Video Spotlight

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

Health Communication Capacity Collaborative (HC3) in Guinea - Case Studies

Post Ebola, Guinea is rebuilding its health system to deliver higher quality care.  Part of their effort includes gaining trust again from the community, something that dwindled during the epidemic.  Health Communication Capacity Collaborative (HC3) is a five year initiative funded by USAID that is working to address these concerns.  HC3 utilizes a social and behavior change communication (SBCC) strategy to improve health behaviors and services in Guinea.

Community Change Agents: “Doctors” of Malaria Information

Presented at the International Social and Behavioral Change Communication Summit in Ethiopia in February 2016, Ainslie’s PowerPoint presentation goes into detail about the COMMIT Program, a behavior change communication project for malaria prevention, treatment, and control in Tanzania. Key to the project is the utilization of Community Change Agents who communicated the project’s goals with various communities throughout Tanzania. This project and platform successfully engaged communities in malaria treatment and prevention.  

A community health worker-led lifestyle behavior intervention for Latina (Hispanic) women: Feasibility and outcomes of a randomized controlled trial

This paper evaluates the outcomes and feasibility of a promotora (female community health worker in Latino communities)-led lifestyle behavior intervention for overweight immigrant Latinas in the United States. Using a randomized controlled trial design, a culturally-tailored intervention was implemented in the intervention group and an educational program in the control group.

Can a community health worker administered postnatal checklist increase health-seeking behaviors and knowledge?: evidence from a randomized trial with a private maternity facility in Kiambu County, Kenya

A randomized trial evaluates the effectiveness of a CHW program in Kenya which implements home visits or calls to new mothers three days after delivery. Surveys were utilized to measure compliance, self-reported health problems, care-seeking behaviors, and postnatal knowledge and practices among new mothers who received one of three randomly assigned postnatal care practices. Results showed that mothers who received CHW home visits were more likely to recognize postnatal problems and seek care for those problems than mothers who received a phone call or standard care.

Shifting management of a community volunteer system for improved child health outcomes: results from an operations research study in Burundi

Community-based strategies that foster frequent contact between caregivers of children under five and provide credible sources of health information are essential to improve child survival. Care Groups are a community-based implementation strategy for the delivery of social and behavior change interventions. This study assessed if supervision of Care Group activities by Ministry of Health (MOH) personnel could achieve the same child health outcomes as supervision provided by specialized non-governmental organization (NGO) staff. 

The current state of CHW training programs in SSA and South Asia

Although CHW programs are prevalent, little formal research has been conducted on CHW training programs or their effectiveness. To begin to address this a literature review was conducted to curate research regarding CHW training programs and curricula. This literature review identifies, synthesizes, and analyzes a wide body of literature related to CHW training in sub-Saharan Africa and South Asia.

 

Community care workers boost TB case finding among hard-to-reach adults

According to two studies presented at the 46th Union World Conference on Lung Health held in Cape Town last December, community care worker active case findings is an effective tool for increasing TB case detection in hard-to-reach populations. Early detection and treatment of people with active TB is crucial to decrease TB transmission, and community care workers have been shown to play an important role in case finding among vulnerable populations.

Women's attitudes toward receiving family planning services from community health workers in rural Western Kenya

In African countries including Kenya, contraceptive use, fertility rates and other reproductive health indicators in rural areas lag behind urban areas. Even though Kenya's fertility rate declined from 8.1 in 1978 to 4.6 in 2008, the figures are much higher in rural areas, 5.2 compared to an urban rate of 2.9. The persistent high fertility rate has been attributed to many factors including inadequate provision of family planning services.

Assessment of the quality of antenatal care services provided by health workers using a mobile phone decision support application in northern Nigeria: A pre/post-intervention study

Nigeria’s maternal mortality ratio is the tenth highest in the world, with an estimated 630 maternal deaths per 100,000 live births, and 40,000 maternal deaths annually. There is now a critical need to support Nigeria’s efforts to make significant progress in achieving the Millennium Development Goal 5 target of reducing maternal mortality by 2015 through the government’s recently launched Saving One Million Lives (SOML) initiative. With a dearth of skilled personnel at the primary health care level, Community Health Extension Workers (CHEWs) have increasingly filled the gap at primary heal

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