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.
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.
A report written by the Clinton Health Access Initiative in Zambia detailing key gaps in supervision and mentorship in Zambia's Community Health Assistants Program and presenting practical recommendations to address them.
Healthy Start (HS) is a program dedicated to preventing infant mortality, improving birth outcomes, and reducing maternal and infant health disparities. This mixed-methods study researched how CHWs, an essential part of the HS workforce, provide for families and communities and inform the development of a standardized training program.
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.
This article presents findings from a study of treatment of uncomplicated severe acute malnutrition by community health workers in rural Mali. Key findings indicate that well-trained and supervised CHWs are capable of managing cases of uncomplicated SAM, there is an opportunity to increase access to quality treatment in Mali for SAM, and that resources needed to ensure continuous service should be further explored.
This cross-sectional study assessed the current roles, training, and knowledge of CHWs about diabetes and hypertension in Khayelitsha, Cape Town. One hundred and fifty CHWs from two non-governmental organisations required to provide non-communicable disease care as part of a comprehensive package of services were interviewed. Results indicate that roles were broad and varied, training was seen to be unstandardized and haphazard, and basic knowledge about diabetes and hypertension was poor among the CHWs.
This policy brief provides evidence-based recommendations to support community-based CHW services with sufficient resources to address social determinants of health. The goal of these recommendations is to increase the establishment of healthcare policies related to CHW services for communities facing health inequities.
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.