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.
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.
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.
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.
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.
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 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.
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.
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.
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.