Results: 3217
Innovative COVID-19 Programs to Rapidly Serve New Mexico: Project ECHO (2020)
The University of New Mexico created Project ECHO to enable telementoring between health experts and health care providers in isolated and underserved areas. Joanna Katzman evaluated the effectiveness of 10 Project ECHO programs designed to provide COVID-19-related mentoring in New Mexico, among which included a seven week program to connectRead more…
Evaluation of an Integrated Health Promotion Program for a low-income urban population: Findings and lessons learned (2020)
Chronic disease progression is driven in part by unhealthy eating habits, limited knowledge about healthy nutrition, and accessibility of healthy food sources. Linda Weiss and colleagues evaluated the impact of a CHW- and nurse-led program to provide nutrition education, cooking classes, weekly farm shares, and other health promotion services. ProgramRead more…
2020 COVID-19 Year In Review News Database (2020)
This database provides links to CHW- and COVID-related news articles curated by CHW Central during 2020. Each row contains the author name with a link, the date of publication, a description of the article, and topics with subtopics (where appropriate).
Community-based participatory design of a community health worker breast cancer training intervention for South Florida Latinx farmworkers (2020)
Communities with limited access to medical care benefit from CHW-led education for noncommunicable diseases such as breast cancer. Natalia Rodriguez recruited community members to help design a culturally-appropriate, CHW-led education for breast cancer awareness and screening among South Floridian Latinx farmworkers. Implementation of this program demonstrated effective dissemination, evaluation, andRead more…
Willingness to pay for community delivery of antiretroviral treatment in urban Tanzania: a cross-sectional survey (2020)
CHW-led antiretroviral therapy (ART) represents an opportunity to reduce the number of patients within healthcare facilities and expand universal coverage to remote areas. Pascal Geldsetzer and colleagues interviewed HIV patients in Tanzania to assess willingness to pay for CHW-led ART. Half of community members reported willingness to pay for CHW-ledRead more…
Understanding the importance of nonmaterial factors in retaining community health workers in low-income settings: a qualitative case-study in Ethiopia (2020)
Low- and middle-income countries sometimes experience challenges motivating and retaining CHWs. Nikita Arora and colleagues interviewed Ethiopian Health Extension Workers (HEW) to identify opportunities to improve retention policies. In addition to financial incentives, the researchers identified improvements in health facility infrastructure, provision of childcare, and community recognition as important contributorsRead more…
Community health workers impact on maternal and child health outcomes in rural South Africa – a non-randomized two-group comparison study (2020)
Maternal and child health outcomes improve with the implementation of CHW home-visiting in urban areas, but less is known about their effects in rural South Africa. Karl le Roux and colleagues compared a rural area with CHW to one without CHWs to determine the effectiveness of CHW home-visits on maternalRead more…
Resource requirements for community-based care in rural, deep-rural and peri-urban communities in South Africa: A comparative analysis in 2 South African provinces (2020)
Inconsistent management of South African CHW programs generally, and ward-based outreach teams WBOTS particularly, derive in part from a lack of policy regulation. Decisions about how to improve programming policy and generate best practices must quantify costs of service delivery for various types of geographical communities. Donela Beseda and colleaguesRead more…
How should community health workers in fragile contexts be supported: Qualitative evidence from Sierra Leone, Liberia, and Democratic Republic of Congo (2020)
CHWs in resource-constrained settings require strong management and support to perform their roles effectively. Joanna Raven and colleagues sought to develop evidence-based support policies by looking at CHW programs in Sierra Leone, Liberia, and Democratic Republic of Congo. Results point toward a need for investing in strong Human Resources Management.
Role of community health workers in improving cost efficiency in an active case finding tuberculosis programme: an operational research study from rural Bihar, India (2020)
The World Health Organization estimates that as much as thirty percent of cases of tuberculosis (TB) worldwide remain unidentified. Tushar Garg and colleagues examined whether active case finding performed by CHWs in Bihar, India represents a cost-effective strategy for TB identification and whether or not participation impedes CHW provision ofRead more…
“They have been neglected for a long time”: a qualitative study on the role of recognition of rural health motivators in the Shiselweni region, Eswatini (2020)
As the face of Swaziland’s CHW programme, Rural Health Motivators (RHM) provide health promotion messaging, household assessments, and general community health referrals, with some HIV- and tuberculosis-related (TB) responsibilities. The best method to support RHMs as they perform HIV and TB responsibilities remains unclear due to the decentralized nature ofRead more…
Community health worker motivation to perform systematic household contact tuberculosis investigation in a high burden metropolitan district in South Africa (2020)
South Africa implemented a primary health care reform initiative in 2012 to increase universal health coverage by implementing ward-based primary health care outreach teams (WBPHCOTs) relying primarily on the support of CHWs. Gladys Kigozi and colleagues developed a survey to measure CHW motivation to participate in these WBPHCOTs in theRead more…
Considerations for building sustainable community health worker programs to improve maternal health (2020)
Despite growing evidence of the efficacy of CHW programs to achieve universal health coverage, limited short-term program funding in the US constrains the sustainability of these programs. Renee Mehra and colleagues examined factors contributing to sustainability of CHW programs targeting maternal health. They identified three key themes influencing program sustainability:Read more…
Can people-centered community-oriented interventions improve skilled birth attendance? Evidence from a quasi-experimental study in rural communities of Cambodia, Kenya, and Zambia (2020)
Skilled birth attendance provided by CHWs increases access to culturally relevant treatment support, home-based care, and antenatal care. One way to strengthen CHW systems and subsequent provision of care relies on community scorecards to improve health service utilization. Anbrasi Edward and colleagues evaluated the effects of combined use of communityRead more…
Household coverage, quality and costs of care provided by community health worker teams and the determining factors: findings from a mixed methods study in South Africa (2020)
Insufficient supervision prevents CHWs from realizing their potential to achieve universal health coverage. Jane Goudge and colleagues evaluated the impacts of various configurations of supervisors on CHW coverage, quality of care, and costs of service provision in Sedibeng, South Africa. CHWs visited 17% of households in the last year, conductingRead more…
Evaluating the effect of village health workers on hospital admission rates and their economic impact in the Kingdom of Bhutan (2020)
Village Health Workers (VHWs) in Bhutan provide cost-fee healthcare support that has enabled the country to achieve 95% immunization coverage and nearly eliminate several diseases, including malaria and neonatal tetanus. Sacha Hauc and colleagues evaluated the impacts of VHWs on health-related cost savings and hospital admission rates. Addition of aRead more…
Beyond the Rhetoric of Equity: Will the Frontline Healthcare Workers Who Serve the Poor Be Prioritized for the COVID Vaccine? (2020)
An international coalition of organizations representing 80 countries set an aggressive goal of making 2 billion Covid-19 vaccinations available by the end of 2021. Populations prioritized to receive vaccination include high risk and vulnerable persons and frontline healthcare workers. The definition of “frontline healthcare worker”, however, remains ambiguous and isRead more…
The Role of Community Health Workers Within the Continuum of Services for HIV, Viral Hepatitis, and Other STIs Amongst Men Who Have Sex with Men in Europe (2020)
CHW programs demonstrate strong potential for preventing and managing HIV in European countries, but limited research describes the connection between CHWs and HIV prevention among men who have sex with men (MSM) due to varying usage of the term “CHW” and sparse documentation of their role. Nicolas Lorente and colleaguesRead more…
Community level interventions for pre-eclampsia (CLIP) in Pakistan: A cluster randomised controlled trial (2020)
Karnataka, India experiences exceptionally high rates of maternal, fetal, and infant deaths. Hypertension during pregnancy increases risk for both eclampsia and maternal death. Rahat Qureshi and colleagues assessed the effectiveness of a CHW-led community-based intervention designed to reduce pregnancy hypertension. Compared to a control group, the community-level intervention reduce stillbirthRead more…
Cost-effective care coordination for people with dementia at home (2020)
The Maximizing Independence (MIND) at Home program was developed to enable persons with dementia to receive comprehensive, home-based care. This program relies on a team of community health workers in collaboration geriatric psychiatrists and registered nurses specialized in dementia care. In response to pilot studies demonstrating success of this programRead more…
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