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Community-Based Interventions to Reduce Child Stunting in Rural Guatemala: A Quality Improvement Model (2021)

Despite efforts to increase access to evidence-based nutrition interventions, cases of chronic child malnutrition (stunting) in rural Guatemala are among  the highest in the world. The writers of this study examine a community-based quality improvement intervention in a region with a high rate of stunting. The addition of structured performanceRead more…

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Can Community Health Workers Increase Palliative Care Use for African American Patients? A Pilot Study (2021)

African American patients with cancer underutilize advance care planning (ACP) and palliative care (PC). This feasibility study investigated whether community health workers (CHWs) could improve ACP and PC utilization for African American patients with advanced cancer. It determined that utilization of CHWs to address PC domains and social determinants ofRead 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)

CHWs in South Africa have long  formed a bridge between communities and  health facilities as the cornerstone of South Africa’s ward-based primary healthcare outreach teams. This study documents CHW policy implementation and adoption across six provinces to identify potential barriers and facilitators to implementation and help guide and inform futureRead more…

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Webinar- Enhancing Community Health Research By Engaging Community Health Workers (2021)

This webinar presents experiences and research findings on the role of CHWs as research partners. Sharing evidence from North American and African contexts, it outlines the ways CHWs have been involved in research. Through case examples from Uganda and Liberia, the webinar provides examples and recommendations for engaging CHWs asRead more…

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

This study assessed the involvement of Community Health Workers in the prevention and control of non-communicable diseases in the Wakiso District, Uganda. Research focused on the current knowledge, attitudes and practices of CHWs as well as community perceptions. The study found that despite CHWs having some knowledge on NCDs andRead more…

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Feasibility of establishing a network of community health workers to support care of people with sickle cell disease in Kumasi, Ghana (2021)

Sickle cell disease (SCD) remains a common, yet highly neglected, non-communicable disease. This study assessed the interest in and feasibility of establishing a network of CHWs to support care of people with SCD in Kumasi, Ghana. Using qualitative research methods, researchers assessed three primary themes from the data: (1) supportRead more…

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Equipping community health workers with digital tools for pandemic response in LMICs (2021)

Keeping CHWs safe and informed as they are deployed in pandemic response needs to be a top priority at the community level. With restrictions around movement and PPE shortages, equipping CHWs with the digital technology they need to ensure a safe and effective pandemic response can prove to be aRead more…

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Community health workers’ attitudes, practices and perceptions towards the COVID-19 pandemic in Brazilian low-income communities (2021)

Community Health Workers (CHW) are a category of social workers described in many countries’ health systems as responsible for engaging people in their residences and communities, and other non-clinical spaces to enable access to health services, especially in low-income areas. The pandemic imposes unexpected challenges on the usual modes ofRead more…

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Interplaying role of healthcare activist and homemaker: a mixed-methods exploration of the workload of community health workers (Accredited Social Health Activists) in India (2021)

In India, CHWs, also known as Accredited Social Health Activists (ASHAs), have been deployed since 2005. By engaging them in various healthcare delivery models, they have become essential to providing population- specific and community healthcare. This study explores the current workload of ASHAs and how to further utilize them inRead more…

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From village health volunteers to paid care givers: the optimal mix for a multidisciplinary home health care workforce in rural Thailand (2021)

Thailand’s population is aging. Given a shortage of healthcare workers in rural areas, a barrier between the delivery of adequate home health care services to the eldery exists. Research from this article suggests that a cross-trained multidisciplinary health team composed of CHWs and community caregivers could improve the delivery ofRead more…

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What mechanisms drive uptake of family planning when integrated with childhood immunisation in Ethiopia? A realist evaluation (2021)

Maternal and child health are key priorities of the Sustainable Development Goals. Two components of maternal and child health are family planning (FP) and immunization. This study shares findings on how CHWs are providing integrated services that can increase the uptake of vaccines and modern contraceptive methods.

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Promoting Community Health Worker Leadership in Policy Development: Results from a Louisiana Workforce Study (2020)

In 2019, the Louisiana legislature created the CHW Workforce Study Committee (Committee) to study the workforce and provide the state with policy recommendations. The Committee engaged CHWS, their employers and an academic team to collect qualitative data on the experiences of CHWs and employers statewide. Findings suggest a need forRead more…

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Effects of a community health worker delivered intervention on maternal depressive symptoms in rural Tanzania (2020)

Maternal depression affects one in four women in sub-Saharan Africa, yet evidence on effective and scalable interventions is limited. The authors  evaluate the effect of a community health worker (CHW) delivered home visit responsive stimulation, health and nutrition intervention, and conditional cash transfers (CCTs) for antenatal care and child growthRead more…

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A mixed-methods evaluation of the impact of a person-centered family planning intervention for community health workers on family planning outcomes in India (2020)

Person-centered decision making for family planning  care has been gaining increased attention, yet few interventions have measured associations between person-centered quality for family planning and family planning outcomes (uptake, continuation, etc.). In India, the first point of contact for family planning is often the community health care worker, in thisRead more…

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Effectiveness of Community Health Worker Delivered Interventions on Non-communicable Disease Risk and Health Outcomes in India: A Systematic Review (2020)

Non-communicable diseases (NCDs) account for 61% of deaths in India. Miles et al. share a review on Community Health Workers’ (CHW) effectiveness in preventing and managing NCDs in India which could help direct future research and government policy.

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Evaluation of a novel approach to community health care delivery in Ifanadiana District, Madagascar (2020)

Despite the widespread global adoption of community health (CH) systems, there are evidence gaps in how to best deliver community-based care aligned with global best practice in remote settings. PIVOT partnered with the Ministry of Public Health to pilot a new two-pronged approach for care delivery in rural Madagascar: oneRead more…

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A Cluster-Randomized Trial to Test Sharing Histories as a Training Method for Community Health Workers in Peru (2020)

Community health workers (CHWs) are increasingly deployed to support adoption of healthy home practices in low- and middle-income countries. However, little is known about how best to train them for the capabilities and cultural competencies needed to support maternal health behavior change. The authors of this article tested a CHWRead more…

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Community health workers in humanitarian settings: Scoping review (2020)

This article reviewed the existing evidence of community health workers (CHWs) role in humanitarian settings. The authors note that to achieve impact, policy makers and program implementers will have to address the bottlenecks to CHW service delivery common in stable low-income settings as well as the additional challenges unique toRead more…

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The Lived Experiences of HIV+ Community Health Workers Serving HIV+ Clients (2016)

CHWs serving people living with HIV/AIDS contribute to healthy behaviors and better health outcomes; however, there is a gap in the literature regarding how the health of HIV + CHWs is impacted by their jobs. The author of this dissertation used a phenomenological design to gain insight into the livedRead more…

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A microplanning model to improve door-to-door health service delivery: the case of Seasonal Malaria Chemoprevention in Sub-Saharan African villages (2020)

CHWs provide door-to-door treatment for children experiencing Malaria in Burkina Faso, but to reduce the spread of the disease CHWs must cover a wide geographic area . André Lin Ouédraogo and colleagues developed a microplanning model to help CHWs better plan how to provide treatment to their assigned region. ImplementationRead more…

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