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The Community Health Worker (CHW) Common Indicators Project: Engaging CHWs in Measurement to Sustain the Profession (2021)

Community health workers are essential members of the healthcare workforce, but standardized measures to evaluate their effectiveness are lacking. Researchers detailed the United States CHW Common Indicators (CI) Project, which aims to develop standardized evaluation measures to further support and elevate the work of CHWs. Although the CI Project succeededRead more…

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Community Participatory Approach to Identify Common Evaluation Indicators for Community Health Worker Practice (2020)

Community health workers (CHWs) are well-positioned to help reduce health inequities in the United States. Rodela and co-authors conducted a six-year community-academic partnership in the United States using qualitative methods to identify common CHW processes and outcome indicators. They identified 20 common constructs and suggest that a common set ofRead more…

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Willingness to pay for community delivery of antiretroviral treatment in urban Tanzania: a cross-sectional survey (2020)

Community health workers (CHW) leading the delivery of HIV antiretroviral therapy (ART) could increase the number of people receiving this treatment and alleviate the burden on healthcare facilities.  Based in Dar es Salaam, this cross-sectional study aimed to determine patients’ willingness to pay (WTP) for CHW-led ART community delivery.  TheRead more…

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Acceptability of patient-centered hypertension education delivered by community health workers among people living with HIV/AIDS in rural Uganda (2021)

The growing burden of non-communicable diseases (NCDs) among people living with HIV/AIDS (PLWHA) threatens to undermine the global progress that has been made to manage the HIV/AIDS epidemic. Hypertension (HTN) is the most common NCD and its prevalence among PLWHA has doubled over the past decade. However, knowledge of theRead more…

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Studying Executive Directors and Supervisors Views of Organizational and Policy-Level Challenges Faced by Community Health Workers (2021)

This study examines the policy barriers that affect CHW programs in the United States. Key findings indicate that funding, accessibility of evidence-based practices, and certification processes were significant policy barriers to CHW program development. The authors call for the greater integration of the CHW workforce into the policy frameworks ofRead more…

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Diabetes management among underserved older adults through telemedicine and community health workers (2021)

In the United States, individuals from  marginalized communities experience higher disease burden from diabetes. This systematic review evaluated the effectiveness of CHW-led interventions to improve diabetes-related outcomes in older adults diagnosed with diabetes. It found that CHW-led interventions were effective at improving diabetes-related outcomes and adds to the growing bodyRead more…

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Effect of community health workers’ visits on uptake of modern contraception among rural women of reproductive age in Nigeria (2020)

This study assessed the effectiveness of CHW visits on the uptake of modern contraception in rural Nigeria. The authors found that women who talked with a CHW had  50% higher odds of reporting contraceptive use than those who did not talk with a CHW. This study highlights the value inRead more…

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“Nothing About Us Without Us”: Insights from State-level Efforts to Implement Community Health Worker Certification (2021)

Community Health Workers (CHWs) are gaining recognition in the United States as essential members of the healthcare workforce. This qualitative study analyzed the CHW certification process in seven US states to further understand effective CHW workforce development and professionalization. Investigators identified requiring education and verifying CHWs are from the communityRead more…

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How do community health workers institutionalise: An analysis of Brazil’s CHW programme (2021)

The authors of this paper review the factors needed for successful institutionalization of CHWs, using Brazil as a case study.  They argue that a focus on adequate compensation of CHWs, protecting CHW autonomy, and improvement of community health system capacity are crucial to consider in the institutionalization process of CHWRead more…

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‘A seamless transition’: how to sustain a community health worker scheme within the health system of Gombe state, northeast Nigeria (2021)

CHW programs need to be sustained if the benefits of their services to communities are to extend beyond single-project funding. The authors of this study sought to assess the sustainability of a donor-funded village health worker (VHW) program in Nigeria. The investigators identified government ownership, adaptability, VHW motivation, and theRead more…

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Anti-Rabies Vaccine Compliance and Knowledge of Community Health Worker Regarding Animal Bite Management in Rural Area of Eastern India (2021)

Preventing rabies continues to be a struggle in developing countries. The authors of this study assessed community health worker (CHW) knowledge of how to address a potential rabies case. They found that CHWs had limited knowledge about bite wounds that could lead to rabies cases, highlighting an opportunity to enhanceRead more…

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Effect of Community Health Workers on 30-Day Hospital Readmissions in an Accountable Care Organization Population: A Randomized Clinical Trial (2021)

Understanding how to reduce hospital readmissions is important for reducing costs and has been a key focus of accountable care organizations (ACOs). This randomized clinical trial evaluated the usefulness of pairing ACO-insured adults with community health workers (CHWs) to reduce hospital readmission rates within 30 days of discharge. The authorsRead more…

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Development of an Asthma Home-Visit Training Program for Community Health Workers and Their Supervisors in Washington State (2021)

The authors of this study described a CHW-led home-visit model to improve asthma-related outcomes in Seattle, Washington; they analyze the factors that led to effective training of CHWs to conduct this work. They identified that community engagement in the training development, a strong training curriculum, and evaluation of the trainingRead more…

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Community Health Worker Knowledge, Attitudes, Practices and Readiness to Manage Intimate Partner Violence (2021)

Intimate partner violence (IPV) remains a serious problem in the United States, yet there are few studies on the role of CHWs in addressing IPV. This study evaluates the knowledge, attitudes, and practices of CHWs in the United States regarding IPV. The authors found that CHWs lacked substantial knowledge onRead more…

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Body composition outcomes of Healthy Fit and the role of acculturation among low-income Hispanics on the US-Mexico border (2021)

Hispanic immigrants to the United States experience higher rates of negative weight-related health outcomes than non-Hispanic individuals. This longitudinal observational study assessed the effectiveness of a community health worker (CHW) led weight-management intervention, Healthy Fit, focused on nutrition education and promotion of physical activity. The researchers found that the HealthyRead more…

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Addressing maternal and child health equity through a community health worker home visiting intervention to reduce low birth weight: retrospective quasi-experimental study of the Arizona Health Start Programme (2021)

The Health Start Programme is a community health worker (CHW) program in Arizona that addresses maternal and child health. This quasi-experimental retrospective study sought to understand if the Health Start Programme decreased rates of low birth weight (LBW), very low birth weight (VLBW), extremely low birth weight (ELVW), and pretermRead more…

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Community Health Worker Roles and Responsibilities in Rural and Urban America (2021)

With their unique ties and cultural knowledge of their communities, community health workers (CHWs) help fill healthcare gaps in both rural and urban America. This qualitative study sought to further understand the workforce development needs of CHWs and compare experiences of CHWs in urban and rural America. The study foundRead more…

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Supporting the Integration of Community Health Workers in Whole Person Care Pilots (2019)

In California, whole person care (WPC) helps streamline coordination of care across many sectors of the healthcare system. Some WPC programs utilize community health workers (CHWs) to carry out this coordination of care, but as WPC programs differ across regions the support CHWs needed to carry out activities also varies.Read more…

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Recognizing and Sustaining the Value of Community Health Workers and Promotores (2020)

Although community health workers/promotores (CHW/Ps) are key to delivering healthcare to underserved communities, there is no standardized certification for CHW/Ps in the United States. To advance professional recognition of CHW/Ps, this report from the Center for Health Care Strategies highlights the value of an accessible certification process, training employers onRead more…

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Community Health Worker Workforce: Assessment of the Integration and Financing of Community Health Workers within Arizona Medicaid Health Plans (2019)

The Centers for Medicaid and Medicare allowed states to compensate non-licensed healthcare professionals such as CHWs.  Since this new guidance was put in place, states have been interested in how to successfully integrate CHWs into their Medicare and Medicaid Health Plans. This report details how the State of Arizona hasRead more…

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