Results: 3217
Expanding Medical Education for Local Health Promoters Among Remote Communities of the Peruvian Amazon: An Exploratory Study of an Innovative Program Model (2020)
Over half of residents of Loreto, Peru reside in remote communities with limited access to health services. Daniel Ebbs and colleagues evaluated health resource utilization in Loreto before and after the implementation of a CHW training program created with the support of the local community. Health resource utilization significantly improvedRead more…
Feasibility and acceptability of a video library tool to support community health worker counseling in rural Afghan districts: a cross-sectional assessment (2020)
Afghanistan experiences high maternal, infant, and child mortality compared to neighboring countries. Lack of access to facility-based health services and mass media health communications prevents timely access to preventative health information. Leila Dal Santo and colleagues provided CHWs with a tablet-based health video library (HVL) to assess the feasibility ofRead more…
Autonomous Continuation of Community Health Workers’ Activities in Thegon Township, Bago Region, Myanmar (2020)
CHW programs in low- and middle-income countries experience sustainability challenges related to the availability of resources and funding. When faced with limited resources, some CHWs in these countries adopt creative task modifications to continue performing their role. Taeko Oguma and colleagues followed unsupervised CHWs for 40 months after the completionRead more…
Evaluating fidelity of community health worker roles in malaria prevention and control programs in Livingstone District, Zambia-A bottleneck analysis (2020)
CHWs demonstrate strong ability to improve the reach of community-based malaria interventions and reduce malaria incidence, but cases of malaria in Zambia are on the rise. Helen Mwiinga Chipukuma and colleagues wanted to know if rising cases has to do with whether or not CHWs in Livingstone, Zambia perform theirRead more…
Costing analysis of a pilot Community Health Worker program in rural Nepal (2020)
The Nepal Ministry of Health and Population developed a pilot program conforming to the 2017 World Health Organization CHW guidelines. Prajwol Nepal and colleagues evaluated data from this program collected between July 2017 and July 2018 to estimate the average per capita annual cost of the program. Costs ranged fromRead more…
A qualitative study of social connectedness and its relationship to community health programs in rural Chiapas, Mexico (2020)
Having social connections acts as a buffer against poor health and well-being. CHWs provide communities with an opportunity to strengthen social connectedness by living and working in the same locality. Rachel Deitz surveyed three towns in Chiapas, Mexico to understand local perspectives on the social benefits of a CHW-enhanced communityRead more…
Implementation costs of a community health worker delivered weight loss intervention in black churches serving underserved communities (2020)
Black communities experience higher rates of obesity than others, increasing risk for diabetes and other weight-related health conditions. Karen Kim Yeary and colleagues assessed the cost of implementing a CHW-led Diabetes Prevention Program adapted for rural black communities. Participants across 31 churches received a 16-session weight loss information over aRead more…
Establishing voluntary certification of community health workers in Arizona: a policy case study of building a unified workforce. (2020)
Promotoras de salud and community health representatives along the Arizona U.S.-Mexico border collaboratively developed CHW Voluntary Certification to improve the status, credibility, compensation, and standardization of CHWs. Implementation of this program required overcoming historical resistance from the state legislature toward creation of state-wide regulations. This case study provides an overviewRead more…
The effectiveness of peer and community health worker-led self-management support programs for improving diabetes health-related outcomes in adults in low- and-middle-income countries: a systematic review (2020)
Low- and middle-income countries house 80% of all cases of diabetes worldwide. Community-based peer and community health worker-led diabetes self-management programs offer a low-resource strategy to support diabetes management. Mahmoud Werfalli and colleagues surveyed research on these programs to understand how they have been implemented and what their impacts areRead more…
Learning from Community Health Worker programs, big and small (2020)
Interest and investment in Community Health Workers varies depending on the state of the research on the effectiveness of each program. In this commentary, Stephen Hodgins describes how sustained interest can be achieved by increasing cross-communication between small demonstration projects and large programs.
Community level interventions for pre-eclampsia (CLIP) in India: 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. Mrutunjaya Bellad 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 did notRead more…
Community-level interventions for pre-eclampsia (CLIP) in Mozambique: A cluster randomised controlled trial (2020)
Mozambique experiences high rates of maternal, fetal, and infant deaths. Hypertension during pregnancy increases risk for both eclampsia and maternal death. Esperança Sevene 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 led to a 20%Read more…
Enabling and hindering factors of health surveillance assistants’ roles in the provision of contraceptive services in Mangochi, Malawi (2020)
Provision of family planning and contraceptive services represents an essential component for reducing maternal, infant, and child mortality. In recognition of the value of contraception, the Government of Malawi strengthened Health Surveillance Assistants’ (HSAs) capacity to distribute and educate the public about contraceptive services. Maryse Kok conducted interviews with HSAsRead more…
Feasibility, Acceptability, and Efficacy of a Community Health Worker–Driven Approach to Screen Hard-to-Reach Periurban Women Using Self-Sampled HPV Detection Test in India (2020)
Cervical cancer screening is a highly effective preventative measure; one research study resulted in an approximately 50% reduction in new onset of cervical cancer and related mortality following a single HPV screening session. Self-tests for cervical cancer represent an opportunity to extend these services and their benefits to hard-to-reach populations.Read more…
Community engagement interventions for communicable disease control in low- and lower- middle-income countries: evidence from a review of systematic reviews (2020)
A diverse array of approaches exist to encourage community engagement to achieve communicable disease control. K. Questa and colleagues collected 13 systematic reviews of research examining community engagement-related communicable disease control to understand which approaches to engagement exist and what is known about their effectiveness. Approaches included community empowerment andRead more…
Prediagnostic loss to follow-up in an active case finding tuberculosis programme: a mixed-methods study from rural Bihar, India (2020)
The World Health Organization’s End TB strategy seeks to reduce the incidence of tuberculosis by at least 80% by the year 2030, but underreporting and underdiagnosis prevents an accurate assessment of progression toward this goal. Tushar Garg and colleagues assessed whether CHWs could be an effective means for identifying andRead more…
Telephone or Visit-Based Community Health Worker Care Management for Uncontrolled Diabetes Mellitus: A Longitudinal Study (2020)
The best mode of CHW-supported health care for low income, Hispanic patients remains an understudied area of research. Barbara Turner and colleagues assessed health outcomes among Texan, Hispanic patients experiencing Diabetes Mellitus. They followed patients for six months following care management received from CHWs either by telephone only, during clinicRead more…
Severe acute malnutrition treatment delivered by low-literate community health workers in South Sudan: A prospective cohort study (2020)
Interventions deploying CHWs to deliver treatment for severe acute malnutrition (SAM) show great promise for improving the health of children, but sparse research has examined the success of these interventions when provided by illiterate CHWs in low-resource areas such as South Sudan. Naoko Kozuki and colleagues address this gap byRead more…
Effectiveness of a community health worker (CHW) training in monitoring and care of patients with chronic obstructive pulmonary disease (COPD) in rural Gujarat, India (2020)
CHWs in rural primary care settings can contribute to reducing the burden of noncommunicable diseases such as chronic obstructive pulmonary disease (COPD). They are especially valuable in countries like India, where COPD is the second leading cause of disease and is responsible for the deaths of as many as oneRead more…
Unintended pregnancy and maternal health complications: cross-sectional analysis of data from rural Uttar Pradesh, India (2020)
Indian women represent one in every seven of the 85 million women who experience unintended pregnancy each year. This high concentration is likely due to limited engagement with the local health system and puts women at risk of maternal health complications like pre-eclampsia, postpartum hemorrhage, and postpartum pre-eclampsia. Nabamllika DehingiaRead more…
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