Video Spotlight

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

Delivery of public health services by community health workers (CHWs) in primary health care settings in China: a systematic review (1996–2016)

China has a history of integrating CHWs in public health intervention programs. Known as village doctors, these CHWs provide treatment and public responsibilities health. This systematic review identifies the public health services provided by CHWs and describes the potential barriers and facilitators of these services. 

How States Can Use Medicaid Managed Care Contracts to Support Community Health Workers

Sustainable funding is a significant barrier to expanding CHW work and to CHW integration into the healthcare system. This brief examines how states can use Medicaid managed care contracts to support community health workers. 

Podcast: Voices Of Public Health – Who Are Community Health Workers?: Durrell Fox

As part of the Jon Snow, Inc. (JSI) podcast, Durrell Fox, a Community Health Worker and Health Equity Consultant at JSI discusses the roles and skills of CHWs, and gives insight into the current challenges CHWs face and what makes the profession unique.

What encourages community health workers to use mobile technologies for health interventions? Emerging lessons from rural Rwanda

As access to mobile technologies expands, improving their effective use is key to strengthening data. This article discusses emerging lessons from rural Rwanda on CHW use of mobile technologies for health interventions. Technical characteristics such as reminders and alerts were seen to be the strongest predictors towards use, while user characteristic (age) did not influence use. Programme characteristics, specifically supervision and training, had mixed findings.

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. 

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.

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