and diastolic BPs of the 7 patients by 6.5 mm Hg (P=.15) and 2.8Read more…
Improving outcomes for children with malaria, diarrhoea and pneumonia in Mozambique: A cluster randomised controlled trial of the inSCALE technology innovation (2023)
This cluster randomized controlled trial evaluated a technology-based (mHealth) intervention package called Innovations At Scale For Community Access and Lasting Effects. The package supports integrated community case management programs using CHWsto increase treatment coverage for children with malaria, diarrhea, and pneumonia (MDP). Results showed an MDP prevalence of 53.5% inRead more…
Improvement of community health worker counseling skills through early childhood development (ECD) videos, supervision and mentorship: A mixed methods pre-post evaluation from Tanzania (2023)
This study evaluated an early childhood development (ECD) project in Tanzania, assessing the effect of mobile video use, supervision and mentorship to improve the quality of CHW counseling skills. Post intervention, two-thirds of caregivers reported that the father’s involvement with their child increased due to CHW visits. Male participation inRead more…
Maternal Postpartum Depression Screening and Referral in a Latinx Immigrant Population: A Quality Improvement Study (2023)
This study explored how a quality improvement project improves rates of screening and referrals with postpartum Latinx immigrant mothers. CHWs were designated to assist with postpartum depression (PPD) screening and referral for behavioral health services. Results demonstrated a 21% increase in screening of eligible postpartum mothers and referral rates toRead more…
Evaluation of the Community Health Worker Model for COVID-19 Response and Recovery (2023)
This study explored the role of CHWs in COVID-19 response, recovery, and rebuilding and the importance, needs, and perils of CHW models. The ¡Andale! ¿Que Esperas? (AQE) vaccination campaign invested in the CHW workforce in California, expanding access to and instilling confidence in COVID-19 vaccines among Latinx communities.The results highlightRead more…
Community-based diabetes prevention randomized controlled trial in refugees with depression: effects on metabolic outcomes and depression (2023)
This study investigated the impact of three CHW interventions for diabetes prevention among Cambodian-Americans with depression. Results found that compared to the other interventions, patients participating in the “Eat, Walk, Sleep” and medication therapy management sessions with CHW-pharmacist teams showed a significant decrease in hemoglobin A1C (HbA1c) and a trend forRead more…
Understanding community health workers’ activities in a community-based child health promotion project in Kyrgyzstan (2023)
This study investigated CHW activities in Kyrgyzstan migrant villages and their impact on individuals and communities. Through a mixed method design, researchers analyzed CHW activities through descriptive statistics and thematic qualitative analysis. Results showed that after home visits, CHWs reported a sense of increased autonomy, confidence in resource mobilization, greaterRead more…
Economic evaluation of a community health worker model for tuberculosis care in Ho Chi Minh City, Viet Nam: a mixed-methods Social Return on Investment Analysis (2023)
CHWs play an important role in TB case finding. This study investigated the benefits and return on investment of a CHW model for finding active TB cases. Using the social return on investment methodology. The study found a return of US$36.08 for each dollar invested in the CHW model.
Leveraging community health workers as vaccinators: a case study exploring the role of Malawi’s Health Surveillance Assistants in delivering routine immunization services (2023)
This study highlighted the operational and programmatic characteristics of a functional CHW-led routine immunization program. It included interviews with Health Surveillance Assistants (HSAs), HSA supervisors, ministry of health officials, and community members in Malawi. Results from the case study showed HSAs as a high-functioning vaccination cadre, skilled and dedicated toRead more…
Training and experience outperform literacy and formal education as predictors of community health worker knowledge and performance, results from Rongo sub-county, Kenya. (2023)
This study investigated the predictors of CHW knowledge of obstetric and early infant danger signs as well as performance in achieving antenatal care and immunization uptake among their clients. The study found that recency of training and experience were associated with improved CHW knowledge and performance. Clients of CHWs trainedRead more…
Recruitment and selection of community health workers in Iran; a thematic analysis. (2023)
The study aimed to investigate the views of different stakeholders regarding the selection criteria and competency of CHWs in Iran. Thematic analysis identified three themes: “criteria for employing competent people”, “barriers to employing competent people”, and “identifying the barriers to employing competent people”. The authors recommend that the selection andRead more…
Hear my Voice: Understanding how community health workers in the Peruvian Amazon expanded their roles to mitigate the impact of the COVID-19 pandemic through Community-Based Participatory Action Research (2023)
The purpose of this study was to understand how the COVID-19 pandemic transformed the responsibilities of CHWs from indigenous communities in the Peruvian Amazon so policymakers can support indigenous health efforts. Through photovoice, four main themes that emerged: 1) the collapse of social infrastructure, 2) the community adaptations and struggles,Read more…
Assessing the Efficacy of Mental Health Assessment Training for Accredited Social Health Activists Workers in Rural India: A Pilot Study (2023)
This study evaluated the efficacy of a mental health assessment training program for Accredited Social Health Activists (ASHA) in rural India. Twelve ASHA workers received training in mental health assessment and mental health knowledge. The training program significantly improved the mental health knowledge and Global Mental Health Assessment Tool checklistRead more…
Breaking the silence on gendered harassment and assault of community health workers: an analysis of ethnographic studies (2023)
CHW gender and work conditions may increase vulnerability to violence and sexual harassment. Through a survey of ethnographic studies, this study explored how CHW gender roles and worker protections influence their security or vulnerability. Results indicate that CHW work creates job opportunities for women in contexts where such opportunities areRead more…
The Laro Kwo Project: A train the trainer model combined with mobile health technology for community health workers in Northern Uganda (2023)
This three-year prospective observational study investigated the impact of a mobile health technology and a train the trainer model on CHW knowledge. At the conclusion of three years, CHWs who advanced trained a new cohort of 25 CHWs using mHealth. The study found that the model was highly effective, withRead more…
Implementation fidelity to a behavioral diabetes prevention intervention in two New York City safety net primary care practices (2023)
The purpose of this study was to test the impact of a health coaching intervention seeking to prevent Type 2 Diabetes in New York. This intervention, Community Health Outreach to Reduce Diabetes (CHORD), was a cluster-randomized trial examining a CHW education intervention to reduce Type 2 Diabetes among pre-diabetic patients.Read more…
Effectiveness of Community Health Worker-Led Interventions in Enhancing Colorectal Cancer Screening Uptake in Racial and Ethnic Minority Populations: A Systematic Review and Meta-analysis (2023)
The purpose of this review was to examine the effectiveness of CHW-led interventions in improving colorectal cancer (CRC) screening uptake rate in racial and ethnic minority populations within the United States. Researchers searched the following databases for randomized controlled trials only within May of 2022: EMBASE, CINAHL, MEDLINE, Scopus, andRead more…
Task shifting roles, interventions and outcomes for kidney and cardiovascular health service delivery among African populations: a scoping review (2023)
The aim of this review was to evaluate the task shifting roles, interventions, and outcomes for addressing kidney and cardiovascular (CV) health problems within African populations. The findings emphasize the importance of HRH, including the CHW workforce, in improving the process of care measures as well as identification, awareness, andRead more…
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