Results: 3217
Innovative approach for potential scale-up to jump-start simplified management of sick young infants with possible serious bacterial infection when a referral is not feasible: Findings from implementation research (2021)
While inpatient treatment is a proven method to treating neonatal bacterial infections, inaccessibility to them remains a common cause of death. This study evaluated provision of an antibiotic regimen for young infants with possible serious bacterial infection (PSBI) by CHWs in two districts in Tigray, Ethiopia. The authors conclude thatRead more…
Improving health facility delivery rates in Zanzibar, Tanzania through a large-scale digital community health volunteer programme: a process evaluation (2020)
In Tanzania, CHW programmes have become widely utilized to improve maternal health outcomes. This study documents how the Safer Deliveries program – a programme designed to address high rates of maternal and neonatal mortality by increasing rates of health facility delivery and postnatal care visits – was implemented, scaled andRead more…
Working towards universal health coverage: a qualitative study to identify strategies for improving student enrolment for the pre-service training of nurses, midwives and community health workers in Nigerian health training institutions (2021)
As the Nigeran healthcare workforce grows, there is a need for a standardized development and maintenance strategy for health education facilities. This study assessed current student admissions and practices for nurses, midwives and community health workers at two health education facilities to identify strategies for improving student enrolment in CHWRead more…
Needs assessment of community health workers to enhance efficient delivery of their services for community case management of malaria in Kenya. (2021)
Malaria is the leading cause of morbidity and mortality in Africa. This study explored the needs of CHWs In Kenya, CHWs were leveraged to address management of malaria cases in communities (CCMm). The authors explored what CHWs need to sustain CCMm services. The found that program managers recognize the needRead more…
Integrated community case management of childhood illness in low- and middle-income countries (2021)
In 2018, infectious diseases were the leading cause of mortality in children younger than five years of age in sub‐Saharan Africa and Southern Asia. Lack of proper nutrition contributed to 45% of deaths in children under five. To address these disparities, the World Health Organization (WHO) and United Nations Children’sRead more…
Engaging Parents in Mental Health Services: A Qualitative Study of Community Health Workers’ Strategies in High Poverty Urban Communities (2021)
In the US, the use of CHWs in providing mental health services is growing. This study researched engagement strategies for a school-based mental health service model by employing a CHW workforce to implement early intervention programs in high poverty urban communities. Key findings of the study support the ability ofRead more…
Community health workers for non-communicable disease prevention and control in Nepal: a qualitative study (2020)
Non-communicable diseases (NCDs) are a major health issue in Nepal. This study examines existing barriers and facilitators to utilizing CHWs in the prevention and management of NCDs. The authors argue that CHWs deliver essential NCD services. To improve service delivery, CHWs should be fully integrated into the primary care systemRead more…
Community health workers to improve adherence to anti‐seizure medication in rural South Africa: Is it cost‐effective? (2020)
Epilepsy is a common disorder that disproportionately affects individuals living in LMICs. CHWs have proven to be key partners in maintaining adherence to treatment plans and medications, yet the cost of employing CHWs in epilepsy management has not been documented. This study found that CHWs are a cost‐effective intervention inRead more…
Community health workers caring for dependent elderly people (2021)
CHWs are an essential liaison between qualified health providers and the community . This study analyzes health care professionals’ perceptions of the CHWs role and their work caring for dependent elderly people. It concludes that health professionals and managers consider CHWs vital to dependent elderly people and their families.
Factors Associated With Workplace and Interpersonal Trust in the Supervisory System of a Community Health Worker Programme in a Rural South African District (2021)
This study examines the importance of workplace trust and how it shapes the perceived performance of CHWs in ward based outreach teams (WBOTs) in rural South Africa. It concludes that wider trust in the healthcare system plays a significant role in interpersonal trust among CHWs, qualified health workers and managersRead more…
Toward a geography of community health workers in Niger: a geospatial analysis (2021)
CHW geographic location and contribution to increasing access to skilled care is understudied. The authors of this article use geospatial mapping to identify CHW location and proximity to populations and health facilities in Niger. They conclude that the deployment of CHWs increased health care accessibility for an estimated 2.3 millionRead more…
Usage of and satisfaction with Integrated Community Case Management care in western Uganda: a cross-sectional survey (2021)
In Uganda, Village Health Workers (VHW) practice Integrated Community Case Management (iCCM) care, which provides health care assessments of children under the age of 5 years and treatment for malaria, pneumonia, and diarrhea where needed. This study examined community usage of and satisfaction with iCCM care;t 60% of households thatRead more…
Article: Health for the People: Past, Current, and Future Contributions of National Community Health Worker Programs to Achieving Global Health Goals (2021)
Despite CHW’s contributions to public health goals, there continues to be a lack of investment in CHW programs. The authors of this paper argue that strengthening and growing national CHW programs are crucial to achieving global health goals like universal health coverage and ending child and maternal deaths by 2030.Read more…
Zambia National Community Health Strategy, 2019-2021 (2019)
The overarching goal of the National Community Health Strategy (NHCS) 2019 – 2021 is to contribute to the achievement of the Ministry of Health’s legacy goals outlined in the NHSP 2017 – 2021. This will be done by improving access to health services at the community level. The NCHS aimsRead more…
Promoting the Health of the Community: Community Health Workers Describing Their Roles, Competencies, and Practice (2021)
Despite their fast paced growth and increasing utilization, there is still a lack of community health worker (CHW) training programs, certification and credentialing by state agencies. CHW views and inputs on their roles are also lacking in policy development and in the literature. This book seeks to fill this gapRead more…
Promoting Gender Responsive Policies and Programmes for Community Health Workers: a Gender Analysis Framework (2021)
Informal occupational roles with the lowest pay and the least power have been dominated by women. Recent findings from Afghanistan showed that male CHWs were praised for their volunteer work while female CHWs doing similar work were not praised as their efforts were viewed “expected” (Najafizada et al. 2019). COVID-19Read more…
“Contract to Volunteer”: South African Community Health Worker Mobilization for Better Labor Protection (2018)
This article explores the growing movement for labor rights for South African community health workers (CHWs). It tracks the emergence of sporadic mobilizations for decent work (supported by local health activist organizations) and the formation of the National Union of Care Workers of South Africa (NUCWOSA) in 2016. The authorsRead more…
Impact of Different Levels of Supervision on the Recovery of Severely Malnourished Children Treated by Community Health Workers in Mali (2021)
The Ministry of Health in Mali included the treatment of severe acute malnutrition (SAM) into integrated community case management activities. This prospective non-randomized community intervention study conducted in Kayes Region of Mali, evaluated two supervision models for treating SAM using community health workers (CHWs). Ultimately, some supervision for CHWs treatingRead more…
Tracking Weight-for-Age of Infants Using Home Based Newborn Care Plus by ASHA Workers (2021)
Child malnutrition remains a serious global concern. The authors of this study investigate whether frequent home health visits by a CHW in the first year of a child’s life improve the nutritional status of children. The study found statistically significant benefits to frequent home health visits by a CHW withinRead more…
Instructive roles and supportive relationships: client perspectives of their engagement with community health workers in a rural south African home visiting program (2021)
Community health worker (CHW) programs have been positioned to meet the needs of marginalized populations with inequitable access to health care. With increased technical focus on CHW work, the value of CHWs in building relationships with clients tends to be overlooked. More importantly, these programs are often reframed and redeployedRead more…
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