This retrospective observational study examined the quality of integrated community case management (iCCM) care given by village health workers in five villages in Bugoye subcounty in Uganda. For malaria, pneumonia, and diarrhoea the quality of care was high, though the overall quality of care was lower. There is an increase in quality of care after the implementation of iCCM services.
This study examines the effectiveness of a community health worker (CHW) program, which aims to address client objectives for frequent emergency department users. 43% of total objectives were achieved and objective achievement was linked with increased client engagement. The authors offer several suggestions as to why the objective achievement was low and how to better engage clients in CHW services.
This research article examined the best way to deliver seasonal malaria chemoprevention (SMC) treatment. The authors found that door-to-door delivery provided better coverage than fixed-point delivery, while directly observed therapy (which uses more resources) did not improve coverage. Community health workers deliver SMC treatment through door-to-door and fixed-point delivery.
This study investigate the impact of two umbilical cord cleansing regimens on neonatal morality and morbidity in a rural region in the Sylhet District of Bangladesh. The study used data from a previously performed community-based cluster-randomized trail. Community health workers checked the newborns for the first nine days of life for infections. The authors found that identifying and following up with high-risk mothers and newborns along with clean cord care can decrease the rate of neonatal infections and deaths.
This study tested a 10 week home-based intervention by promotoras to promote a healthy weight in Latino preschool children. The intervention involved weekly 90 minute sessions to Latin families in Allegheny County, Pennsylvania. At the follow-up, overweight and obese children had a significnat decrease in BMI. Post-intervention showed an increase in fruit and vegetable intake and decrease in screen time for children and parents, an increase in physical activity for parents, and a decrease in saturated fat and added-sugar intake for children (p's<0.05).
While community health workers (CHWs) often identify and screen for severe acute malnutrition (SAM), this study looks at incorporating SAM treatment into the work of CHWs. The results from a randomized intervention study in Kita, Southwest Mali, indicated that with minimal training CHWs can treat SAM appropriately, which could result in lower defaulter ratios and improve access to treatment.
This study protocol outlines the type 2 hybrid effectiveness-implementation study that was used to test an integrated maternal and child health intervention based in the community health worker system in rural Nepal.
This article examines the performance of South Indian frontline health workers by analyzing their time management and identifying factors that affect their work. Around 6 or 7 hours were spent on any working day, rather than the expected 8 hours.