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CHW Central

A global resource for and about Community Health Workers

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Medicaid Reimbursement for Community Health Worker Services: Model State Plan Amendment & Other Guidance, November 2025 Update

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Community health workers help people deal with everyday challenges that affect their health by connecting them to services, offering support, and helping them make healthy choices. Research shows that strong CHW programs improve long-term health, support mental wellbeing, reduce hospital visits, and help more people access basic care. While these programs have often depended on … [Read more...] about Medicaid Reimbursement for Community Health Worker Services: Model State Plan Amendment & Other Guidance, November 2025 Update

Designing and testing a solution to fill ART knowledge gaps at primary healthcare level: WhatsApp-based microlearning

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South Africa has the world’s largest HIV treatment program, but healthcare workers often lack up-to-date knowledge on drug interactions, like those for dolutegravir. A survey of 1,950 workers showed major knowledge gaps, with only 56% having received training. To address this, a WhatsApp-based microlearning program was tested with nurses and community health workers in rural … [Read more...] about Designing and testing a solution to fill ART knowledge gaps at primary healthcare level: WhatsApp-based microlearning

Benefits and limitations of rigorous cost analyses in community health

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Hypertension and diabetes are major challenges in low-income areas, where many people lack diagnosis or care. In Lesotho, a program showed that community health workers (CHWs) using a tablet-based tool can effectively screen for these conditions. Scaling up is challenging, as many CHWs lack pay, training, and support, and adding tasks can strain them. Careful integration, CHW … [Read more...] about Benefits and limitations of rigorous cost analyses in community health

Costs and coverage of community health worker-led hypertension and diabetes screening in rural Lesotho (ComBaCaL): cost–consequence analysis of a cohort study

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In rural Lesotho, community health workers (CHWs) used a tablet-based clinical decision support app to screen adults for hypertension and diabetes, reaching high coverage at moderate costs. Over 6 months, CHWs screened 88% of eligible adults for hypertension and 95% for diabetes. The cost per person screened was $41 in the project model and $17 in a routine implementation … [Read more...] about Costs and coverage of community health worker-led hypertension and diabetes screening in rural Lesotho (ComBaCaL): cost–consequence analysis of a cohort study

Strengthening the role of community health workers through supportive supervision: A Scoping Review

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This review looked at how supportive supervision helps CHWs do their work better. After examining 37 studies, the picture is clear: when CHWs get regular guidance, feedback, and chances to learn with peers, they stay motivated and provide better care. Approaches that use mentorship, shared problem-solving, and community involvement tend to work well. The biggest challenges are … [Read more...] about Strengthening the role of community health workers through supportive supervision: A Scoping Review

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