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CHW Central

A global resource for and about Community Health Workers

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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

Community-based epilepsy care in an onchocerciasis-endemic area: A 3-year cohort study in Mahenge, Tanzania

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In Mahenge, Tanzania, a community-based epilepsy care program helped reduce seizures and improve medication adherence among people with epilepsy in a region affected by onchocerciasis. Community health workers screened for epilepsy, distributed antiseizure medications (ASMs), promoted ivermectin use for onchocerciasis, and monitored progress monthly. The program significantly … [Read more...] about Community-based epilepsy care in an onchocerciasis-endemic area: A 3-year cohort study in Mahenge, Tanzania

The Power of Promotoras

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Hispanics are the largest and fastest-growing population in the U.S., yet they face significant health inequities due to social challenges like limited healthcare access. Community health workers (CHWs), or promotoras in Hispanic communities, play a vital role in improving health outcomes by offering support, education, and care coordination. They have proven effective in … [Read more...] about The Power of Promotoras

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