Results: 1865
Hear my Voice: Understanding how community health workers in the Peruvian Amazon expanded their roles to mitigate the impact of the COVID-19 pandemic through Community-Based Participatory Action Research (2023)
The purpose of this study was to understand how the COVID-19 pandemic transformed the responsibilities of CHWs from indigenous communities in the Peruvian Amazon so policymakers can support indigenous health efforts. Through photovoice, four main themes that emerged: 1) the collapse of social infrastructure, 2) the community adaptations and struggles,Read more…
Assessing the Efficacy of Mental Health Assessment Training for Accredited Social Health Activists Workers in Rural India: A Pilot Study (2023)
This study evaluated the efficacy of a mental health assessment training program for Accredited Social Health Activists (ASHA) in rural India. Twelve ASHA workers received training in mental health assessment and mental health knowledge. The training program significantly improved the mental health knowledge and Global Mental Health Assessment Tool checklistRead more…
Breaking the silence on gendered harassment and assault of community health workers: an analysis of ethnographic studies (2023)
CHW gender and work conditions may increase vulnerability to violence and sexual harassment. Through a survey of ethnographic studies, this study explored how CHW gender roles and worker protections influence their security or vulnerability. Results indicate that CHW work creates job opportunities for women in contexts where such opportunities areRead more…
The Laro Kwo Project: A train the trainer model combined with mobile health technology for community health workers in Northern Uganda (2023)
This three-year prospective observational study investigated the impact of a mobile health technology and a train the trainer model on CHW knowledge. At the conclusion of three years, CHWs who advanced trained a new cohort of 25 CHWs using mHealth. The study found that the model was highly effective, withRead more…
Implementation fidelity to a behavioral diabetes prevention intervention in two New York City safety net primary care practices (2023)
The purpose of this study was to test the impact of a health coaching intervention seeking to prevent Type 2 Diabetes in New York. This intervention, Community Health Outreach to Reduce Diabetes (CHORD), was a cluster-randomized trial examining a CHW education intervention to reduce Type 2 Diabetes among pre-diabetic patients.Read more…
Effectiveness of Community Health Worker-Led Interventions in Enhancing Colorectal Cancer Screening Uptake in Racial and Ethnic Minority Populations: A Systematic Review and Meta-analysis (2023)
The purpose of this review was to examine the effectiveness of CHW-led interventions in improving colorectal cancer (CRC) screening uptake rate in racial and ethnic minority populations within the United States. Researchers searched the following databases for randomized controlled trials only within May of 2022: EMBASE, CINAHL, MEDLINE, Scopus, andRead more…
Task shifting roles, interventions and outcomes for kidney and cardiovascular health service delivery among African populations: a scoping review (2023)
The aim of this review was to evaluate the task shifting roles, interventions, and outcomes for addressing kidney and cardiovascular (CV) health problems within African populations. The findings emphasize the importance of HRH, including the CHW workforce, in improving the process of care measures as well as identification, awareness, andRead more…
Tobacco Knowledge, Attitudes, and Services Among Latino/a Community Health Workers (2023)
The objective of this study was to describe CHWs’ roles in smoking cessation education to ensure relevance and accessibility of training. Researchers conducted a needs assessment survey with Latino/a CHWs serving Latino/a communities to assess their roles, tobacco related services, attitudes, and knowledge. CHWs offer various services, primarily health education,Read more…
Trial-based economic evaluation of the system-integrated activation of community health volunteers in rural Ghana (2023)
This study investigated the cost-effectiveness and cost-benefit of activating Community Health Volunteers (CHV) to address the chronic staff shortage of community health officers in Ghana. It consisted of a cluster-randomized trial of 40 communities. Results show a potential economic strength of activating CHVs for certain activities while other activities wereRead more…
A Scoping Review of the Community Health Worker Model Used for Food Systems Interventions Within the United States (2023)
The purpose of this study was to document and analyze food systems interventions delivered by CHWs serving as educators within the United States. These programs reached many underserved racial and socioeconomic populations, and CHWs educated for the highest number of food system processes in garden-based interventions. The findings emphasize theRead more…
Recruitment and selection of community health workers in Iran; a thematic analysis (2023)
This study sought to investigate the views of different stakeholders regarding the selection criteria, as well as the competency of CHWs within the Golestan Province of Iran. A qualitative thematic analysis was conducted, utilizing semi-structured interviews with managers, supervisors, CHWs, and common people in 2021. Results uncovered three main themesRead more…
Are community health programmes always benign? Community health worker perceptions and the social construction of users in Brazil’s primary healthcare policy (2023)
This study sought to examine how CHWs, while working as links between doctors, nurses, and vulnerable groups, participate in the social construction of citizens in the implementation of Brazil’s primary healthcare policy. The study shows that perceptions of CHWs about vulnerability and agency of health system users, such as judgmentsRead more…
Individual and community experiences and the use of language in understanding diabetes and depression in rural Kenya (2023)
The purpose of this study was to gain an understanding of the specific needs of rural communities from the perspectives of individuals with diabetes and depression and health care workers, including CHWs. In rural Kenya identifying people with diabetes or mental health problems is challenging due to the stigma andRead more…
Influences on Lung Cancer Screening Initiation and Retention in Rural Alabama (2023)
The objective of this study was to understand the facilitators of lung cancer screening initiation and retention reported by people at risk within rural and urban populations in Alabama, U.S.A. Researchers conducted semi-structured telephone interviews with 58 people who underwent lung cancer screening between December of 2019 and January ofRead more…
The development, implementation, and evaluation of an optimal model for the case detection, referral, and case management of Neglected Tropical Diseases (2023)
The purpose of the study is to test the efficacy of the Optimal Model to improve early diagnosis of neglected tropical diseases (NTDs) and therefore minimizing access delays and reducing the burden of disease. The Optimal Model was developed through a collaboration among the national program, lower levels of theRead more…
Peer-Led Community-Based Support Services and HIV Treatment Outcomes Among People Living With HIV in Wuxi, China: Propensity Score–Matched Analysis of Surveillance Data From 2006 to 2021 (2023)
The purpose of this study was to evaluate the associations between peer-led community-based support services and HIV treatment outcomes and survival among people living with HIV in Wuxi, China. The study used a convenience sampling method to enroll people living with HIV who had received peer-led community-based support services, suchRead more…
Effects of engaging fathers and bundling nutrition and parenting interventions on household gender equality and women’s empowerment in rural Tanzania: Results from EFFECTS, a five-arm cluster-randomized controlled trial (2023)
he purpose of this study was to see how engaging men could transform gender norms and power relations in the context of nutrition and parenting programs. The study included testing the independent and combined effects of engaging couples and bundling nutrition and parenting interventions with gender equality and women’s empowermentRead more…
Principles for task shifting hypertension and diabetes screening and referral: a qualitative study exploring patient, community health worker and healthcare professional perceptions in rural Uganda. (2023)
The purpose of this study was to explore task shifting screening and referrals for diabetes and hypertension from facility-based healthcare workers to CHWs in Uganda. The study investigated perceptions of task shifting by conducting 10 focus group discussions and 24 in-depth interviews with stakeholders. Results indicate that CHWs are seen asRead more…
Success in vaccination programming through community health workers: A case study of Nepal, Senegal, and Zambia (2023)
The purpose of this study was to identify different elements among community health worker programs that led to improved vaccination coverage in Senegal, Zambia, and Nepal. The study consisted of interviews and focus group discussions regarding the factors that led to successful early childhood immunization. Results found that implementation ofRead more…
Incidence of HIV disclosure among HIV affected heterosexual partners using a community health worker led mechanism in rural Uganda; a quasi-experimental study. (2023)
This study compared incidence of sexual partner disclosure among adults living with HIV with CHW support and those without CHW support in Uganda. The quasi-experimental study consisted of a CHW-led intervention arm and a control arm, where the intervention arm received CHW disclosure support in addition to routine care. TheRead more…
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