Video Spotlight

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

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.

What do we know about community-based health worker programs? A systematic review of existing reviews on community health workers

Globally, CHW programs are rapidly expanding; yet questions remain about what makes a successful CHW program. This systematic review synthesizes existing evidence on effective CHW program design and management in health systems.

Can lay health workers support the management of hypertension? Findings of a cluster randomised trial in South Africa

With the urgency of the HIV and TB epidemics in some low and middle-income countries, prevalent chronic diseases such as hypertension are often neglected by health services. This study assesses whether task-shifting from nurses to lay health workers (LHWs) improves the management of hypertension in rural primary healthcare clinics in South Africa.

Diabetes management training for female community health volunteers in Western Nepal: an implementation experience

This study evaluates a community-based diabetes management program involving female community health volunteers (FCHVs) under the government run FCHVs program. 

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.

Podcast: Community Health Workers Aug. 2

Podcast: Susan Keen, director of the Pathways to Better Health Program, discusses how CHWs are able to assist people with their social and health needs, have a direct impact on improving the overall health of a community, and decrease unnecessary hospitalizations and emergency department visits.

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.

Addressing Social Determinants of Health through Community Health Workers: A Call to Action

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. 

Improving data quality in community health programmes: Recommendations from inter-country research

This brief discusses how to improve data quality in community health programmes and references the role of community health volunteers in data collection.

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.

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