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Costs and cost-effectiveness of community health worker programs focussed on HIV, TB and malaria infectious 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, Madeleine Ballard, Maryse Kok, Ariwame Jimenez, Matias Iberico, Jessica Cook, Angele Bienvenue Ishimwe, Lily Martin, Patrick Kawooya,Zeus Aranda, Molly Mantus,Meghan Bruce Kumar, Karen E. Finnegan, Sandra Mudhune, Mardieh Dennis, Daniel Palazuelos, Dickson Mbewe, Michee Nshimayesu, Kelsey Vaughan

This review looked at how cost-effective community health worker (CHW) programs are in tackling HIV, TB, and malaria in low- and middle-income countries. It included 33 studies from 2015 to 2024, mostly from sub-Saharan Africa. CHWs provided services like health education, finding cases, helping with diagnosis, treatment support, and referrals. Most studies found that CHW programs were more cost-effective than clinic-based care, especially for improving treatment adherence and reaching high-risk groups. However, the way results were reported varied a lot, making it hard to compare findings. Future studies should use consistent methods and focus on how CHW programs can serve multiple diseases and help guide health funding decisions.

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Resource Topic: CHW programs, Malaria, Tuberculosis

Resource Type: Review

Year: 2025

Region: Global

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Publisher May Restrict Access: No

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