Video Spotlight

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

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.

A new era for community health in countries of low and middle income?

How will we address the predicted worldwide shortage of over 14 million health workers by 2030?  At the World Economic Forum in Davos Switzerland in 2015, a 4-year US$100 million fund supporting Last Mile Health and Living Goods to train 50,000 CHWs in six countries was launched. This commentary details the goals and challenges of such an initiative.

Training community healthcare workers on the use of information and communication technologies: a randomised controlled trial of traditional versus blended learning in Malawi, Africa

This paper examines the feasibility of incorporating distance mLearning (mobile learning) as part of a blended learning program in Malawi. Through questionnaires, CHWs’ knowledge and attitudes towards computers and mobile technology was assessed. The ‘Introduction to Information and Communication Technology and eHealth’ (ICT and eHealth) course was created to compare the effectiveness of traditional and blended learning courses in improving CHW knowledge and attitudes towards computers and mobile technology. CHW satisfaction and experience with the courses was also assessed.

Smartphones for community health in rural Cambodia: A feasibility study [version 1; referees: 1 approved, 2 approved with reservations]

Village Malaria Workers (VMWs) in rural Cambodia play an essential role in surveillance and early treatment of malaria. This study evaluates the feasibility of VMWs using smartphone-based reporting for malaria, and a bespoke Android-powered app.

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.

A mobile health technology platform for quality assurance and quality improvement of malaria diagnosis by community health workers

Regular supportive supervision is essential to ensuring CHW performance and service quality in CHW programs and yet it is often difficult to implement, especially at scale, due to logistical and resources constraints. This study evaluates the use of a mobile health technology platform for monitoring malaria RDT testing and improving the quality of malaria diagnosis by CHWs.

“I am not telling. The mobile is telling”: Factors influencing the outcomes of a community health worker mHealth intervention in India

This mixed-methods study assesses a CHW-utilized mHealth platform, Mobile for Mothers, in India. It analyzes CHW perceptions of the technology and its usefulness, outcomes and the contextual factors that influence health seeking behavior. 

Webinar Resources and Recording - Integrating and scaling mobile community health data systems: Experience from India, Ethiopia and Madagascar.

Community health workers (CHWs) improve access to quality health services at the community level. Despite the critical role that CHWs play, governments often have limited insight into their activities, the quality of their services, the conditions of the communities that they serve, and how best to link these CHWs and their beneficiaries to the larger health system.

What encourages community health workers to use mobile technologies for health interventions? Emerging lessons from rural Rwanda

As access to mobile technologies expands, improving their effective use is key to strengthening data. This article discusses emerging lessons from rural Rwanda on CHW use of mobile technologies for health interventions. Technical characteristics such as reminders and alerts were seen to be the strongest predictors towards use, while user characteristic (age) did not influence use. Programme characteristics, specifically supervision and training, had mixed findings.

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