This two-phased qualitative study conducted among 15 stakeholder groups explored the use of CHWs to improve patient and provider understanding and use of palliative care services for African Americans. The researchers found that CHWs are effective agents for promoting palliative care awareness and use among physicians and patients. … [Read more...] about Theory-Based Development of an Implementation Intervention Using Community Health Workers to Increase Palliative Care Use
Effects of team-based goals and non-monetary incentives on front-line health worker performance and maternal health behaviours: a cluster randomised controlled trial in Bihar, India
Conducted in India, this study assessed a ‘Team-Based Goals and Incentives’ intervention aimed to enhance frontline (community health) worker (FLW) performance and promote healthier behaviors. The results revealed a significant rise in antenatal home visits and iron-folic acid tablet ingestion, along with progress in teamwork among FLWs. Changes in other health behaviors were … [Read more...] about Effects of team-based goals and non-monetary incentives on front-line health worker performance and maternal health behaviours: a cluster randomised controlled trial in Bihar, India
‘Our village is dependent on us. That’s why we can’t leave our work’. Characterizing mechanisms of motivation to perform among Accredited Social Health Activists (ASHA) in Bihar
This study aimed to identify factors that inspire Accredited Social Health Activists (ASHAs) in India. The results highlight the importance of self-empowerment, adequate financial compensation, and connection to the community’s health system as a few motivating factors for ASHAs. Conversely, implementation and management challenges are sources of ASHA discontent. … [Read more...] about ‘Our village is dependent on us. That’s why we can’t leave our work’. Characterizing mechanisms of motivation to perform among Accredited Social Health Activists (ASHA) in Bihar
The fidelity of implementation of recommended care for children with malaria by community health workers in Nigeria
Conducted in Nigeria, this study measured the fidelity of implementation (FOI) for CHWs performing a recommended malaria treatment. The evidence found that CHW adherence was highest for following malaria treatment guidelines and lowest for post-treatment counseling. verall CHW adherence to guidelines was 83%. … [Read more...] about The fidelity of implementation of recommended care for children with malaria by community health workers in Nigeria
Implementation research on community health workers’ provision of maternal and child health services in rural Liberia
This study conducted in rural Liberia examined changes in maternal and child health after the implementation of an upgraded CHW intervention. Results indicated increased percentages of children receiving care, facility-based delivery, and formal sector care for acute respiratory infection and diarrhea. The percentage of mothers that received antenatal and postnatal care, … [Read more...] about Implementation research on community health workers’ provision of maternal and child health services in rural Liberia
