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The Community Health Systems (CHS) Catalog

The Community Health Systems (CHS) Catalog is a one-stop ‘shop’ for information on community health policies and programs across 25 countries, including extensive information on CHWs. Developed in 2014 and updated in 2017, it provides policymakers, program managers, researchers and donors with policy data to advance community health research, programming, and advocacy efforts. The CHS Catalog includes 25 country profiles, a set of infographics, and a summary of cross-country policy and program trends.

Effectiveness of SMS Technology on Timely Community Health Worker Follow-Up for Childhood Malnutrition: A Retrospective Cohort Study in sub-Saharan Africa

This retrospective cohort study examines whether the use of SMS-based data entry by CHWs is more effective than paper forms in the timely CHW follow-up visits for malnutrition screening in children under-5 in sub-Saharan Africa.

Can community health workers play a greater role in increasing access to medical abortion services? A qualitative study

This qualitative study explores the acceptability, perspectives and preferences of women and CHWs in Rajasthan, India, regarding the involvement of CHWs in medical abortion referrals.

Community health workers: to train or to restrain? A longitudinal survey to assess the impact of training community health workers in the Bolama Region, Guinea-Bissau

With a shortage of health human resources in Guinea-Bissau, CHWs play an essential role in the diagnosis and treatment of childhood diarrheal diseases. This paper seeks to evaluate the short-term effects of training on CHWs’ performance diagnosing and treating diarrheal diseases in children under 5 years old and the accuracy of such diagnosis at 1 and 3 months after training.

Can community health worker home visiting improve care-seeking and maternal and newborn care practices in fragile states such as Afghanistan? A population-based intervention study

With maternal and newborn mortality rates high in Afghanistan, this study assesses the effects of CHW home visiting during the antenatal and postnatal periods. Specifically, it looks at how home visits contribute to improving the proportion of women seeking care at health facility, birth preparedness, newborn care practices, and knowledge of mothers about their and infant’s health.

The feasibility of a role for community health workers in integrated mental health care for perinatal depression: a qualitative study from Surabaya, Indonesia

Based on an intervention carried out in Surabaya, Indonesia, this qualitative study examines the feasibility and acceptability of CHWs detecting and referring pregnant women and postpartum mothers who might suffer from perinatal depression. 

Cost effectiveness of mHealth intervention by community health workers for reducing maternal and newborn mortality in rural Uttar Pradesh, India

The ReMiNd program, an mHealth intervention developed for use by CHWs to help improve their performance in MNCH service delivery, was implemented in a poor performance district in the state of Uttat Pradesh, India. This study examines the cost-effectiveness of this intervention by evaluating the change in cost per disability adjusted life year (DALY) and cost as a result of ReMiNd as compared to routine care without ReMiNd.

The role of indigenous health workers in promoting oral health during pregnancy: a scoping review

Australian Aboriginal and Torres Strait Islander children are twice as likely to develop dental decay. This scoping review initiates a systematic search of literature to identify the role of indigenous health workers, including community health workers, in promoting maternal oral health globally, with the aim of improving child oral health through strengthened maternal oral care and care seeking.

The feasibility of task-sharing the identification, emergency treatment, and referral for women with pre-eclampsia by community health workers in India

With hypertensive disorders being the second highest direct obstetric cause of maternal deaths, this study explores how task-sharing of some obstetric responsibilities can help reduce maternal mortality rates. Specifically, the study assesses the acceptability, within the health community in India, of task-sharing by CHWs in the identification and initial care of hypertensive disorders in pregnancy. 

Using community health workers to refer pregnant women and young children to health care facilities in rural West Bengal, India: A prospective cohort study

CHWs have been deployed in rural parts of India to improve access to preventative care in the country. This prospective cohort study describes how pregnant women and mothers of young children in rural West Bengal, India react when CHWs inform them that they, or their child, are at high risk of pregnancy-related complications or early childhood development delays and need further screening and health care from a physician. 

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