scholarly journals The integral role of the Community Health Worker in reconnecting HIV, TB, and Leprosy patients with care and treatment in a health system ravaged by and abandoned in the time of Ebola: An example from Liberia

2016 ◽  
Vol 82 (3) ◽  
pp. 486
Author(s):  
H. Napier ◽  
L.M. Jabateh ◽  
O. Kumeh ◽  
E. Ballah ◽  
L. ZayZay ◽  
...  
Keyword(s):  
Health System ◽  
Community Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Integral Role ◽  
Leprosy Patients ◽  
Care And Treatment

The Role of Evaluation in Developing and Sustaining Community Health Worker Coalitions

2015 ◽  
Vol 38 (4) ◽  
pp. 284-296 ◽  
Author(s):  
Edith C. Kieffer ◽  
Nicholas Yankey ◽  
Katherine Mitchell ◽  
Caitlin G. Allen ◽  
Mary R. Janevic ◽  
...  
Keyword(s):  
Community Health ◽  
Health Worker ◽  
Community Health Worker

scholarly journals Defining the Role of the Community Health Worker within a Federal Healthy Start Care Coordination Team

2017 ◽  
Vol 21 (S1) ◽  
pp. 93-100 ◽  
Author(s):  
Jennifer E. Raffo ◽  
Celeste Lloyd ◽  
Monica Collier ◽  
LaDynah Slater ◽  
Belinda Cunningham ◽  
...  
Keyword(s):  
Community Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Care Coordination ◽  
Healthy Start ◽  
Coordination Team

Factors Impacting Sustainability of Community Health Worker Programming in rural Uganda: A Qualitative Study

2020 ◽  
Author(s):  
Scholastic Ashaba ◽  
Manasseh Tumuhimbise ◽  
Esther Beebwa ◽  
Francis Oriokot ◽  
Jennifer L Brenner ◽  
...  
Keyword(s):  
Health Promotion ◽  
Health System ◽  
Community Health ◽  
Health Worker ◽  
Child Mortality ◽  
Community Health Worker ◽  
Sub Saharan Africa ◽  
Team Approach ◽  
Sub Saharan ◽  
And Training

Abstract Background Despite significant global progress towards decreased child mortality over the past decades, over 5 million children died before reaching their fifth birthday in 2018. Additionally, the number of women dying during pregnancy and childbirth was 295, 000 in 2017. Majority of these deaths occurred in sub Saharan Africa yet these deaths are preventable with known interventions. A huge global investment has been made in initiating community health work (CHW) programs which play a critical role in health promotion with increasing scale up in sub Saharan Africa. The government of Uganda continues to identify maternal, newborn and child health (MNCH) programming as a priority and national policies continue to encourage community-based approaches for health promotion through the Village Health Team approach to reduce maternal and child mortality. However, sustaining of CHWs programs remains a challenge and less is known about if and how these CHW networks can be maintained. Methods A sustainability-focused qualitative evaluation was conducted five years following a district-wide comprehensive MNCH intervention that involved selection and training of a large CHW network (n =2626) in 2 rural districts in southwest Uganda. Focus Group discussions (FGDs) and in-depth interviews (IDIs) were conducted to gain insights into the factors affecting CHW program sustainability. Interviews were digitally recorded then translated and transcribed directly into English. Data was managed using NVivo software (version 12, QSR International, Burlington Mass.). Thematic content analysis was done to identify themes relevant to sustainability. Results Enablers and barriers to CHW sustainability identified by study participants included health system effectiveness (availability of supplies, medicines and services and availability of facility health providers), community health worker program factors (CHW selection and training, CHW recognition and incentives, CHW supervision and CHW refresher trainings), community attitudes and beliefs, and stakeholder engagement (alignment with district priorities and programs and local government involvement). Conclusion Effectiveness of health systems and human resources were major factors in sustainability for this community health intervention. Sustainability could be strengthened through increased community member involvement during implementation and improved support for general health system effective functioning.

scholarly journals O papel do agente comunitário de saúde no fortalecimento da educação popular em saúde The role of the community health worker to strengthen popular education in health

2017 ◽  
Vol 9 (2) ◽  
pp. 371
Author(s):  
Helena Maria Scherlowski Leal David
Keyword(s):  
Community Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Rio De Janeiro ◽  
Popular Education

Objetivo: Refletir e discutir o papel do Agente Comunitário de Saúde (ACS) como educador popular. Métodos: pesquisa qualitativa, centrada na concepção da pesquisa-ação, utilizando procedimentos de grupo-focal, oficinas e análise de conteúdo. Os sujeitos desse estudo foram 14 ACS de duas Áreas Programáticas do Município do Rio de Janeiro, em grupo focal realizado em novembro de 2010. Resultados: A análise evidenciou que o ACS desenvolve práticas com base em pressupostos da Educação Popular em Saúde, permeadas de modo ambíguo por uma concepção normativa e bancária de educação,  como forma de reconhecimento e valorização dentro da equipe. Conclusão: O ACS possui um potencial educativo capaz de contribuir para a efetivação das ações da Atenção Básica. Para isso, deve buscar sua qualificação profissional e fortalecimento coletivo, e refletir criticamente sobre as contradições do seu trabalho.

scholarly journals Governance of community health worker programs in a decentralized health system: a qualitative study in the Philippines

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Warren Dodd ◽  
Amy Kipp ◽  
Bethany Nicholson ◽  
Lincoln Leehang Lau ◽  
Matthew Little ◽  
...  
Keyword(s):  
Health System ◽  
Community Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Local Governments ◽  
Local Politics ◽  
The Philippines ◽  
Health Needs ◽  
Health Priorities ◽  
Local Health

Abstract Background Community health worker (CHW) programs are an important resource in the implementation of universal health coverage (UHC) in many low- and middle-income countries (LMICs). However, in countries with decentralized health systems like the Philippines, the quality and effectiveness of CHW programs may differ across settings due to variations in resource allocation and local politics. In the context of health system decentralization and the push toward UHC in the Philippines, the objective of this study was to explore how the experiences of CHWs across different settings were shaped by the governance and administration of CHW programs. Methods We conducted 85 semi-structured interviews with CHWs (n = 74) and CHW administrators (n = 11) in six cities across two provinces (Negros Occidental and Negros Oriental) in the Philippines. Thematic analysis was used to analyze the qualitative data with specific attention to how the experiences of participants differed within and across geographic settings. Results Health system decentralization contributed to a number of variations across settings including differences in the quality of human resources and the amount of financial resources allocated to CHW programs. In addition, the quality and provider of CHW training differed across settings, with implications for the capacity of CHWs to address specific health needs in their community. Local politics influenced the governance of CHW programs, with CHWs often feeling pressure to align themselves politically with local leaders in order to maintain their employment. Conclusions The functioning of CHW programs can be challenged by health system decentralization through the uneven operationalization of national health priorities at the local level. Building capacity within local governments to adequately resource CHWs and CHW programs will enhance the potential of these programs to act as a bridge between the local health needs of communities and the public health system.

scholarly journals Nonclinical Sexual Health Support for HIV, Viral Hepatitis, and Other Sexually Transmitted Infections in Gay, Bisexual, and Other Men Who Have Sex With Men: Protocol for a European Community Health Worker Online Survey (ECHOES)

10.2196/15012 ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. e15012
Author(s):  
Nigel Sherriff ◽  
Jorg Huber ◽  
Nick McGlynn ◽  
Carrie Llewellyn ◽  
Alex Pollard ◽  
...  
Keyword(s):  
Health Services ◽  
Sexual Health ◽  
Community Health ◽  
Sexually Transmitted Infections ◽  
Health Worker ◽  
Community Health Worker ◽  
Online Survey ◽  
Sexually Transmitted ◽  
Sex With Men

Background The term “community health worker” (CHW) can apply to a wide range of individuals providing health services and support for diverse populations. Very little is known about the role of CHWs in Europe working in nonclinical settings who promote sexual health and prevent HIV and other sexually transmitted infections (STIs) among gay, bisexual, and other men who have sex with men (MSM). Objective This paper describes the development and piloting of the first European Community Health Worker Online Survey (ECHOES) as part of the broader European Union-funded ESTICOM (European Surveys and Trainings to Improve MSM Community Health) project. The questionnaire aimed to assess the knowledge, attitudes, and practices of CHWs providing sexual health services to gay, bisexual, and other MSM in European settings. Methods ECHOES comprises three superordinate domains divided into 10 subsections with 175 items (routed) based on a scoping exercise and literature review, online prepiloting, and Europe-wide consultation. Additional piloting and cognitive debriefing interviews with stakeholders were conducted to identify comprehension issues and improve the clarity, intelligibility, accessibility, and acceptability of the survey. Psychometric properties, including internal consistency of the standardized scales used as part of the survey were examined. The final survey was available to 33 countries in 16 languages. Results Recruitment closed on January 31, 2018. Data from 1035 CHWs were available for analysis after application of the exclusion criteria. The findings of the ECHOES survey and the wider ESTICOM project, are now available from the ESTICOM website and/or by contacting the first author. Conclusions The findings of this survey will help characterize, for the first time, the diverse role of CHWs who provide sexual health services to gay, bisexual, and other MSM in Europe. Importantly, the data will be used to inform the content and design of a dedicated training program for CHWs as part of the larger ESTICOM project and provide recommendations for MSM-specific strategies to improve sexual health in general and to reduce the incidence and prevalence of HIV, viral hepatitis, and other STIs in particular. International Registered Report Identifier (IRRID) RR1-10.2196/15012

Critical Reflections on the Role of CBPR Within an RCT Community Health Worker Prevention Intervention

2014 ◽  
Vol 37 (3) ◽  
pp. 241-249 ◽  
Author(s):  
E. Lee Rosenthal ◽  
Hector G. Balcazar ◽  
Hendrik D. De Heer ◽  
Sherrie Wise ◽  
Leticia Flores ◽  
...  
Keyword(s):  
Community Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Prevention Intervention ◽  
Critical Reflections
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