This study explores the challenges and supports in implementing an evidence-based community health worker (CHW) model called IMPaCT. Interviews with 39 individuals involved in the program reveal barriers such as financial and policy constraints and difficulties integrating CHWs into clinical settings. However, the model's focus on relationships and evidence-based strategies … [Read more...] about Barriers and Facilitators to Implementing an Evidence-Based Community Health Worker Model
Critical lessons from a pragmatic randomized trial of home-based COVID-19 testing in rural Native American and Latino communities
This study examines the effectiveness of community health worker (CHW) support in facilitating COVID-19 home testing among Native American and Latino adults in rural areas. Results show that CHW assistance significantly improves test completion rates, especially among older adults. However, challenges such as limited technology literacy, language barriers, and transportation … [Read more...] about Critical lessons from a pragmatic randomized trial of home-based COVID-19 testing in rural Native American and Latino communities
Are populations of postpartum women differentially served by community health worker programs an observational cohort study from Zanzibar, Tanzania
This research examines disparities in the implementation of a community health worker (CHW)-led maternal health intervention in Zanzibar, Tanzania. It focuses on whether certain groups of pregnant women receive the intended postpartum intervention equally. Findings suggest that women with higher parity, unknown HIV status, and those receiving phone consultations experience … [Read more...] about Are populations of postpartum women differentially served by community health worker programs an observational cohort study from Zanzibar, Tanzania
Optimizing integration of community-based management of possible serious bacterial infection (PSBI) in young infants into primary healthcare systems in Ethiopia and Kenya: successes and challenges
Ethiopian Health Extension Workers (HEWs) and Kenyan Community Health Volunteers (CHVs) play key roles in implementing community-based treatment for serious newborn infections (PSBI) within their health systems. From November 2020 to August 2021, both countries conducted research to improve PSBI management during COVID-19, employing strategies like coaching for health workers … [Read more...] about Optimizing integration of community-based management of possible serious bacterial infection (PSBI) in young infants into primary healthcare systems in Ethiopia and Kenya: successes and challenges
Primary health care organization in municipalities of São Paulo, Brazil: a model of care aligned with the Brazilian Unified National Health System’s guidelines
This study evaluates the organization of primary health care (PHC) services in São Paulo, Brazil, and its alignment with comprehensive care models. Analysis of 461 municipalities reveals two main groups: homogeneous (with similar service arrangements) and heterogeneous (with varied arrangements). Seven patterns are identified, ranging from traditional to mixed setups. … [Read more...] about Primary health care organization in municipalities of São Paulo, Brazil: a model of care aligned with the Brazilian Unified National Health System’s guidelines