Community health workers (CHWs) are increasingly recognized as an integral component of the health workforce needed to achieve public health goals in low- and middle-income countries (LMICs). Many factors intersect to influence CHW performance. However, research seldom focuses on the implications of context for CHW or programme performance. Understanding the socio-cultural, … [Read more...] about How does context influence performance of community health workers in low- and middle-income countries? Evidence from the literature
Effect of self-collection of HPV DNA offered by community health workers at home visits on uptake of screening for cervical cancer (the EMA study): a population-based cluster-randomized trial
Control of cervical cancer in developing countries has been hampered by a failure to achieve high screening uptake. In Argentina, more than 60% of women with low education have not had a Papanicolaou (Pap) test in the past 2 years. HPV DNA self-collection could increase screening coverage, but implementation of this technology is difficult in countries of middle and low income. … [Read more...] about Effect of self-collection of HPV DNA offered by community health workers at home visits on uptake of screening for cervical cancer (the EMA study): a population-based cluster-randomized trial
Hypertension education and adherence in South Africa: a cost-effectiveness analysis of community health workers
Of the non-communicable diseases (NCDs), hypertension is a major burden in general and in particular in South Africa with trends showing a growth of 20% for both men and women over the past decade. Of further significance is that adherence to hypertension medication varies significantly from under 10% in the lowest socio-economic status (SES) quintile compared to 80% in the … [Read more...] about Hypertension education and adherence in South Africa: a cost-effectiveness analysis of community health workers
Initial experience and innovations in supervising community health workers for maternal, newborn child health in Morogoro region, Tanzania
Supervision is meant to improve the performance and motivation of community health workers (CHWs). However, most evidence on supervision relates to facility health workers. The Integrated Maternal, Newborn, and Child Health (MNCH) Program in Morogoro region, Tanzania, implemented a CHW pilot with a cascade supervision model where facility health workers were trained in … [Read more...] about Initial experience and innovations in supervising community health workers for maternal, newborn child health in Morogoro region, Tanzania
Motivation and satisfaction among community health workers in Morogoro Region, Tanzania: nuanced needs and varied ambitions
In 2012, the Ministry of Health and Social Welfare (MOHSW), Tanzania, approved national guidelines and training materials for community health workers (CHWs) in integrated maternal, newborn and child health (Integrated MNCH), with CHWs trained and deployed across five districts of Morogoro Region soon after. To inform future scale up, this study assessed motivation and … [Read more...] about Motivation and satisfaction among community health workers in Morogoro Region, Tanzania: nuanced needs and varied ambitions