Video Spotlight

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

From Directly Observed Therapy to Accompagnateurs: Enhancing AIDS Treatment Outcomes in Haiti and in Boston

This article examines Directly Observed Therapy (DOT-HAART) provided by CHWs or accompagnateur to HIV patients in Boston and Haiti. The CHWs provide psychosocial support and link the patients to clinical staff and available resources. The article suggests that the accompagnateur model can be applied to other poverty-stricken populations in resource-poor settings.

Community Health Workers and Community Voices: Promoting Good Health

This report documents how CHWs address the problems of health disparities, poor access to care, and the rising cost of health care. Challenges that exist in expanding current CHW programs are also examined. Policy options around finance, workforce, and delivery of care are also discussed.

Community-Directed Interventions for Priority Health Problems in Africa: Results of a Multicultural Study

This three-year mulitcountry study was undertaken with the objective of determining the extent to which the community directed approach could effectively provide integrated delivery of other health interventions. CDI achieved significantly higher coverage than currently used delivery  approaches for all interventions except DOTS.

Community-Driven Tools for Data Collection and Decision Making: The PISA Action Guide

The PARTICIPATORY INFORMATION SYSTEMS APPRAISAL (PISA) Action Guide systematically introduces and explains the concepts and strategies needed to make well informed, data-based decisions while empowering key stakeholders in the process. The action guide outlines team preparation activities, data collection methods, data analysis and action planning, and team learning & follow up activities. Local facilitators and key project stakeholders are actively involved in data instrument design, collection, reporting and analysis.

Assessing Community Capacity for Change

The purpose of the tool is to learn and understand more about community capacity - what it is, how it can be assessed, and how it can be strengthened. The tool is an assessment process that engages communities in capacity assessment. There are seven domains including: sense of community; communication; participation; leadership; resources, knowledge, and skills; and ongoing learning.

AIDS Councils as Catalysts for Unlocking Citizen Power

This manual, published by Institute for Democracy in South Africa (IDASA), aims to provide information for non-governmental organizations (NGOs) to develop and mobilize civil society¹s engagement with AIDS councils and build effective governance of the HIV/AIDS pandemic. The manual also stresses the importance of taking local context into consideration when the workshops are given. The authors aim is for this manual to not only be used by civil society but also by the AIDS councils themselves.

Building contexts that support effective community responses to HIV/AIDS: A South African Case Study

Building contexts that support effective community responses to HIV/AIDS: a South African Case Study discusses a health-enabling social environment, and some of the strategies currently being used to build social contexts to support effective HIV/AIDS management in southern Africa.

Community Directed Intervention for Onchocerciasis Control and Public Health Interventions

This presentation summarizes a study performed in 4 Africa countries: Guinea, Burkina Faso, Cote d'Ivoire and Togo. The study examines the effect of training community health workers on Onchoceriacis control. The study concludes that utilizing CHWs can empower communities and citizens to work towards healthier lifestyles. Utilizing CHWs as a strategy has tremendous scope and potential to strengthen public health interventions and the approach forges a useful and practical bridge between the formal public health care system and the community.

Community-directed interventions strategy enhances efficient and effective integration of health care delivery and development activities in rural disadvantaged communities of Uganda

The community-directed interventions  (CDI) strategy achieved a desired coverage of the ultimate treatment goal of at least 90% with ivermectin distribution for onchocerciasis control, and filled the gap between the health care services and the communities. One of the research questions included how the primary actors (community-directed heath workers and community-directed health supervisors) would perform if they were given more responsibilities for other health and development activities within the community.

Community-directed Delivery of Doxycycline for the Treatment of Onchocerciasis in Areas of Co-endemicity with Ioiasis in Cameroon

This study was carried out in 5 health areas co-endemic for Onchocerca volvulus and Loa loa which had no prior experience of the Community Directed Treatment with Ivermectin (CDTI). The community-directed delivery process was introduced using a cascade mechanism from the central health system that passed through the regional health delegation, health district and the health areas. Community health implementers were trained to deliver doxycycline to people in the community and, under the supervision of the health system, to monitor and document drug intake and side effects.

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