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CHW Central

A global resource for and about Community Health Workers

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Strategies for effective and efficient delivery of primary health care by village health workers: A scoping review using the Rodgers’ Evolutionary Concept Analysis Framework

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Village health workers (VHWs) in Zimbabwe play a vital role in primary healthcare but face challenges addressing new health issues. This study reviewed 52 articles and reports to identify ways to improve their effectiveness. Key factors include creating supportive work environments, involving communities, providing training, and ensuring supervision. With these strategies, VHWs … [Read more...] about Strategies for effective and efficient delivery of primary health care by village health workers: A scoping review using the Rodgers’ Evolutionary Concept Analysis Framework

Effectiveness of prenatal intervention on neonatal hyperbilirubinemia management in rural Bangladesh: Results from a cluster-randomized trial

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A study in Bangladesh found that educating pregnant women at home about newborn jaundice, led by community health workers, significantly improved their knowledge and attitudes. After the intervention, awareness of jaundice signs and management rose from 33% to 71%. Mothers who gained more knowledge were five times more likely to have a positive attitude toward managing … [Read more...] about Effectiveness of prenatal intervention on neonatal hyperbilirubinemia management in rural Bangladesh: Results from a cluster-randomized trial

Health economic evaluation alongside randomised clinical trial of a health behaviour intervention to manage type 2 diabetes in Nepal

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Managing type 2 diabetes through community-based health behavior interventions in Nepal is cost-effective. This study compared a program led by community health workers with usual care for 6 months. The intervention, including training, phone support, and peer guidance, showed better health outcomes at a low cost. It provided good value for money and had an 89.6% chance of … [Read more...] about Health economic evaluation alongside randomised clinical trial of a health behaviour intervention to manage type 2 diabetes in Nepal

The role of a structured community health worker network in achieving malaria elimination goals in the Dominican Republic: An impact evaluation amid COVID-19 disruptions

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Community health workers (CHWs) in the Dominican Republic played a key role in reducing malaria cases in urban areas of Greater Santo Domingo. From 2019 to 2022, malaria cases dropped from 1,243 to just 6. CHWs identified and treated cases faster than health facilities, with most cases found through proactive household visits. Although COVID-19 disrupted their work, the network … [Read more...] about The role of a structured community health worker network in achieving malaria elimination goals in the Dominican Republic: An impact evaluation amid COVID-19 disruptions

Changing power narratives: an exemplar case study on the professionalisation of community health workers in Liberia

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Community health workers (CHWs) are vital for health equity, yet most are unpaid and unrecognized as part of the health workforce. This study examines Liberia’s success in creating a nationwide policy to professionalize and pay CHWs. Liberia overcame resistance from funders by showing strong political commitment, uniting government departments, and using evidence focused on CHW … [Read more...] about Changing power narratives: an exemplar case study on the professionalisation of community health workers in Liberia

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