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.
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.
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.
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.
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.
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.
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.
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.
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.