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.
With shortages of qualified human resources for health in low-income sub-Saharan African countries with high HIV/AIDs prevalence, there has been an increased interest in CHWs. This article examines whether present CHW programs supporting antiretroviral treatment in sub-Saharan Africa are taking into account lessons learned from past experiences and to what extent they are capitalizing on opportunities for improvement.
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.
This article presents findings on an analysis of patterns of authorship of existing literature on CHWs in low-and-middle-income countries for the five-year period, 2012–2016. It highlights the continued predominance of lead authors from high- and middle-income countries, noting the need for improved capacity for knowledge generation in low-income countries in particular.
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.
Why don’t more patient-centered medical homes (PCMHs) employ CHWs despite the evidence that they make a difference? This qualitative study researched facilitators and barriers to integrating CHWs in PCMHs in Minnesota and defines the roles of CHWs on these care teams. The study found four factors that influenced use of CHW models :1) leaders who championed the CHW model, 2) a clinic culture that was open to innovation; 3) clinic prioritization of patients’ nonmedical needs, and 4) leadership perceptions of sustainability.
This article describes the results of a three-year simulation study that examined the comparative costs of a Patient-Centered Medical Home (PCMH) model and Integrated Primary Care and Community Support (I-PaCS) model, which integrates CHWs into primary care settings. The study found that the CHW model furthers cost savings at the facility level-making PCMH and I-PaCS models complementary.
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 qualitative study examines community health worker perceptions and expectations of training in China, which has a goal of malaria elimination by the year 2020. The results showed that the majority of community health workers thought training programmes were necessary yet expressed a lack of availability training courses, and needed proper implementation and frequency until the 2020 elimination goal is achieved.