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Costs and cost-effectiveness of community health worker programmes focussed on non-communicable diseases in low- and middle-income countries (2015-2024): a scoping literature review

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Authors: James O'Donovan, Cleo Baskin, Linnea Stansert Katzen, Ariwame Jiménez, Matias Iberico, Maryse Kok, Jessica Cook, Madeleine Ballard, Angele Bienvenue Ishimwe, Lily Martin, Patrick Kawooya, Zeus Aranda, Molly Mantus, Meghan Bruce Kumar, Karen E Finnegan, Sandra A Mudhune, Mardieh Dennis, Daniel Palazuelos, Dickson Mbewe, Michee Nshimayesu, Kelsey Vaughan

Non-communicable diseases (NCDs) cause most deaths worldwide, especially in low- and middle-income countries. Community health workers (CHWs) are increasingly involved in NCD care. This review looked at recent evidence on the cost-effectiveness of CHW programs for NCDs in LMICs. Across 20 studies and 52 scenarios, most showed CHW programs were cost-effective, particularly for heart disease, diabetes, cancer screening, and mental health. However, inconsistent reporting; like missing information on CHW salaries; and few studies on affordability limit the usefulness of the evidence. More research with clear, consistent economic data is needed.

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Resource Topic: CHW programs, NON Communicable Diseases/NCD

Resource Type: Review

Year: 2025

Region: Global

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Publisher May Restrict Access: No

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