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.

Use of most significant change (MSC) technique to evaluate health promotion training of maternal community health workers in Cianjur district, Indonesia

In the Indonesian primary health system, health promotion is often not implemented by CHWs due to a lack of knowledge and skills. This study uses “most significant change” (MSC) method to evaluate the impact of health promotion training of maternal community health workers in Cianjur district, Indonesia.

Potential challenges of implementing the Community Health Extension Worker programme in Uganda

The planned roll out of the Community Health Extension Worker (CHEW) program in Uganda is set to be implemented in 2018. Based on the Ugandan Ministry of Health’s extensive experience with Village Health Teams in the past decade, this commentary addresses potential challenges that will arise in the implementation of the new CHEW program.

Evaluation of Healthy Fit: A Community Health Worker Model to Address Hispanic Health Disparities

Healthy Fit is an intervention that uses CHWs to extend the public health infrastructure to reduce Hispanic health disparities in the US. This study evaluates the effectiveness of Healthy Fit in identifying the health needs of Hispanic Americans living on the US-Mexico border, and in helping participants access health services through CHW recommendations/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.

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.

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.

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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