Video Spotlight

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

Facilitators and barriers to birth preparedness and complication readiness in rural Rwanda among community health workers and community members: a qualitative study

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. 

Evaluation of malaria rapid diagnostic test (RDT) use by community health workers: a longitudinal study in western Kenya

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. 

The role of community health workers in improving HIV treatment outcomes in children: lessons learned from the ZENITH trial in Zimbabwe

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.

The contribution of female community health volunteers (FCHVs) to maternity care in Nepal: a qualitative study

This study looks at a group of community health workers know as Female Community Health Volunteers (FCHVs) and their role in reducing the maternal mortality ratio in Nepal. 

Quality of care in integrated community case management services in Bugoye, Uganda: a retrospective observational study

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.

Community Health Workers: Addressing Client Objectives Among Frequent Emergency Department Users

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.

Time motion study using mixed methods to assess service delivery by frontline health workers from South India: methods

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.

Determinants of knowledge of critical danger signs, safe childbirth and immediate newborn care practices among auxiliary midwives: a cross sectional survey in Myanmar

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. 

Perspectives and experiences of community health workers in Brazilian primary care centers using m-health tools in home visits with community members

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.

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