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.

Role of Monetary Incentives on Motivation and Retention of Community Health Workers: An Experience in a Kenyan Community

Retaining trained CHWs is a challenge faced by many  countries. This study assesses the role of monetary incentives on motivation and retention of CHWs in Kibwezi Sub-county, Kenya. 

Effect of a Community Health Worker Led Health Education Intervention on Latrine Coverage in Mwingi West Sub-County; Kenya: A Quasi-Experiment

With low latrine coverage in Kenya, there is a high prevalence of hygiene and sanitation related illnesses. This study assesses the effects of a CHW-led intervention, on latrine coverage in Mwingi West Sub-County, Kitui County-Kenya. 

The roles, training and knowledge of community health workers about diabetes and hypertension in Khayelitsha, Cape Town

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.

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. 

Evaluating the Impact of a Community Health Worker in the Heart Smarts Corner Stores

This study examines the effects of community health workers on participation in the Heart Smarts program implemented by the Food Trust. Results show higher participant retention rates and lower blood pressure rates in stores that had community health workers. The authors suggest that having community health workers in other sites would increase the number of repeat visits and help in lowering participant blood pressure. 

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.

Quality Improvement for community health services: Learning Event Report

This report shows the preliminary results of the USAID SQALE Program model for quality improvement at a community level. Community health volunteers have improved reporting, community engagement with the health care system, and efficiency and performance. 

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.

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