Cost-effectiveness of Community Health Workers in controlling diabetes epidemic on the U.S.–Mexico border

Public Health ◽  
2014 ◽  
Vol 128 (7) ◽  
pp. 636-642 ◽  
Author(s):  
I. Ryabov
Keyword(s):  
Cost Effectiveness ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Mexico Border ◽  
The U.S

scholarly journals Perceptions of Community Health Workers (CHWs/PS) in the U.S.-Mexico Border HEART CVD Study

2014 ◽  
Vol 11 (2) ◽  
pp. 1873-1884 ◽  
Author(s):  
Hector Balcazar ◽  
Sherrie Wise ◽  
Alisha Redelfs ◽  
E. Rosenthal ◽  
Hendrik de Heer ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Mexico Border ◽  
The U.S

scholarly journals Effectiveness of service models and organisational structures supporting tuberculosis identification and management in hard-to-reach populations in countries of low and medium tuberculosis incidence: a systematic review

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e019642 ◽  
Author(s):  
Charlotte C Heuvelings ◽  
Patrick F Greve ◽  
Sophia G de Vries ◽  
Benjamin Jelle Visser ◽  
Sabine Bélard ◽  
...  
Keyword(s):  
Systematic Review ◽  
European Union ◽  
Cost Effectiveness ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Cost Effective ◽  
Service Models ◽  
Hard To Reach Populations ◽  
Organisational Structures

ObjectiveTo determine which service models and organisational structures are effective and cost-effective for delivering tuberculosis (TB) services to hard-to-reach populations.DesignEmbase and MEDLINE (1990–2017) were searched in order to update and extend the 2011 systematic review commissioned by National Institute for Health and Care Excellence (NICE), discussing interventions targeting service models and organisational structures for the identification and management of TB in hard-to-reach populations. The NICE and Cochrane Collaboration standards were followed.SettingEuropean Union, European Economic Area, European Union candidate countries and Organisation for Economic Co-operation and Development countries.ParticipantsHard-to-reach populations, including migrants, homeless people, drug users, prisoners, sex workers, people living with HIV and children within vulnerable and hard-to-reach populations.Primary and secondary outcome measuresEffectiveness and cost-effectiveness of the interventions.ResultsFrom the 19 720 citations found, five new studies were identified, in addition to the six discussed in the NICE review. Community health workers from the same migrant community, street teams and peers improved TB screening uptake by providing health education, promoting TB screening and organising contact tracing. Mobile TB clinics, specialised TB clinics and improved cooperation between healthcare services can be effective at identifying and treating active TB cases and are likely to be cost-effective. No difference in treatment outcome was detected when directly observed therapy was delivered at a health clinic or at a convenient location in the community.ConclusionsAlthough evidence is limited due to the lack of high-quality studies, interventions using peers and community health workers, mobile TB services, specialised TB clinics and improved cooperation between health services can be effective to control TB in hard-to-reach populations. Future studies should evaluate the (cost-)effectiveness of interventions on TB identification and management in hard-to-reach populations and countries should be urged to publish the outcomes of their TB control systems.PROSPERO registration numberCRD42015017865.

scholarly journals Cost-effectiveness of the community-based management of severe acute malnutrition by community health workers in southern Bangladesh

2012 ◽  
Vol 28 (4) ◽  
pp. 386-399 ◽  
Author(s):  
Chloe Puett ◽  
Kate Sadler ◽  
Harold Alderman ◽  
Jennifer Coates ◽  
John L. Fiedler ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Severe Acute Malnutrition ◽  
Acute Malnutrition ◽  
Community Based

scholarly journals A Cost-Effectiveness Analysis of Community Health Workers in Mozambique

2015 ◽  
Vol 6 (4) ◽  
pp. 227-232 ◽  
Author(s):  
Diana Bowser ◽  
Adeyemi Okunogbe ◽  
Elizabeth Oliveras ◽  
Laura Subramanian ◽  
Tyler Morrill
Keyword(s):  
Cost Effectiveness ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Cost Effectiveness Analysis ◽  
Effectiveness Analysis

scholarly journals The role of community health workers in addressing the global burden of ear disease and hearing loss: a systematic scoping review of the literature

2019 ◽  
Vol 4 (2) ◽  
pp. e001141 ◽  
Author(s):  
James O'Donovan ◽  
Misha Verkerk ◽  
Niall Winters ◽  
Shelly Chadha ◽  
Mahmood F Bhutta
Keyword(s):  
Hearing Loss ◽  
Cost Effectiveness ◽  
Community Health ◽  
Community Health Workers ◽  
Scoping Review ◽  
Hearing Aids ◽  
Low Income ◽  
Health Workers ◽  
Global Burden

IntroductionCommunity health workers (CHWs) have the potential to improve access to ear and hearing services for people across low-income or middle-income countries, remote, underserved, or resource-poor areas of the world. We performed a systematic scoping review to identify evidence on how CHWs are currently deployed in the prevention, screening, diagnosis, treatment and management of ear disease and hearing loss; methods to train and support CHWs in this context; and cost-effectiveness of CHWs.MethodsWe performed a systematic search of the literature from September 1978 to 18 March 2018 from 11 major databases and the grey literature.ResultsWe identified 38 original studies that met the inclusion criteria, taking place across South Asia (n=13), Oceania (n=7), North America (n=7), South America (n=6) and Africa (n=5). 23 studies showed CHWs can increase community participation in screening. They can conduct screening using whispered voice tests, noisemakers for neonatal screening, automated audiological tests and otoscopy. Eight studies focused specifically on the evaluation of programmes to train CHWs, and three provided a general programme description. Three studies documented a role of CHWs in the treatment of ear disease or hearing loss, such as performing ear washouts, instillation of topical antibiotics or fitting of hearing aids. Only one study provided an indepth cost-utility analysis regarding the use of CHWs to conduct hearing screening, and no studies commented on the role of CHWs in the prevention of hearing loss.ConclusionCHWs have been employed in diverse ways to address the global burden of ear disease and hearing loss. Future research needs to explore the role of CHWs in preventative strategies, identify optimum methods to train and support CHWs, and explore their cost-effectiveness.

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