Video Spotlight

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

A new era for community health in countries of low and middle income?

How will we address the predicted worldwide shortage of over 14 million health workers by 2030?  At the World Economic Forum in Davos Switzerland in 2015, a 4-year US$100 million fund supporting Last Mile Health and Living Goods to train 50,000 CHWs in six countries was launched. This commentary details the goals and challenges of such an initiative.

Use of most significant change (MSC) technique to evaluate health promotion training of maternal community health workers in Cianjur district, Indonesia

In the Indonesian primary health system, health promotion is often not implemented by CHWs due to a lack of knowledge and skills. This study uses “most significant change” (MSC) method to evaluate the impact of health promotion training of maternal community health workers in Cianjur district, Indonesia.

Community health workers improve disease control and medication adherence among patients with diabetes and/or hypertension in Chiapas, Mexico: an observational stepped-wedge study

More evidence on CHWs’ impact on improving disease control and medication adherence among patients with non-communicable diseases in low-income and middle-income countries is needed. This prospective observational study examines the impact of a CHW-led intervention among patients with diabetes and/or hypertension in Chiapas, Mexico. 

The role of community health workers in supporting South Africa’s HIV/ AIDS treatment programme

This paper explores the role of CHWs in supporting South Africa’s HIV/AID treatment program. Interviews were conducted to examine the perceptions and experiences of CHWs who care for HIV/AIDS patients in anti-retroviral treatment (ART).

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. 

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