Video Spotlight

"'I'm a Health Worker' - Abduaraman Gidi" made by IntraHealth International.

Role and outcomes of community health workers in HIV care in sub-Saharan Africa: a systematic review

The provision of HIV treatment and care in sub-Saharan Africa faces multiple challenges, including weak health systems and attrition of trained health workers. One potential response to overcome these challenges has been to engage community health workers (CHWs). A systematic literature search for quantitative and qualitative studies describing the role and outcomes of CHWs in HIV care between inception and December 2012 in sub-Saharan Africa was performed.

Patient- and delivery-level factors related to acceptance of HIV counseling and testing services among tuberculosis patients in South Africa: a qualitative study with community health workers and program managers.

South Africa has a high tuberculosis (TB)-human immunodeficiency virus (HIV) coinfection rate of 73%, yet only 46% of TB patients are tested for HIV. To date, relatively little work has focused on understanding why TB patients may not accept effective services or participate in programs that are readily available in healthcare delivery systems.

It’s about time: WHO and partners release programming strategies for postpartum family planning

The postpartum period is a critical time to address high unmet family planning need and to reduce the risks of closely spaced pregnancies. Practical tools are included in the new resource for integrating postpartum family planning at points when women have frequent health system contact, including antenatal care, labor and delivery, postnatal care, immunization, and child health care. Actions at various levels, including community health workers are necessary in order to offer the  family planning services that postpartum women want and deserve. 

Injectable contraception provided by community-based health workers: one important step toward meeting unmet need

Community-based provision of injectable contraception continues to advance and is gaining wider acceptance—a major step toward meeting unmet need. However, fully addressing family planning need will require access to a much wider range of methods, including long-acting reversible contraception and permanent methods.

A review of generalist and specialist community health workers for delivering adolescent health services in sub-Saharan Africa

The health of adolescents is increasingly seen as an important international priority because the world’s one point eight billion young people (aged 10 to 24 years) accounts for 15.5% of the global burden of disease and are disproportionately located in low- and middle-income countries (LMICs). Furthermore, an estimated 70% of premature adult deaths are attributable to unhealthy behaviors often initiated in adolescence (such as smoking, obesity, and physical inactivity).

Applying the HRH Action Framework to Develop Sustainable Excellence in the Health Supply Chain Workforce

To ensure that medicines and other health commodities reach the people who need them and contribute to improved health, people in the supply chain management (SCM) field must understand and apply effective approaches for developing and managing supply chain workforces. At the same time, those in the human resources for health (HRH) arena must recognize the crucial role of SCM in health service delivery and ensure that HRH policies, strategies, and plans systematically incorporate the supply chain workforce.

Consultation on Improving Access to Health Worker at the Frontline for Better Maternal and Child Survival

This report summarizes the Consultation on Improving Access to Health Workers at the Frontline for Better Maternal and Child Survival held in Nairobi, Kenya from 25th to 27th June 2012.

Treatment of posttraumatic stress disorder by trained lay counselors in an African refugee settlement: a randomized controlled trial.

Traumatic stress due to conflict and war causes major mental health problems in many resource-poor countries. The objective of this study was to examine whether trained lay counselors can carry out effective treatment of posttraumatic stress disorder (PTSD) in a refugee settlement. In a randomized controlled dissemination trial in Uganda with 277 Rwandan and Somalian refugees who were diagnosed with PTSD the authors investigated the effectiveness of psychotherapy administered by lay counselors.

President's Emergency Plan for AIDS Relief Report on Work Force Capacity and HIV/AIDS

The paucity of trained health professionals and other human resources to combat HIV/AIDS in the focus countries is a stark indicator of the challenges facing the Emergency Plan. Policies that mandate that only health professionals can provide health services, when trained community health workers could provide components of prevention, care, and treatment

Insights from Community Case Management Data in Six Sub-Saharan African Countries

This study analyzed monitoring data from community case management (CCM) programs supported by the International Rescue Committee, covering over 2 million treatments provided from 2004 to 2011 in six countries by 12,181 community health workers to generate evidence on how to implement CCM.

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