CHW National Library

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.

In this study, community health workers collaborated with frequent emergency department users to identify individualized health objectives and offered services to assist patients in accomplishing these goals. The authors identify barriers to objective achievement as well as implications for policy.

An article exploring challenges around research with these community health workers. The authors point out the challenges of identifying, surveying, and supporting community health workers in the context of research, and offer strategies to engage the CHW workforce at the local, state, and national levels.

Technical brief from the Center for Health Care Strategies, Inc. Identifies the steps in developing an intervention to address the social determinants of oral health in a community, and offers a case study of a Parent Promotoras model implemented in New Jersey to improve oral health.

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.

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.

This pilot study assessing a promotora-led intervention to reduce obesity in Latino preschool children. In spite of higher rates of obesity among this population, there are few specifically tailored interventions available. Though limited in scope, the authors suggest that such a model may be effective in reducing BMI, increasing fruit and vegetable consumption, and decreasing screen time.

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.

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.

A qualitative study highlighting the importance of attending to the experiences of community health workers, not only to the outcomes of CHW interventions. CHWs interviewed indicated an increased sense of self-efficacy, willingness to upgrade their knowledge, determine goals, and make decisions in their professional roles as the result of participating in a Home-Based Neonatal Care program.