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.
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.
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.
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.
This cluster-randomized controlled trial assessed the effect of a cognitive therapy-based intervention put in place by community health workers in rural Pakistan on maternal depression and infant outcomes.
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.
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.
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.