Video Spotlight

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

Integrating Community Health Workers Into Medical Homes

Why don’t more patient-centered medical homes (PCMHs) employ CHWs despite the evidence that they make a difference? This qualitative study researched facilitators and barriers to integrating CHWs in PCMHs in Minnesota and defines the roles of CHWs on these care teams. The study found four factors that influenced use of CHW models :1) leaders who championed the CHW model, 2) a clinic culture that was open to innovation; 3) clinic prioritization of patients’ nonmedical needs, and 4) leadership perceptions of sustainability. 

Facilitators and barriers to birth preparedness and complication readiness in rural Rwanda among community health workers and community members: a qualitative study

This qualitative study examines the facilitating factors and barriers to birth preparedness and complication readiness in rural Rwanda.  Participants perceived CHWs, attending antenatal care, and medical insurance as facilitating factors while disrespectful care and inconsistent health policies were seen as barriers. 

Integrating Community Health Workers Into Medical Homes

This qualitative study identifies facilitators and barriers to incorporating community health workers (CHWs) into patient-centered medical hoes and defines the role of CHWs on the care team.

Community Health Workers Supporting Clinical Pharmacists in Diabetes Management: A Randomized Controlled Trial

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.

Mobile instant messaging for rural community health workers: a case from Malawi

This multi-site case study used interviews and focus groups of community health workers and facilitators to examine conversations on WhatsApp. WhatsApp was viewed positively by community health workers and acted as a useful tool in rural health work, despite the challenge of separating social use from instrumental use.

Integrating CHWs as Part of the Team Leading Diabetes Group Visits: A Randomized Controlled Feasibility Study

This randomized controlled study looked at the feasibility of incorporating community health workers into a team leading diabetes group visits. The authors concluded that integrating community health workers into diabetes group visit program is a feasible, effect intervention.

Exploring knowledge and attitudes toward non-communicable diseases among village health teams in Eastern Uganda: a cross-sectional study

This study investigated knowledge and attitudes towards non-communicable diseases (NCDs) among community health workers in village health teams (VHTs) in Eastern Uganda through a questionnaire and four focus group discussions.VHT members had some knowledge and awareness of NCDs, but lacked information about NCDs in their specific communities. VHTs see a potential role for themselves in addressing NCDs. 

An NGO-Implemented Community–Clinic Health Worker Approach to Providing Long-Term Care for Hypertension in a Remote Region of Southern India

This report discusses the implementation of a program that trained community health workers in southern India to identify hypertensive patients, refer them to a physician, and assist with lifestyle interventions and medications. 

A Mobile-Based Community Health Management Information System for Community Health Workers and Their Supervisors in 2 Districts of Zambia

This paper discusses the implementation of a mobile-based community health management information system for community health workers (CHWs) and their supervisors in Zambia. CHWs provided weekly updates to supervisors and received feedback through the mobile application. 

Community Health Workers Bring Cost Savings to Patient-Centered Medical Homes

This paper examines the cost savings that can result from integrating CHWs into patient-centered medical homes.

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