Many pregnant women in Nigeria prefer traditional birth attendants (TBAs) for childbirth due to trust, cultural beliefs, and religious practices. However, TBAs often delay referring women to health centers, risking complications. Challenges include community preference for TBAs, inadequate infrastructure, staff shortages, and weak enforcement of good practices at health … [Read more...] about Demand and supply side factors that drive delayed referrals from traditional birth attendants to public primary healthcare facilities: Insights from three states in Nigeria
Community Health Workers as Catalysts for Mental Health Promotion in Transgender and Nonbinary Communities
Transgender and nonbinary (trans) communities in the U.S. face significant challenges accessing mental health care, despite experiencing higher rates of suicide, depression, and distress compared to cisgender populations. Systemic barriers include discrimination, stigma, high costs, and a lack of trans-affirming providers. These challenges are especially pronounced for trans … [Read more...] about Community Health Workers as Catalysts for Mental Health Promotion in Transgender and Nonbinary Communities
Inequalities in tuberculosis control in Ethiopia: A district-level distributional modelling analysis
In Ethiopia, adding tuberculosis (TB) diagnosis and treatment to community health workers’ tasks improved TB detection and treatment outcomes. However, access to TB services varies greatly across regions. This study mapped disparities in TB services, health center availability, and distance to care. Prioritizing districts with inadequate access for task-shifting could increase … [Read more...] about Inequalities in tuberculosis control in Ethiopia: A district-level distributional modelling analysis
Long-acting preexposure prophylaxis: early data on roll-out in the United States
Long-acting PrEP (LA-PrEP) like CAB-LA shows promise for reducing HIV, but its use remains limited, especially outside the U.S., due to barriers like insurance and access. Early clinic models with multidisciplinary support have been successful, and innovative delivery methods, such as community health worker programs and telehealth, are being explored. Expanding equitable … [Read more...] about Long-acting preexposure prophylaxis: early data on roll-out in the United States
Adapting and deploying a digital program for training non-specialist providers on a brief psychological intervention for depression in rural Gujarat, India
A pilot study in Gujarat, India, tested a digital training program for community health workers and frontline providers to deliver a brief depression care intervention. Of the 43 participants, 91% completed the training, showing improved knowledge scores after the course. Despite technical challenges, participants found the digital format useful. The study suggests digital … [Read more...] about Adapting and deploying a digital program for training non-specialist providers on a brief psychological intervention for depression in rural Gujarat, India