Video Spotlight

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

Piloting a mental health training programme for community health workers in South Africa: an exploration of changes in knowledge, confidence and attitudes

Despite psychiatric disorders contributing to a significant portion of the global disease burden, insufficient access to mental health services is widespread.  This study examined its CHW mental health training program, developed in close collaboration with the Western Cape Department of Health, and evaluates the program’s success in improving the knowledge, skill and confidence among trained CHWs and expanding access to mental health services.

Community Health Workers

This report details the history and current state of CHW programs around the world and highlights the importance of sustainability and improving CHW performance. 

Community Health Workers Supporting Clinical Pharmacists in Diabetes Management: A Randomized Controlled Trial

The authors conducted a two-arm 2 year crossover trial to determine the effectiveness of clinical pharmacists and community health workers (CHWs) in increasing glycemic  control among low-income ethnic minority populations. No significant difference was found between the clinical pharmacist and CHW team versus the clinical pharmacist working alone.

Effectiveness of a lifestyle intervention led by female community health volunteers versus usual care in blood pressure reduction (COBIN): an open-label, cluster-randomised trial

This community-based, cluster-randomised controlled trial in Nepal had female community health volunteers provide home counseling and blood pressure monitoring. The intervention resulted in a reduction of blood pressure for participants with hypertension and helps age-related blood pressure increases in adults.

Community health workers for blood pressure control in Nepal

This cluster-randomised study used an intervention group of female community health volunteers to reduce blood pressure. The authors saw no significant changes in lifestyle factors, though use of antihypertensive medicine and exercise increased, while salt intake decreased.

Diabetes training for community health workers on an American Indian reservation

A new quality improvement program to increase the knowledge and skills of community health on an American Indian Reservation related to diabetes was tested. The authors found that the program improved knowledge and management of diabetes.

Ongoing training of community health workers in low-income and middle-income countries: a systematic scoping review of the literature

This literature review examines the training of community health workers in low-income and middle-income counties with special attention to detailing current delivery implementation and evaluation of training provision.

ANDALE Pittsburgh: results of a promotora-led, home-based intervention to promote a healthy weight in Latino preschool children

This study tested a 10 week home-based intervention by promotoras to promote a healthy weight in Latino preschool children. The intervention involved weekly 90 minute sessions to Latin families in Allegheny County, Pennsylvania. At the follow-up, overweight and obese children had a significnat decrease in BMI. Post-intervention showed an increase in fruit and vegetable intake and decrease in screen time for children and parents, an increase in physical activity for parents, and a decrease in saturated fat and added-sugar intake for children (p's<0.05).

The effect of clustering on lot quality assurance sampling: a probabilistic model to calculate sample sizes for quality assessments

This paper uses a newly developed general framework to create a cluster lot quality assurance sampling (C-LQAS) system. This method for creating a C-LQAS system is used to design data quality assessments for a community health worker program in Rwanda.

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