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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 studies on how much it costs and how effective it is to use Community Health Workers (CHWs) to fight HIV, TB, and malaria in low- and middle-income countries. Most of the 33 studies came from sub-Saharan Africa and showed that CHWs help deliver education, find cases, support treatment, and refer patients. In most cases, CHW programs were cheaper and more effective than relying only on health facilities, especially for reaching people who need care most. However, the studies used different methods, making it hard to compare results. Future research should use clearer, consistent reporting and focus on how CHWs can work across several diseases to help guide health spending.

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Resource Topic: CHW programs, HIV and AIDS, Malaria, Tuberculosis

Resource Type: Review

Year: 2025

Region: Global

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Publisher May Restrict Access: No

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