To support quality CHW program design and implementation, USAID, UNICEF, the Community Health Impact Coalition, and Initiatives Inc. have updated and adapted the Community Health Worker Assessment and Improvement Matrix (CHW AIM) Program Functionality Matrix tool. This tool can be applied at district, regional, and national levels to identify and close gaps in design and implementation and, ultimately, enhance program performance.
This article describes a distance learning approach for CHWs using the Extension for Community Healthcare Outcomes (ECHO) model™, which is a video-conferencing-based mentorship model. The authors describe the ECHO model for CHW training and mentoring using case examples and pre/post-surveys from an obesity prevention and addiction recovery program. They conclude that the ECHO model has advantages over traditional training methods for CHWs and can be adapted to other countries.
Healthy Fit is an intervention that uses CHWs to extend the public health infrastructure to reduce Hispanic health disparities in the US. This study evaluates the effectiveness of Healthy Fit in identifying the health needs of Hispanic Americans living on the US-Mexico border, and in helping participants access health services through CHW recommendations/referrals.
While CHW interventions have proved effective in hypertension control among ethnic minorities in the US, few have focused on Asian Americans. This randomized controlled trial assesses the efficacy of a CHW intervention in New York City to improve hypertension management among Filipino Americans with uncontrolled blood pressure.
Podcast: Susan Keen, director of the Pathways to Better Health Program, discusses how CHWs are able to assist people with their social and health needs, have a direct impact on improving the overall health of a community, and decrease unnecessary hospitalizations and emergency department visits.
Older Latino adults experience a higher incidence of multiple coexisting medical conditions than non-Hispanics and whites and face barriers to diabetes self-management. The results of this REACH Detroit CHW randomized control intervention suggests that CHWs may be effective in reducing barriers to diabetes self-management. Using descriptive analysis and multiple linear regression, the study evaluates the effects of a six-month CHW intervention on older Latinos versus younger participants.
Healthy Start (HS) is a program dedicated to preventing infant mortality, improving birth outcomes, and reducing maternal and infant health disparities. This mixed-methods study researched how CHWs, an essential part of the HS workforce, provide for families and communities and inform the development of a standardized training program.
The authors conducted a two-arm 2 year crossover trial to determine the effectiveness of clinical pharmacists and community health workers (CHWs) in increasing glycemic control among low-income ethnic minority populations. No significant difference was found between the clinical pharmacist and CHW team versus the clinical pharmacist working alone.
A new quality improvement program to increase the knowledge and skills of community health on an American Indian Reservation related to diabetes was tested. The authors found that the program improved knowledge and management of diabetes.
This is the first episode of the Review of Systems podcast, which is done in partnership with Harvard Center for Primary Care. The first guest is Shreya Kangovie, a researcher of community health worker (CHW) interventions who developed a multi-stakeholder team-based CHW model called IMPaCT (Individualized Management towards Patient-Centered Targets).