This commentary responds to an article by Sunu Thomas (2020) describing concerns about the role of confidentiality when a research participant discloses sensitive personal information while a CHW is present. The author describes concerns about whether CHWs should bridge the gap between communities and researchers and whether their presence during data collection represents a … [Read more...] about Community gatekeepers and the conundrum of confidentiality and coercion
Supporting holistic care for patients with tuberculosis in a remote Indigenous community: a case report.
Tuberculosis in Australia has been eradicated in nearly all communities, with the exception of rare cases in remote Aboriginal and Torres Strait islander communities. The rarity of this disease presents a challenge to the care of those with positive diagnoses, as local workers may be inexperienced and underprepared to address TB. Andrea Miller and colleagues report a case study … [Read more...] about Supporting holistic care for patients with tuberculosis in a remote Indigenous community: a case report.
Qualitative evaluation of a community health representative program on patient experiences in Navajo Nation.
Members of the Navajo Nation receive home care, health education, and community health promotion from Community Health Representatives (CHRs). CHRs undergo specialized training under the COPE Intervention provided by Community Outreach and Patient Empowerment (COPE) to learn Motivational Interviewing and other culturally appropriate strategies to connect with local community … [Read more...] about Qualitative evaluation of a community health representative program on patient experiences in Navajo Nation.
Effectiveness of a scalable group-based education and monitoring program, delivered by health workers, to improve control of hypertension in rural India: A cluster randomised controlled trial.
Low- and middle-income countries experience high cases of preventable diseases like hypertension, in part due to a limited supply of trained physicians. Dilan Gamage and his colleagues examined whether CHWs could help improve hypertension management in rural India. CHW training in hypertension management enabled an additional 20% of participants to obtain blood pressure … [Read more...] about Effectiveness of a scalable group-based education and monitoring program, delivered by health workers, to improve control of hypertension in rural India: A cluster randomised controlled trial.
Rapid literature review: Community health workers
CHWs performed as key actors during the Ebola, Zika, and Marburg outbreaks. Shuchi Srinivasan and Radhika Arora surveyed research examining barriers and facilitators to CHW-based responses to these outbreaks. Some barriers included gaps in knowledge and skills, failure to address PPE-related needs among CHWs, and the mental health impacts of living through a pandemic. … [Read more...] about Rapid literature review: Community health workers