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Community Health Workers and Pandemic Preparedness: Current and Prospective Roles (2019)

The authors of this study reviewed the response to the 2014 Ebola epidemic and the 2015 Zika epidemic to further understand the role of community health workers (CHWs) in pandemic preparedness. They found that CHWs influenced pandemic prepared both before and after the onset of pandemic. Before, CHWs were involvedRead more…

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Supervision Strategies and Community Health Worker Effectiveness in Health Care Settings (2020)

This discussion paper argues that while the value of CHWs in providing cost effective care in the United States is recognized, improved human resources management practices are needed to strengthen the quality and performance of CHW programs. The authors discuss essential elements of CHW recruitment and training, but also theRead more…

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Community Health Workers Can Provide Psychosocial Support to the People During COVID-19 and Beyond in Low- and Middle- Income Countries (2021)

Low- and middle-income countries have experienced a further decrease in the availability of already scarce mental health services during the COVID-19 pandemic. The authors of this article argue that community health workers (CHWs) are well-positioned to provide mental health services at the community level, but have not been fully supportedRead more…

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Investigating violence against Accredited Social Health Activists (ASHAs): a mixed methods study from rural North Karnataka, India (2021)

In India, female community health workers (CHWs), also called Accredited Social Health Activists (ASHAs), provide essential services to their communities. However, their experience of violence as they carry out their work is not well researched. The authors of this paper conducted a mixed-methods study to understand the violence ASHAs experience.Read more…

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Community health workers’ involvement in the prevention and control of non-communicable diseases in Wakiso District, Uganda (2021)

The authors of this study examined the role CHWs play in preventing and supporting noncommunicable diseases interventions in the Wakiso District of Uganda. Although CHWs showed general knowledge of noncommunicable diseases, their role in prevention was limited. There are opportunities to better involve CHWs in the prevention of noncommunicable diseasesRead more…

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Recruitment, Training, and Roles of the Bilingual, Bicultural Navegantes: Developing a Specialized Workforce of Community Health Workers to Serve a Low-Income, Spanish-Speaking Population in Rhode Island (2021)

Community health workers (CHWs) share the multicultural and multilingual characteristics of their communities and are thus able to provide culturally sensitive healthcare. The Hope Clinic in Rhode Island developed a peer-led Advanced Navagente Training Program (ANTP) to prepare spanish-speaking individuals to become certified CHWs who provide patient navigation, life-style coachingRead more…

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Organizational Readiness for Community Health Worker Workforce Integration Among Medicaid Contracted Health Plans and Provider Networks: An Arizona Case Study (2021)

Understanding how to better integrate community health workers (CHWs) into the complex healthcare infrastructure of the United States is important to better support CHWs in providing healthcare to their communities. This mixed-methods study conducted in Arizona assesses the organizational readiness of Arizona Medicaid for the integration of CHWs. The authorsRead more…

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Training Needs of Community Health Workers Facing the COVID-19 Pandemic in Texas: A Cross-Sectional Study (2021)

The COVID-19 pandemic highlights the crucial role community health workers (CHWs) play in providing equitable healthcare in the United States. This cross-sectional study aimed to understand how COVID-19 impacted CHWs working conditions and training. The authors found training topics such as prevention of COVID-19, the clinical course of COVID-19, vulnerableRead more…

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Validity of using mobile phone surveys to evaluate community health worker program in Mali (2021)

The monitoring and evaluation of interventions is critical to ensure their effectiveness. Mobile phone-based methods can help to assess the success of interventions, but understanding their implementation as an evaluation tool lacks validity. Community health workers in Mali providing integrated community case management and family planning took a survey toRead more…

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An Emerging Model for Community Health Worker–Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia (2020)

This paper presents the results of a CHW-centered intervention to improve diabetes health outcomes and lower diabetes-related healthcare costs for patients in Appalachia. The authors studied the dissemination of a community health worker–based chronic care management (CHW-Based CCM) model in three central Appalachian states and the process for engaging healthRead more…

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Community Health Workers’ Role in DSMES and Prediabetes (2019)

Diabetes prevalence continues to grow in the United States, straining the healthcare workforce and increasing disease-burden. This practice piece from the American Association of Diabetes Educators argues that community health workers should be considered in the provision of diabetes self-management education and support (DSMES) to communities experiencing high rates ofRead more…

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Integrating Community Health Workers into State and Local Chronic Disease Prevention Efforts: Program and Financing Considerations (2018)

Results and cost-benefits of chronic disease interventions do not appear for years after efforts are initiated. As a result, community health workers (CHW) roles in the prevention of chronic disease in the United States are undervalued. This brief outlines evidence for integrating CHWs into the healthcare workforce and financial avenuesRead more…

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Roles for mHealth to support Community Health Workers addressing COVID-19 (2020)

Community health workers (CHWs) have been and continue to be important members of the healthcare workforce, delivering critical care to their communities during the ongoing COVID19 Pandemic. The authors provide guidance on how mHealth can support and enhance CHWs during the pandemic. They highlight that mHealth can increase contact tracing,Read more…

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Community health workers to improve adherence to anti-seizure medication in rural South Africa: Is it cost-effective? (2020)

Low- and middle-income countries (LMICs) experience a high disease burden for epilepsy, a chronic neurological condition.The authors evaluate the cost-effectiveness of community health workers (CHWs) to improve adherence to medication for epilepsy in South Africa. They found that utilizing CHWs to improve medication adherence was cost-effective.

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Mind the Global Community Health Funding Gap (2021)

Although community health workers (CHWs) are widely valued as crucial members of the healthcare workforce, funding for CHWs and CHW programs continues to be inadequate. This commentary argues that to increase funding for CHWs and CHW programs, governments can build infrastructure for community health systems that are community-centered through policyRead more…

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Optimising geographical accessibility to primary health care: a geospatial analysis of community health posts and community health workers in Niger (2021)

Researchers used complete georeferenced census and other high-resolution spatial datasets to compare proximity of community health posts and CHWs in Niger in 2000 and 2013. Through modeling, they estimated that CHWs increased access to and geographical coverage of healthcare. The results highlight the utility of CHWs in increasing access toRead more…

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Improving maternal, newborn and child health outcomes through a community-based women’s health education program: a cluster randomised controlled trial in western Kenya ()

Chamas for Change, a community health volunteer group, provides health education for pregnant and postpartum women in Kenya. Researchers conducted a cluster randomized controlled trial involving 74 community health units in Trans Nzoia County to understand the effectiveness of this model of health education on maternal, newborn, and child health.Read more…

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COVID-19 and health promotion in Brazil: community health workers between vulnerability and resistance (2021)

Although community health workers are key members of the healthcare workforce in Brazil, many are women who face poor working conditions. Researchers investigated the ways in which COVID-19 enhanced the existing poor working conditions and created new ones for the CHW workforce in Brazil. The authors found that CHWs wereRead more…

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Community health worker case-detection of asthma or reactive airways disease in a resource-poor community in Nicaragua (2021)

Early detection of asthma in children has the great potential to reduce morbidity and mortality in children. Researchers conducted a study in a low-income community of Nicaragua to understand the effectiveness of a community health worker-administered questionnaire in detecting childhood asthma. They found that the questionnaire was an effective screeningRead more…

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Community health worker models in South Africa: a qualitative study on policy implementation of the 2018/19 revised framework (2020)

Community health workers (CHWs) are well-positioned to provide essential healthcare due, in part, to their deep integration with the community they serve. Researchers conducted a qualitative study in six provinces in South Africa to better understand CHW policy implementation. Through interviews with provincial and district health managers and service providers,Read more…

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