A qualitative study exploring the views of urban community health workers as they adapt Ghana’s rural Community-Based Health Planning and Service program for a rural setting. Identifies opportunities and challenges for the program.
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Community-Based Hearing Screening for Young Children Using an mHealth Service-Delivery Model
Evaluates a hearing screening program implemented by community health workers. Young children were screened for hearing loss using a smartphone app, then referred by CHWs as needed.
Abstract available on Taylor and Francis website. (You may need to purchase the full text article.)
The Role of Community Health Workers in Supporting South Africa’s HIV/AIDS Treatment Programme
A qualitative study of community health workers involved in South Africa’s HIV/AIDS treatment programme. Examines CHWs’ motivations and and stressors, as well as factors impacting the long-term sustainability of the treatment programme.
Abstract available on Taylor and Francis website. (You may need to purchase the full text article.)
Community Outreach Programs and Major Adherence Lapses with Antiretroviral Therapy in Rural Kakamega, Kenya
Analyzes factors leading to lapses in adherence with antiretroviral therapy, as well as the role of community health workers in helping patients resume treatment.
Abstract available on Taylor and Francis website. (You may need to purchase the full text article.)
Community Health Workers Improve Disease Control and Medication Adherence among Patients with Diabetes and/or Hypertension in Chiapas, Mexico: An Observational Stepped-Wedge Study
The authors of this study sought to determine whether a community health worker intervention might improve disease control and adherence among individuals living with diabetes or hypertension. The CHW intervention was associated with a significant increase in disease management and adherence.
Supportive Supervision and Constructive Relationships with Healthcare Workers Support CHW Performance: Use of a Qualitative Framework to Evaluate CHW Programming in Uganda
A qualitative study addressing community health worker performance in Uganda. Focus groups were conducted with both low and high performing teams to assess the impact of supervision, peer support, relationships with other healthcare providers and retention and incentive structures on CHW performance.
CASITA: A Controlled Pilot Study of Community-Based Family Coaching to Stimulate Early Child Development in Lima, Peru
Children aged 6-24 months at risk of neurodevelopmental delay were enrolled with their caregivers in a 12-week parenting support intervention plus nutritional support. This community health worker-led intervention was found to improve the children’s communication, motor, and social skills in the study.
Measuring Productivity and its Relationship to Community Health Worker Performance in Uganda: A Cross-Sectional Study
An article exploring the relationship between community health worker performance and productivity, as determined by direct observation, interviews with community health workers, and analysis of records.
“It is not possible to go inside and have a discussion”: How Fear of Stigma Affects Delivery of Community-Based Support for Children’s HIV Care
This qualitative study examines the impact of stigma on the uptake of support services for children diagnosed with HIV in Zimbabwe. Community health workers adapted their approaches to home visits to accommodate patients’ resistance and fear of stigma.
Motivation and Satisfaction Among Community Health Workers Administering Rapid Diagnostic Tests for Malaria in Western Kenya
A qualitative study drawing on interviews with community health workers trained to administer rapid diagnostic tests for malaria. Assesses job motivation and satisfaction to help inform strategies for CHW retention and determine the feasibility of scaling up the program. While CHWs overall had high satisfaction, they identified lack of community awareness of their role as a barrier.