This report shows the preliminary results of the USAID SQALE Program model for quality improvement at a community level. Community health volunteers have improved reporting, community engagement with the health care system, and efficiency and performance.
This study examines how Brazilian primary health care handles domestic violence against women. A gap between policies and practical application were found at local levels and community health workers were found to be critical to opening dialogue between women experiencing violence and the health care system.
This cross-sectional survey in the Philippines emphasizes the importance of community health workers in reaching the drug coverage rate 0d 75% set by WHO and increasing compliance with mass drug administration in the community.
The authors conducted a two-arm 2 year crossover trial to determine the effectiveness of clinical pharmacists and community health workers (CHWs) in increasing glycemic control among low-income ethnic minority populations. No significant difference was found between the clinical pharmacist and CHW team versus the clinical pharmacist working alone.
This community-based, cluster-randomised controlled trial in Nepal had female community health volunteers provide home counseling and blood pressure monitoring. The intervention resulted in a reduction of blood pressure for participants with hypertension and helps age-related blood pressure increases in adults.
This cluster-randomised study used an intervention group of female community health volunteers to reduce blood pressure. The authors saw no significant changes in lifestyle factors, though use of antihypertensive medicine and exercise increased, while salt intake decreased.
A new quality improvement program to increase the knowledge and skills of community health on an American Indian Reservation related to diabetes was tested. The authors found that the program improved knowledge and management of diabetes.