scholarly journals Strengthening the Healthy Start Workforce: A Mixed-Methods Study to Understand the Roles of Community Health Workers in Healthy Start and Inform the Development of a Standardized Training Program

2017 ◽  
Vol 21 (S1) ◽  
pp. 65-74 ◽  
Author(s):  
Katherine Rachel DeAngelis ◽  
Katelyn Flaherty Doré ◽  
Deborah Dean ◽  
Paul Osterman
Keyword(s):  
Mixed Methods ◽  
Community Health ◽  
Training Program ◽  
Community Health Workers ◽  
Health Workers ◽  
Healthy Start ◽  
Mixed Methods Study

scholarly journals Distrusting community health workers with confidential health information: a convergent mixed-methods study in Swaziland

2017 ◽  
Vol 32 (6) ◽  
pp. 882-889 ◽  
Author(s):  
Pascal Geldsetzer ◽  
Maria Vaikath ◽  
Jan-Walter De Neve ◽  
Thomas J Bossert ◽  
Sibusiso Sibandze ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Community Health ◽  
Health Information ◽  
Community Health Workers ◽  
Health Workers ◽  
Mixed Methods Study

scholarly journals Evaluating the Association of State Regulation of Community Health Workers on Adoption of Standard Roles, Skills, and Qualities by Employers in Select States: A Mixed Methods Study

2021 ◽  
Author(s):  
Tammie M. Jones ◽  
Alex Schulte ◽  
Suhashini Ramanathan ◽  
Meron Assefa ◽  
Srilatha Rebala ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Community Health ◽  
Health Worker ◽  
Community Health Workers ◽  
Health Workers ◽  
State Regulation ◽  
Mixed Methods Study ◽  
Certification Programs ◽  
Job Ads ◽  
The Relationship

Abstract BackgroundThe occupation of Community Health Worker (CHW) has evolved to support community member navigation of complex health and social systems. The U.S. Bureau of Labor Statistics formally recognized the occupation of Community Health Worker (CHW) in 2009. Since then, various national and state level efforts to professionalize the occupation have been undertaken. The Community Health Workers Core Consensus (C3) project released a set of CHW roles and competency recommendations meant to provide evidence-based standards for CHW roles across work settings. Some states have adopted the recommendations, however, there are a variety of approaches regarding the regulation of the occupation. As of 2020, 19 U.S. states have implemented voluntary statewide CHW certification programs. The purpose of this study was to explore the relationship between state regulation of CHWs and adoption of standard roles, skills, and qualities by employers in select states.MethodsThis mixed methods study used purposive sampling of job ads for CHWs posted by employers from 2017-2020 in select states. Natural language processing was used to extract content from job ads and preprocess the data for statistical analysis. ANOVA, chi-square analysis, and MANOVA was used to test hypotheses related to the relationship between state regulation of CHWs and differences in skills, roles, and qualities employers seek based seniority of state regulatory processes and employer types.ResultsWe observe that the mean job ads with nationally identified roles (F(6, 80549) = 109.43, p = 0.000), skills (F(6, 80549) = 136.13, p = 0.000), and qualities (F(6, 80549) = 257.29, p = 0.000) included varies significantly between individual states, by state type, and by employer type. ConclusionsEmployment of CHWs is increasing as a means to provide culturally competent care, address the social determinants of health, and improve access to health and social services for members of traditionally underserved communities. Employers in states with CHW certification programs were associated with greater adoption of occupational standards set by state and professional organizations. Wide adoption of such standards may improve recognition of the CHW workforce as a valuable resource in addressing the needs of marginalized and difficult to serve groups.

scholarly journals Evaluating the association of state regulation of community health workers on adoption of standard roles, skills, and qualities by employers in select states: a mixed methods study

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Tammie M. Jones ◽  
Alex Schulte ◽  
Suhashini Ramanathan ◽  
Meron Assefa ◽  
Srilatha Rebala ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Community Health ◽  
Health Worker ◽  
Community Health Workers ◽  
Health Workers ◽  
State Regulation ◽  
Mixed Methods Study ◽  
Certification Programs ◽  
Job Ads ◽  
The Relationship

Abstract Background The occupation of community health worker (CHW) has evolved to support community member navigation of complex health and social systems. The U.S. Bureau of Labor Statistics formally recognized the occupation of community health worker (CHW) in 2009. Since then, various national and state efforts to professionalize the occupation have been undertaken. The Community Health Workers Core Consensus (C3) project released a set of CHW roles and competency recommendations meant to provide evidence-based standards for CHW roles across work settings. Some states have adopted the recommendations; however, there are a variety of approaches regarding the regulation of the occupation. As of 2020, 19 U.S. states have implemented voluntary statewide CHW certification programs. The purpose of this study was to explore the relationship between state regulation of CHWs and adoption of standard roles, skills, and qualities by employers in select states. Methods This mixed methods study used purposive sampling of job ads for CHWs posted by employers from 2017 to 2020 in select states. Natural language processing was used to extract content from job ads and preprocess the data for statistical analysis. ANOVA, chi-square analysis, and MANOVA was used to test hypotheses related to the relationship between state regulation of CHWs and differences in skills, roles, and qualities employers seek based on seniority of state regulatory processes and employer types. Results The mean job ads with nationally identified roles, skills, and qualities varies significantly by state policy type (F(2, 4801) = 26.21) and by employer type (F(4, 4799) = 69.08, p = 0.000). Conclusions Employment of CHWs is increasing to provide culturally competent care, address the social determinants of health, and improve access to health and social services for members of traditionally underserved communities. Employers in states with CHW certification programs were associated with greater adoption of occupational standards set by state and professional organizations. Wide adoption of such standards may improve recognition of the CHW workforce as a valuable resource in addressing the needs of high-need and marginalized groups.

scholarly journals Satisfaction of Malaria Patients with Care by Community Health Workers Trained in Microscopy: A Mixed-Methods Study in Palawan, the Philippines

2021 ◽  
Author(s):  
Emilie Louise Akiko Matsumoto-Takahashi ◽  
Pilarita Tongol-Rivera ◽  
Elena Andino Villacorte ◽  
Ray Uyaan Angluben ◽  
Masamine Jimba ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Household Wealth ◽  
Cross Sectional Study ◽  
The Philippines ◽  
Mixed Methods Study ◽  
Sectional Study ◽  
Cross Sectional

Palawan is the malaria-endemic province with the highest prevalence of malaria in the Philippines, and microscopists (community health workers) have been allowed to deliver early diagnosis and prompt treatment of malaria throughout the province since 1999. To improve the quality of care, the present mixed-methods study attempted to identify the factors associated with satisfaction of patients in Palawan with their microscopists by analyzing the patients’ perspectives. First, a quantitative cross-sectional study was conducted among 48 ex-patients and their nine microscopists. Ex-patients were asked about their satisfaction with care, and microscopists were asked about their job satisfaction and ability. Structural equation modeling was conducted for data analysis. Second, a qualitative cross-sectional study was performed using narrative interviews. Data were analyzed using the NVivo 10 software program. As a result, both studies revealed high patient satisfaction with microscopists. The quantitative study showed that ex-patients’ satisfaction with their microscopists was independently enhanced by two factors: high ability in malaria microscopic observation and low household wealth of the patients. Particularly, specific subpopulations (those with lower household wealth, relatively old people, and ethnic minorities) were more satisfied with the microscopists’ care. The qualitative study strengthens this finding by showing that their microscopists offered prompt and precise diagnosis and effective treatment for free. In conclusion, microscopists were shown to have an important role in narrowing the disparities in malaria care in Palawan. It is important to maintain/enhance the ability of microscopists in malaria microscopy to satisfy their patients.

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