This qualitative study examines the facilitating factors and barriers to birth preparedness and complication readiness in rural Rwanda. Participants perceived CHWs, attending antenatal care, and medical insurance as facilitating factors while disrespectful care and inconsistent health policies were seen as barriers.
This study assessed whether or not community health workers maintain competency in malaria rapid diagnostic tests (RDTs) administration over a twelve-month period as well as the CHW characteristics, such as age or level of experience, that influence competencies. The results indicate that a majority of CHWs maintain RDT competency over at least a twelve-month period and that younger age and prior experience with RDT are associated with better RDT performance.
This study examines Community Health Workers’ perceptions of how the Zimbabwe study for Enhancing Testing and Improving Treatment of HIV in Children (ZENITH) randomized controlled trial’s structure and management affected their performance. The results of the study showed that CHWs saw the intervention as acceptable, feasible, and expressed overall strong job satisfaction. Long term sustainability of the programme is highlighted as an issue and the future improvement and adoption of the approach in other settings are discussed.
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 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.
This cross-sectional study found that many of the auxiliary midwives were unable to recognize the majority of critical danger signs for childbirth. The paper also found a low level of knowledge about safe childbirth and immediate newborn care practices.
This paper tested a qualitative evaluative framework and tool to understand CHW performance in rural Uganda. The authors found that supportive supervision and bonds between healthcare workers affected performance outcomes.
This research paper examines CHWs' experiences with m-health tools through interviewing CHWs in primary care centers in Brazil. While m-health tools can be particularly helpful in low- and middle-income countries, CHW input should be sought during the design phase of the tool.