Video Spotlight

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

Potential challenges of implementing the Community Health Extension Worker programme in Uganda

The planned roll out of the Community Health Extension Worker (CHEW) program in Uganda is set to be implemented in 2018. Based on the Ugandan Ministry of Health’s extensive experience with Village Health Teams in the past decade, this commentary addresses potential challenges that will arise in the implementation of the new CHEW program.

What do we know about community-based health worker programs? A systematic review of existing reviews on community health workers

Globally, CHW programs are rapidly expanding; yet questions remain about what makes a successful CHW program. This systematic review synthesizes existing evidence on effective CHW program design and management in health systems.

Evaluation of Healthy Fit: A Community Health Worker Model to Address Hispanic Health Disparities

Healthy Fit is an intervention that uses CHWs to extend the public health infrastructure to reduce Hispanic health disparities in the US. This study evaluates the effectiveness of Healthy Fit in identifying the health needs of Hispanic Americans living on the US-Mexico border, and in helping participants access health services through CHW recommendations/referrals. 

Can lay health workers support the management of hypertension? Findings of a cluster randomised trial in South Africa

With the urgency of the HIV and TB epidemics in some low and middle-income countries, prevalent chronic diseases such as hypertension are often neglected by health services. This study assesses whether task-shifting from nurses to lay health workers (LHWs) improves the management of hypertension in rural primary healthcare clinics in South Africa.

Diabetes management training for female community health volunteers in Western Nepal: an implementation experience

This study evaluates a community-based diabetes management program involving female community health volunteers (FCHVs) under the government run FCHVs program. 

Community health workers: to train or to restrain? A longitudinal survey to assess the impact of training community health workers in the Bolama Region, Guinea-Bissau

With a shortage of health human resources in Guinea-Bissau, CHWs play an essential role in the diagnosis and treatment of childhood diarrheal diseases. This paper seeks to evaluate the short-term effects of training on CHWs’ performance diagnosing and treating diarrheal diseases in children under 5 years old and the accuracy of such diagnosis at 1 and 3 months after training.

Training community healthcare workers on the use of information and communication technologies: a randomised controlled trial of traditional versus blended learning in Malawi, Africa

This paper examines the feasibility of incorporating distance mLearning (mobile learning) as part of a blended learning program in Malawi. Through questionnaires, CHWs’ knowledge and attitudes towards computers and mobile technology was assessed. The ‘Introduction to Information and Communication Technology and eHealth’ (ICT and eHealth) course was created to compare the effectiveness of traditional and blended learning courses in improving CHW knowledge and attitudes towards computers and mobile technology. CHW satisfaction and experience with the courses was also assessed.

Can community health worker home visiting improve care-seeking and maternal and newborn care practices in fragile states such as Afghanistan? A population-based intervention study

With maternal and newborn mortality rates high in Afghanistan, this study assesses the effects of CHW home visiting during the antenatal and postnatal periods. Specifically, it looks at how home visits contribute to improving the proportion of women seeking care at health facility, birth preparedness, newborn care practices, and knowledge of mothers about their and infant’s health.

Ethics of task shifting in the health workforce: exploring the role of community health workers in HIV service delivery in low- and middle-income countries

Task-shifting among CHWs addresses human resource shortages that have an affect on HIV service delivery in low-and-middle-income countries. Despite evidence on the positive outcomes CHWs bring to HIV programs, little is known about the challenges CHWs face in HIV service provision. This study addresses this knowledge gap by examining the ethical challenges that CHWs face in in low-and-middle-income countries.

Surmounting difficulties to provide home based neonatal care – reflections of community health workers

CHWs in India play an important role in providing home-based neonatal care (HBNC). Through in-depth interviews and focus groups, this qualitative study examines the challenges faced and strategies used by Sakhis, women CHW.

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