Why don’t more patient-centered medical homes (PCMHs) employ CHWs despite the evidence that they make a difference? This qualitative study researched facilitators and barriers to integrating CHWs in PCMHs in Minnesota and defines the roles of CHWs on these care teams. The study found four factors that influenced use of CHW models :1) leaders who championed the CHW model, 2) a clinic culture that was open to innovation; 3) clinic prioritization of patients’ nonmedical needs, and 4) leadership perceptions of sustainability.
This cross case analysis of leadership and governance roles involved in implementing large-scale community health worker programs at sub-national level. The authors identified four key roles for leaders and governments in implementing these programs.
This newly released report, titled ‘Practitioner Expertise to Optimise Community Health Systems: Harnessing Operational Insight’ examines how CHWs can successfully be integrated into national health systems, subsequently contributing towards efforts to achieve Universal Health Coverage.
Healthcare workers can be susceptible to work related stress. This may be a result of the high expectations they face in their work place, the absence of social support among colleagues, time restraints, and a lack of resources and training. Occupational stress for healthcare workers has the potential to lead to physical illness, “burnout”, or distress and may become an obstacle for them to provide quality health services. It can be costly as well if workers take sick leave or even change jobs as a result of work induced stress and burnout.
Although CHW programs are prevalent, little formal research has been conducted on CHW training programs or their effectiveness. To begin to address this a literature review was conducted to curate research regarding CHW training programs and curricula. This literature review identifies, synthesizes, and analyzes a wide body of literature related to CHW training in sub-Saharan Africa and South Asia.
Monitoring and evaluating large-scale global health program transitions can strengthen accountability, facilitate stakeholder engagement, and promote learning about the transition process and how best to manage it. This paper proposes a conceptual framework for 4 main domains relevant to transitions— leadership, financing, programming, and service delivery—along with guiding questions and illustrative indicators to guide users through key aspects of monitoring and evaluating transition.
Shared during the 2015 American Public Health Association (APHA), this document summarizes CHW certification initiatives, describes certification in Florida and Massachusetts, and shares lessons about certification that may be useful in other states.