Results: 3217
New Frontiers in Diabetes Care: Quality Improvement Study of a Population Health Team in Rural Critical Access Hospitals (2023)
This study sought to determine if an innovative population health program that integrates medical and social care models improves clinical outcomes for patients with Type 2 diabetes in a resource-constrained, frontier area. A quality improvement cohort study was conducted with patients with diabetes at St. Mary’s Health and Clearwater ValleyRead more…
Training health workers in clinical breast examination for early detection of breast cancer in low‐ and middle‐income countries (2023)
This study sought to assess whether training in clinical breast examinations (CBEs) affects the ability of health workers in LMICs to detect early breast cancer. A review of related current literature was conducted utilizing the following databases: Cochrane Breast Cancer Specialized Registry, CENTRAL, MEDLINE, Embase, the World Health Organization (WHO)Read more…
Using telehealth to support community health workers in Uganda during COVID-19: a mixed-method study (2023)
The purpose of this study was to assess the functioning of the telehealth approach that was set-up to support CHWs during the COVID-19 pandemic in Uganda. A mixed-methods study was conducted involving interviews and surveys with key-informants and an analysis of routine consultation data from the call center. Results uncoveredRead more…
Digital Health Technologies for Maternal and Child Health in Africa and Other Low- and Middle-Income Countries: Cross-disciplinary Scoping Review With Stakeholder Consultation (2023)
This review sought to synthesize the existing published literature in three major disciplines on the use of digital health interventions for maternal and child health (MCH) in low-and middle-income countries (LMICs), with a particular focus on sub-Saharan Africa (SSA). The disciplines under investigation included public health, social sciences applied toRead more…
A three-arm randomized controlled trial using ecological momentary intervention, community health workers, and video feedback at family meals to improve child cardiovascular health: the Family Matters study design (2023)
The goal of this paper was to describe the Family Matters study design, data collection protocols, measures, intervention components, process evaluation, and analysis plan in Minnesota, U.S.A. The Family Matters intervention utilizes state-of-the-art intervention methods including EMI, video feedback, and home visiting by CHWs to examine whether increasing the quantityRead more…
Feasibility and acceptability of home-based neonatal hyperbilirubinemia screening by community health workers using transcutaneous bilimeters in Bangladesh (2023)
The purpose of this study was to evaluate the acceptability and operational feasibility of a CHW-led, home-based, non-invasive neonatal hyperbilirubinemia screening using a transcutaneous bilimeter in Shakhipur, a rural sub-district in Bangladesh. First, focus group discussions and key informant interviews were conducted with parents, grandparents of infants, and public andRead more…
Role of Mitanin community health workers in improving complementary feeding practices under scaled-up home-based care of young children in a rural region of India (2023)
The aim of this study was to assess the coverage of the home-based care of young children (HBYC) intervention to assess the coverage of HBYC in the Chhattisgarh state of India where it has been implemented through 67,000 rural CHWs known as Mitanins. The HBYC intervention involves home visits byRead more…
Design and Rationale of the Home Blood Pressure Telemonitoring Linked with Community Health Workers to Improve Blood Pressure (LINKED-BP) Program (2023)
This paper outlines the design and rationale for a planned study which seeks to examine the effect of the LINKED-BP Program on blood pressure (BP) reduction while also evaluating its reach, adoption, sustainability, and cost-effectiveness within the U.S.A. The LINKED-BP Program is a multi-level intervention linking home BP monitoring withRead more…
Impact of COVID-19 on delivery of oncology services in Northern Tanzania: a cross-sectional study of community health workers and patients undergoing cancer treatment at the Kilimanjaro Christian Medical Centre (2023)
This study sought to ascertain how the COVID-19 pandemic was perceived by oncology patients and CHWs and whether this contributed to disruptions in cancer care in Northern Tanzania. A cross-sectional study was conducted using structured telephone interviews with patients and structured questionnaires completed by CHWs. Primary outcomes for patients includedRead more…
Exploring the impact of COVID-19 on frontline health workers through a photovoice study in Kaduna, Kwara and Ogun States, Nigeria (2023)
This study sought to understand the impact of the COVID-19 pandemic on CHW well-being with a view to identify strategies that could support CHWs during COVID-19 and subsequent health system shocks within Nigeria. A creative participatory methodology of photovoice with CHWs was utilized, in which participants were asked to takeRead more…
Technical Report: Analyzing The Landscape: Supply Chain Mobile Tools for Community Health Workers (2023)
The goal of this analysis was to provide evidence about systems capabilities, features, and use of mobile applications by CHWs to increase data visibility, access to data for decision-making, and improved product availability at the last mile. Researchers collected data via two strategies: (1) by conducting an Internet search toRead more…
Mental health care in the city of Lubumbashi, Democratic Republic of the Congo: Analysis of demand, supply and operational response capacity of the health district of Tshamilemba (2023)
This study sought to analyze the existing demand and supply of mental health care in the health district of Tshamilemba in the Democratic Republic of Congo (DRC). Researchers also critically examined the district’s operational response capacity to address mental health. A multimethod, cross-sectional exploratory study was conducted, including a documentaryRead more…
Impact of integrated community-facility interventions model on neonatal mortality in rural Bangladesh- a quasi-experimental study (2023)
The purpose of this study was to outline an intervention package that included CHW-assisted pregnancy and birth surveillance, postnatal visits to access newborns, referral for facility-based care, and establishment of a newborn stabilization unit. A quasi-experimental controlled study was conducted in Bangladesh to measure the effectiveness of this intervention. PrimaryRead more…
Community Health Worker programmes’ integration into national health systems: Scoping review (2023)
The aim of this review was to present evidence on CHW programs’ integration into National Health Systems for improved health outcomes in sub-Saharan Africa (SSA). Six CHW programs representing three SSA regions were purposely identified based on their deemed integration into respective National Health Systems. A scoping review on theRead more…
Design, implementation, and evaluation of community health worker training programs in Latinx communities: A scoping review (2023)
The purpose of this review was to examine the current reporting trends of program design, implementation, and evaluation of training programs for Latinx CHWs in the USA. Researchers explored five scholarly databases to identify articles describing training programs for Latinx CHWs between 2009 to 2021. Findings from the articles thatRead more…
The effect of a roving nurse mentor on household coverage and quality of care provided by community health worker teams in South Africa: a longitudinal study with a before, after and 6 months post design (2023)
This paper sought to assess the effect of a roving nurse mentor on the coverage and quality of care of CHW services in two vulnerable communities in South Africa. Three household surveys were conducted to assess household coverage of CHW services and structured observations of CHWs working in households wereRead more…
Using Implementation Mapping to increase uptake and use of Salud en Mis Manos: A breast and cervical cancer screening and HPV vaccination intervention for Latinas (2023)
The purpose of this paper was to create a dissemination and implementation strategy for maintaining the Salud en Mis Manos (SEMM) intervention in clinic settings. SEMM is a CHW-delivered, evidence-based intervention (EBI) that is shown to increase breast and cervical cancer screening. Researchers utilized five iterative tasks, defined by anRead more…
Community health volunteer for blood pressure control in rural people with stroke in India: Pilot randomised trial (2023)
The purpose of this study was to test if Accredited Social Health Activists (ASHAs) can help in the sustained control of systolic blood pressure (BP) among rural Indian residents with stroke and hypertension. Two rural areas, Pakhowal and Sidhwan, were screened for people with stroke and hypertension. Those who metRead more…
COVID-19 and the Latinx Community: “Promotoras represent a community in pain” (2023)
This study sought to explore the impact of the COVID-19 pandemic on Latinx communities and the promotoras that serve them, with a focus on examining how the stress and inequities that developed might be mitigated. Promotoras were recruited from a local health agency in Santa Ana, California, and completed semi-structuredRead more…
Herding behavior in COVID-19 vaccine hesitancy in rural Zimbabwe: The moderating role of health information under heterogeneous household risk perceptions (2023)
The purpose of this review was to examine herding behavior in vaccine hesitancy, with a special focus on the moderating role of household access to health information from village health workers (VHWs) under different risk perceptions in rural Zimbabwe. To do so, researchers analyzed data collected from 13,583 responses toRead more…
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