Video Spotlight

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

ProCCM with Dr. Ari Johnson

 Dr. Palazuelos, Partners in Health, and Dr.

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.

CHW Defies Culture and Encourages Women to Give Birth in Hospital

Lochuch, a CHW in Kenya, faces many challenges in her job as she tries to protect the health of those in her community.  She has dealt with angry husbands and ambulance denials;  actions that could lead to harm of pregnant women. Lochuch is working to ensure that women can deliver in a hospital.  This article details her personal experience overcoming barriers in her community and the resilience with which she and her co-workers advocate for their clients.

Sustainable Financing Models for Community Health Worker Services in Connecticut: Translating Science into Practice

The focus of this report is on the financial sustainability of Community Health Worker (CHW) programs in the state of Connecticut.  The goal of this research is to find a way in which Connecticut can develop an effective program that utilizes CHWs to improve patient health outcomes and achieve a level of positive financial return.  This report worked within the boundaries of Connecticut’s State Innovation Model (SIM), a federally funded grant to aid in transforming healthcare systems from state to state, in order to ensure a possible funding source for the resulting new programs.  The repor

Contraceptive uptake after training community health workers in couples counseling: A cluster randomized trial

The objective of this paper was to assess if training Health Surveillance Assistants (HSAs) in couples counseling would increase modern family planning uptake among young women in Malawi. In this cluster randomized controlled trial, 30 HSAs from Lilongwe, Malawi received training in family planning. The HSAs were then randomized 1:1 to receive or not receive additional training in couples counseling. All HSAs were asked to provide family planning counseling to women in their communities and record their contraceptive uptake over 6 months.

Hope and despair: community health assistants' experiences of working in a rural district in Zambia.

This paper explores the motivation to become a community health assistant (CHA) in Zambia, the experiences of working in a rural district, and how these experiences affected CHAs’ motivation to work. To examine CHAs’ experiences, data was collected through in-depth interviews with 12 CHAs and observations were analyzed using a thematic analysis approach. Personal characteristics such as previous experience and knowledge, passion to serve the community and a desire to improve skills motivated people to become CHAs.

Innovation in health service delivery: integrating community health assistants into the health system at district level in Zambia

This paper explores the factors that shaped the acceptability and adoption of community health assistants (CHAs) into the health system at the district level in Zambia. Using thematic analysis, data was collected through a review of documents, 6 focus group discussions with community leaders, and 12 key informant interviews with CHA trainers, supervisors and members of the District Health Management Team. Results found a perceived relative advantage of CHAs over existing community-based health workers in terms of their quality of training and scope of responsibilities.

Does task shifting yield cost savings and improve efficiency for health systems? A systematic review of evidence from low-income and middle-income countries

Research has demonstrated that task shifting, including the use of CHWs to deliver care, can improve population health. This systematic review examines whether task shifting in LMICs results in efficiency improvements by achieving cost savings. The authors identified 794 articles, and included 34 in the study. They found that substantial evidence exists for achieving cost savings and efficiency improvements from task shifting activities related to tuberculosis and HIV/AIDS.

Community health worker perspectives on a new primary health care initiative in the Eastern Cape of South Africa

This study sought to understand CHW perspectives on a new primary health initiative in South Africa called Re-engineering Primary Health Care (rPHC). This initiative aims to provide a preventive and health-promoting community-based PHC model. Focus group discussions and surveys on the knowledge and attitudes of 91 CHWs working on community-based rPHC teams in the King Sabata Dalindyebo (KSD) sub-district of Eastern Cape Province were conducted.

The Influence of Community Health Resources on Effectiveness and Sustainability of Community and Lay Health Worker Programs in Lower-Income Countries: A Systematic Review

This review explores the current evidence available to assess if increased levels of integration of community health resources in CHW programs leads to higher program effectiveness and sustainability. 32 articles were chosen for an extensive review, complemented by analysis of the results of 15 other review studies. Analysis found no quantitative data and minimal inclusion of even basic community level indicators.

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