Video Spotlight

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

Quality of care for treatment of uncomplicated severe acute malnutrition delivered by community health workers in a rural area of Mali

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. 

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.

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.

Roles and Functions of Community Health Workers in Primary Care

A literature review and synthesis of the roles and functions of community health workers in primary care designed to provide insight on how to better to integrate community health workers in primary care. The article analyses 30 studies, 12 functions and 3 prominent CHW roles and discusses the implications of CHW training and clinical support in primary care. 

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. 

Domestic violence against women, public policies and community health workers in Brazilian Primary Health Care

This study examines how Brazilian primary health care handles domestic violence against women. A gap between policies and practical application were found at local levels and community health workers were found to be critical to opening dialogue between women experiencing violence and the health care system.

Mass drug administration and the sustainable control of schistosomiasis: Community health workers are vital for global elimination efforts

This cross-sectional survey in the Philippines emphasizes the importance of community health workers in reaching the drug coverage rate 0d 75% set by WHO and increasing compliance with mass drug administration in the community. 

Community Health Workers Supporting Clinical Pharmacists in Diabetes Management: A Randomized Controlled Trial

The authors conducted a two-arm 2 year crossover trial to determine the effectiveness of clinical pharmacists and community health workers (CHWs) in increasing glycemic  control among low-income ethnic minority populations. No significant difference was found between the clinical pharmacist and CHW team versus the clinical pharmacist working alone.

Effectiveness of a lifestyle intervention led by female community health volunteers versus usual care in blood pressure reduction (COBIN): an open-label, cluster-randomised trial

This community-based, cluster-randomised controlled trial in Nepal had female community health volunteers provide home counseling and blood pressure monitoring. The intervention resulted in a reduction of blood pressure for participants with hypertension and helps age-related blood pressure increases in adults.

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