Results: 3217
The Effects of Community Home Visit and Peer Group Nutrition Intervention Delivery Platforms on Nutrition Outcomes in Low and Middle-Income Countries: A Systematic Review and Meta-Analysis (2020)
The best designed nutrition interventions fail without well-designed delivery systems, especially in low- and middle-income countries (LMIC). Amynah Janmohamed and colleagues reviewed research to understand the evidence related to designing delivery platforms for nutrition interventions in LMICs. CHW home visits emerged as a clear solution to improve dissemination of nutrition-relatedRead more…
An Emerging Model for Community Health Worker-Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia (2020)
CHWs reduce patient demand on primary care systems and decrease the cost of provision of care among those in rural and isolated areas. Richard Crespo and colleagues developed a training model to improve health outcomes among high-risk diabetes patients in rural Appalachia and then evaluated whether training improved diabetes managementRead more…
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)
As a first point of contact for family planning, Indian ASHA workers must ensure that women receive accurate information and care that is sensitive to and respectful of individual needs. Nadia Diamond-Smith and colleagues evaluated the extent to which training ASHA workers in “person-centered care” has impacts on family planningRead more…
Postnatal home visits by health extension workers in rural areas of Ethiopia: a cross-sectional study design (2020)
CHWs in low-income countries often provide postnatal care services in areas with limited access to formal health care. Yemane Tesfau and colleagues evaluated service area coverage and provision of care by CHWs in Ethiopia to assess health system needs. Health extension workers visited 15% of mothers within three days afterRead more…
Unintended consequences of programmatic changes to infant and young child feeding practices in Bangladesh (2020)
Infant and child mortality, morbidity, and developmental delays largely depend on the quality of feeding practices. Between 2014 and 2018, Bangladeshi NGO BRAC implemented Alive and Thrive, a program designed to improve CHW-led feeding practice education in Bangladesh. Md. Tariquujjaman and colleagues evaluated the impacts of this program on caregiverRead more…
The effectiveness of in-service training “pharmacopeia home health” based on Kirkpatrick’s model: A quasi-experimental study (2020)
CHWs in Iran seeking knowledge about medical care in the absence of physicians can refer to the “pharmacopia home health,” a training package designed for low-resource areas. Mahtab Firooznia and colleagues evaluated the effectiveness of this package in drug maintenance knowledge, awareness, and performance. The program enhanced knowledge and awarenessRead more…
Challenges and prospects for implementation of community health volunteers’ digital health solutions in Kenya: a qualitative study (2020)
Low-resource settings experience increased access to health interventions when they are able to adopt digital health technologies. Pauline Bakibinga and colleagues developed a mobile health app for Kenyan community health volunteers (CHVs) to digitize some of the forms used to collect data for local health facilities. Research evaluating the effectivenessRead more…
Quality of clinical assessment and management of sick children by Health Extension Workers in four regions of Ethiopia: A cross-sectional survey (2020)
Ethiopian primary health care usage for sick children is low, possibly due to poor perceptions about the quality of care in local settings. Dawit Wolde Daka and colleagues evaluated the quality of care among health extension workers for children under-five. Health extension workers failed to adhere to Community Case managementRead more…
Effect of home-based newborn care on neonatal and infant mortality: a cluster randomised trial in India (2020)
Neonatal mortality in rural areas can be reduced through home-based newborn care. Reeta Rasaily and colleagues examined the effectiveness of Shishu Rakshak (SR) and Anganwadi Workers (AWW) in India at reducing neonatal and infant mortality rates. Results indicated that risk of neonatal, early neonatal, young infant, and infant mortality decreasedRead more…
Evaluation of a novel community-based COVID-19 ‘Test-to-Care’ model for low-income populations (2020)
Andrew Kerkhoff and colleagues developed a “Test-to-Care” model to improve the ability of vulnerable populations to isolate and quarantine following a COVID-19 diagnosis. This model includes CHW-led education about COVID-19 and available community resources, ways to receive home deliveries to facilitate safe isolation, and long-term social support. The researchers evaluatedRead more…
Work environment factors and provider performance in health houses: a case study of a developing country (2020)
The way in which health facilities are built impacts the ability of CHWs to perform their roles as intended. Hasan Yusefzadeh and Bahram Nabilou evaluated characteristics of physical work environment factors in Urmia, Iran to understand their impacts on CHW performance. Technical and office equipment layout had the greatest impactsRead more…
Planetary health and the role of community health workers (2020)
CHWs can play a significant role in mitigating the impacts of biodiversity loss, climate change, and global noncommunicable diseases on health by providing culturally-relevant education and behavioral interventions. Manas Behera and colleagues performed a review of the literature to understand how CHWs impact these factors on a global scale. TheRead more…
Methadone Maintenance Treatment Decentralization in Vietnam (2020)
Commune health centers were inaugurated in 2015 in Vietnam to provide methadone maintenance treatment (MMT) for people experiencing both HIV and substance use disorders (SUDs). Diep Bich Nguyen evaluated challenges to provision of care experienced by CHWs working in commune health centers. Challenges often occurred as a result of stigmatizationRead more…
Using Community Health Workers and a Smartphone Application to Improve Diabetes Control in Rural Guatemala (2020)
CHWs in low- and middle-income countries frequently use mobile health (mHealth) technology to support diabetes management. Sean Duffy and colleagues evaluated whether or not mHealth applications could be used to provide CHWs with clinical decision support for primary diabetes management in Guatemala. Results indicated that CHWs effectively helped patients manageRead more…
How COVID-19 Has Affected Frontline Workers in Brazil: A Comparative Analysis of Nurses and Community Health Workers (2020)
Faced with the COVID-19 pandemic, frontline workers addressed emergency situations by applying their own discretion and utilizing whichever tools were available to support their goals. Gabriela Lotta and colleagues evaluated how decisions made by CHWs were influenced by the early stages of the pandemic between March and July in Brazil.Read more…
Contributions of the lay workers in providing home-based treatment adherence support to patients with advanced HIV/AIDS disease in low-income settings: Lessons learned from the field in Tanzania and Zambia ()
Provision of antiretroviral therapy (ART) in Eastern and Southern Africa remains limited due to clinical staffing shortages. Godfather Kimaro and colleagues evaluated whether lay health workers in Tanzania and Zambia could reduce the burden of patients on hospital staffing. Results indicated that lay health workers were successful at identifying ARTRead more…
The origins of Ethiopia’s primary health care expansion: The politics of state building and health system strengthening (2020)
Ethiopia received recognition as one of sub-Saharan Africa’s models of primary care, due in part to training and deploying over 30,000 Health Extension Workers since 2004. Kevin Croke discusses factors enabling the country to implement the program at scale.
Should female community health volunteers (FCHVs) facilitate a response to gender-based violence (GBV)? A mixed methods exploratory study in Mangalsen, Nepal (2020)
Only one in five Nepali women seek care following gender-based violence (GBV). Myra Betron and colleagues evaluated whether female community health volunteers (fCHVs), with their trusted role in society, could improve care for these women. After attending a single day of training, fCHVs reported increased knowledge, attitudes, and confidence inRead more…
Task-sharing interventions for improving control of diabetes in low-income and middle-income countries: a systematic review and meta-analysis (2020)
Impacts of health system physician shortages in low- and middle-income countries (LMICs) can be mitigated by assigning tasks that require limited specialized knowledge to non-physician healthcare workers, including CHWs. Joseph Maria and colleagues reviewed 46 research studies to understand how this so-called “task-sharing” is applied to manage type 2 diabetesRead more…
Factors influencing the performance of community health workers: A qualitative study of Anganwadi Workers from Bihar, India (2020)
Anganwadi Workers (AWWs) in India’s Child Development Services program represent the largest CHW cadre in the world, but factors influencing employee performance remain understudied. Aparna John and colleagues interviewed AWWs to understand factors driving their performance within the program. Results indicated that the most common constraints to performance included aRead more…
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