Video Spotlight

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

Quality of care for treatment of uncomplicated severe acute malnutrition delivered by community health workers in a rural area of Mali

This article presents findings from a study of treatment of uncomplicated severe acute malnutrition by community health workers in rural Mali. Key findings indicate that well-trained and supervised CHWs are capable of managing cases of uncomplicated SAM, there is an opportunity to increase access to quality treatment in Mali for SAM, and that resources needed to ensure continuous service should be further explored. 

Role of community health workers in type 2 diabetes mellitus self-management: A scoping review

This study examines the role of community health workers in type 2 diabetes mellitus self-management globally. Results show that CHWs are mostly utilized for education, support, and advocacy. 

The roles, training and knowledge of community health workers about diabetes and hypertension in Khayelitsha, Cape Town

This cross-sectional study assessed the current roles, training, and knowledge of CHWs about diabetes and hypertension in Khayelitsha, Cape Town. One hundred and fifty CHWs from two non-governmental organisations required to provide non-communicable disease care as part of a comprehensive package of services were interviewed. Results indicate that roles were broad and varied, training was seen to be unstandardized and haphazard, and basic knowledge about diabetes and hypertension was poor among the CHWs.

Malaria training for community health workers in the setting of elimination: a qualitative study from China

This qualitative study examines community health worker perceptions and expectations of training in China, which has a goal of malaria elimination by the year 2020. The results showed that the majority of community health workers thought training programmes were necessary yet expressed a lack of availability training courses, and needed proper implementation and frequency until the 2020 elimination goal is achieved. 

Community health workers and the response to HIV/AIDS in South Africa: tensions and prospects

The authors of this article present findings from an evaluation of the state of community health workers and the response to HIV/AIDS in South Africa. A significant presence of community health workers was found in South Africa’s health system. Yet, as a cadre, CHWs face many of barriers to success associated with previous CHW programmes in the country. Opportunities for sustainability are discussed. 

Community Health Workers

This report details the history and current state of CHW programs around the world and highlights the importance of sustainability and improving CHW performance. 

Evaluating the Impact of a Community Health Worker in the Heart Smarts Corner Stores

This study examines the effects of community health workers on participation in the Heart Smarts program implemented by the Food Trust. Results show higher participant retention rates and lower blood pressure rates in stores that had community health workers. The authors suggest that having community health workers in other sites would increase the number of repeat visits and help in lowering participant blood pressure. 

Evaluation of malaria rapid diagnostic test (RDT) use by community health workers: a longitudinal study in western Kenya

This study assessed whether or not community health workers maintain competency in malaria rapid diagnostic tests (RDTs) administration over a twelve-month period as well as  the CHW characteristics, such as age or level of experience, that influence competencies. The results indicate that a majority of CHWs maintain RDT competency over at least a twelve-month period and that younger age and prior experience with RDT are associated with better RDT performance. 

Addressing Social Determinants of Health through Community Health Workers: A Call to Action

This policy brief provides evidence-based recommendations to support community-based CHW services with sufficient resources to address social determinants of health. The goal of these recommendations is to increase the establishment of healthcare policies related to CHW services for communities facing health inequities. 

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