Integrating community health workers into HIV care teams: Impact on HIV care outcomes

2020 ◽  
Vol 19 (3) ◽  
pp. 204-219
Author(s):  
Mari-Lynn Drainoni ◽  
Allyson L. Baughman ◽  
Sara S. Bachman ◽  
Rachel Bowers-Sword ◽  
Melissa Davoust ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Hiv Care ◽  
Care Outcomes

scholarly journals Delivering comprehensive HIV services across the HIV care continuum: a comparative analysis of survival and progress towards 90-90-90 in rural Malawi

2018 ◽  
Vol 3 (1) ◽  
pp. e000552 ◽  
Author(s):  
Emily B Wroe ◽  
Elizabeth L Dunbar ◽  
Noel Kalanga ◽  
Luckson Dullie ◽  
Chiyembekezo Kachimanga ◽  
...  
Keyword(s):  
Community Health ◽  
Social Determinants Of Health ◽  
Community Health Workers ◽  
Health Systems ◽  
Social Determinants ◽  
Health Workers ◽  
Hiv Care ◽  
Hiv Care Continuum ◽  
Care Continuum ◽  
Facility Level

IntroductionPartners In Health and the Malawi Ministry of Health collaborate on comprehensive HIV services in Neno, Malawi, featuring community health workers, interventions addressing social determinants of health and health systems strengthening. We conducted an observational study to describe the HIV care continuum in Neno and to compare facility-level HIV outcomes against health facilities nationally.MethodsWe compared facility-level outcomes in Neno (n=13) with all other districts (n=682) from 2013 to 2015 using mixed-effects linear regression modelling. We selected four outcomes that are practically useful and roughly mapped on to the 90-90-90 targets: facility-based HIV screenings relative to population, new antiretroviral therapy (ART)enrolments relative to population, 1-year survival rates and per cent retained in care at 1 year.ResultsIn 2013, the average number of HIV tests performed, as a per cent of the adult population, was 11.75%, while the average newly enrolled patients was 10.03%. Percent receiving testing increased by 4.23% over 3 years (P<0.001, 95% CI 2.98% to 5.49%), while percent enrolled did not change (P=0.28). These results did not differ between Neno and other districts (P=0.52), despite Neno having a higher proportion of expected patients enrolled. In 2013, the average ART 1-year survival was 80.41% nationally and 91.51% in Neno, which is 11.10% higher (P=0.002, 95% CI 4.13% to 18.07%). One-year survival declined by 1.75% from 2013 to 2015 (P<0.001, 95% CI −2.61% to −0.89%); this was similar in Neno (P=0.83). Facility-level 1-year retention was 85.43% nationally in 2013 (P<0.001, 95% CI 84.2% to 86.62%) and 12.07% higher at 97.50% in Neno (P=0.001, 95% CI 5.08% to19.05%). Retention declined by 2.92% (P<0.001, 95% CI −3.69% to −2.14%) between 2013 and 2015, both nationally and in Neno.ConclusionThe Neno HIV programme demonstrated significantly higher survival and retention rates compared with all other districts in Malawi. Incorporating community health workers, strengthening health systems and addressing social determinants of health within the HIV programme may help Malawi and other countries accelerate progress towards 90-90-90.

scholarly journals The Role of Community Health Workers in HIV Care Engagement

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Brandon A. Knettel ◽  
Kimberly M. Fernandez ◽  
Lisa Wanda ◽  
Ismail Amiri ◽  
Clair Cassiello-Robbins ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Hiv Care ◽  
Hiv Care Engagement

Client Satisfaction with Community Health Workers in HIV Care Teams

2021 ◽  
Author(s):  
Hill L. Wolfe ◽  
Allyson Baughman ◽  
Melissa Davoust ◽  
Linda S. Sprague Martinez ◽  
Serena Rajabiun ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Client Satisfaction ◽  
Health Workers ◽  
Hiv Care

scholarly journals Training Community Health Workers to Scale-Up HIV Care in Rural Lesotho: Implementation Lessons from the Field

2012 ◽  
Vol 02 (03) ◽  
pp. 135-142 ◽  
Author(s):  
Jonas Rigodon ◽  
Keith Joseph ◽  
Salmaan Keshavjee ◽  
Corrado Cancedda ◽  
Mona Haidar ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Scale Up ◽  
Hiv Care ◽  
Training Community

The Role of Technology in Supporting the Education of Community Health Workers and their Leaders

2021 ◽  
pp. 11-24
Author(s):  
Raj Panjabi ◽  
Lesley-Anne Long ◽  
Michael Bailey ◽  
Magnus Conteh
Keyword(s):  
Quality Of Care ◽  
Community Health ◽  
Community Health Workers ◽  
Low Income ◽  
Health Workers ◽  
Poor Quality ◽  
Low Income Countries ◽  
Worker Training ◽  
Care Outcomes

Community health workers (CHWs) often represent the first point of contact for many individuals in low-income countries accessing health services. Unfortunately, due to the low quality of care, outcomes for many people are unpredictable. Although the causes for poor quality of care are multifaceted, one obvious cause is that many CHWs are undertrained. Given the scope of the problem and the lack of resources available to solve it, governments and donor organizations are looking at digital technologies to help address problems such as access to services, health worker training, and decision-making. Access to and understanding of educational content can be improved by combining classroom education with distance learning to create a blended learning approach. Furthermore, by integrating the educational experience offered to CHWs through technology with related support services such as data collection, logistics management and AI-based decision support, governments can compensate for the quality of care gap.

scholarly journals “I Have to Push Him with a Wheelbarrow to the Clinic”: Community Health Workers' Roles, Needs, and Strategies to Improve HIV Care in Rural South Africa

2016 ◽  
Vol 30 (8) ◽  
pp. 385-394 ◽  
Author(s):  
Kelsey B. Loeliger ◽  
Linda M. Niccolai ◽  
Lillian N. Mtungwa ◽  
Anthony Moll ◽  
Sheela V. Shenoi
Keyword(s):  
South Africa ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Hiv Care ◽  
Rural South ◽  
Rural South Africa

scholarly journals Role and outcomes of community health workers in HIV care in sub-Saharan Africa: a systematic review

2013 ◽  
Vol 16 (1) ◽  
pp. 18586 ◽  
Author(s):  
Grace W Mwai ◽  
Gitau Mburu ◽  
Kwasi Torpey ◽  
Peter Frost ◽  
Nathan Ford ◽  
...  
Keyword(s):  
Systematic Review ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Sub Saharan Africa ◽  
Hiv Care ◽  
Sub Saharan

scholarly journals The Impact of Peer Educators or Community Health Workers on the Progress of the UNAIDS 90-90-90 Targets in Africa: A Systematic Review and Meta-Analysis Protocol

2021 ◽  
Vol 18 (8) ◽  
pp. 3917
Author(s):  
Hafte Kahsay Kebede ◽  
Hailay Abrha Gesesew ◽  
Lillian Mwanri ◽  
Paul Ward
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Meta Analysis ◽  
Experimental Studies ◽  
Hiv And Aids ◽  
Hiv Care ◽  
Primary Data ◽  
Peer Educators ◽  
The Impact

Background: Africa is far behind from achieving the Joint United Nations Program on HIV and AIDS (UNAIDS) 90-90-90 targets. Evidence shows that the participation of HIV patients as peer educators and other community health workers is substantially improving the entire HIV care continuum and subsequently the UNAIDS targets. This review aims to provide the best available evidence on the impact of peer educators and/or community health workers for the three targets in Africa. Methods: We will include cohort and experimental studies published in English between 2003 and 2020. Studies which reported interventions for HIV diagnosis, initiation of ART, or virological suppression will be included for review. Three steps searching will be conducted: (i) initial search across Google Scholar, (ii) full search strategy across five databases: MEDLINE, PubMed, CINAHL, SCOPUS and Web of Science, and (iii) screening titles and abstracts. Data will be extracted using standardized instruments from the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) and analyzed through narrative synthesis, and meta-analyses and regression. Heterogeneity among quantitative studies will be assessed using Cochran Q test and Higgins I2. Ethics: A formal ethical approval will not be required as primary data will not be collected.

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