Mobile Phones and the Uses of Learning in a Training Intervention for Kenyan Community Health Workers

2021 ◽  
pp. 101-120
Author(s):  
Jade V. Henry
Keyword(s):  
International Development ◽  
Mobile Phones ◽  
Science And Technology Studies ◽  
Health Workers ◽  
Community Settings ◽  
Urban Settlement ◽  
Worker Training ◽  
Material Conditions ◽  
Training Programmes ◽  
Health Worker Training

Mobile phones help move training programmes out of the classroom and into community settings where CHWs live and work. This chapter examines what happens to ‘learning’ when training becomes ‘mobile’. To explore this, an analysis of a three-year intervention to train 90 Kenyan CHWs is drawn from science and technology studies (STS). It is argued that when a mobile learning application is deployed in an informal urban settlement and an isolated rural village, its movement makes it available for many more uses than is originally envisioned. These varied uses subject the CHWs to multiple definitions of what it means to learn and conflicting visions of how learning leads to social change. The chapter ends with a discussion of how power circulates through global health policies, mobile devices, CHWs, and the material conditions of extreme poverty to generate controversies over what knowledge matters most for health worker training programmes, and for the broader aims of international development.

Keepin Ya Mob Healthy: Aboriginal Community Participation and Aboriginal Health Worker Training in Victoria

2001 ◽  
Vol 7 (1) ◽  
pp. 116 ◽  
Author(s):  
Karen Adams ◽  
Merilyn Spratling
Keyword(s):  
Training Program ◽  
Health Worker ◽  
Aboriginal People ◽  
Health Workers ◽  
Aboriginal Health ◽  
Successful Implementation ◽  
Community Consultation ◽  
Worker Training ◽  
Health Worker Training ◽  
Aboriginal Health Worker

This article outlines the development of accredited Aboriginal Health Worker training in Victoria. The processes of community consultation are presented as the primary reason for the successful implementation of the training program in its first year of delivery. The most important community consultation processes involved the active input of Elders and Aboriginal Health Workers. The training was seen as more credible by other Koorie people because of the input of these groups. The supportive role played by both the State and Commonwealth governments as well as industry groups are also explored. The successful implementation of the Aboriginal Health Worker training program demonstrates that Aboriginal people know what is best for them and can effectively initiate, organise and deliver their own culturally appropriate training programs.

Analysis of Trauma Care Education in the South Sudan Community Health Worker Training Curriculum

2015 ◽  
Vol 30 (2) ◽  
pp. 167-174 ◽  
Author(s):  
Adedamola Ogunniyi ◽  
Melissa Clark ◽  
Ross Donaldson
Keyword(s):  
Health Care ◽  
Community Health ◽  
Trauma Care ◽  
Health Workers ◽  
South Sudan ◽  
Training Curriculum ◽  
Who Guidelines ◽  
Worker Training ◽  
Trauma Education ◽  
Health Worker Training

AbstractIntroductionTrauma is a leading cause of morbidity and mortality worldwide, with the majority occurring in low- and middle-income countries (LMICs). Allied health workers are often on the front lines of caring for trauma patients; this is the case in South Sudan, where a system of community health workers (CHWs) and clinical officers (COs) form an essential part of the health care structure. However, curricula for these workers vary, and it is unclear how much these training programs include trauma education.Hypothesis/MethodsThe CHW training curriculum in South Sudan was reviewed to evaluate the degree to which it incorporates trauma education, according to established guidelines from the World Health Organization (WHO). To the authors’ knowledge, this is the first formal comparison of a CHW curriculum with established WHO trauma guidelines.ResultsThe curriculum incorporated a number of essential components of the WHO guidelines; however, the concepts taught were limited in scope. The curriculum only covered about 50% of the content required for basic providers, with major deficiencies being in the management of head and spinal injuries, safety protocols for health care personnel, and in the management of pediatric patients.Discussion/ConclusionThe CHW training curriculum lacks the requisite content to provide adequately a basic level of trauma care and requires amending to ensure that all South Sudan citizens receive appropriate treatment. It is recommended that other LMICs review their existing training curricula in order to improve their ability to provide adequate trauma care and to ensure they meet the basic WHO guidelines.OgunniyiA, ClarkM, DonaldsonR. Analysis of trauma care education in the South Sudan community health worker training curriculum. Prehosp Disaster Med. 2015; 30(2): 18

scholarly journals Control of Aedes aegypti in a remote Guatemalan community vulnerable to dengue, chikungunya and Zika virus: Prospective evaluation of an integrated intervention of web-based health worker training in vector control, low-cost ecological ovillantas, and community engagement

F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 598
Author(s):  
Gerard Ulibarri ◽  
Angel Betanzos ◽  
Mireya Betanzos ◽  
Juan Jacobo Rojas
Keyword(s):  
Community Engagement ◽  
Vector Control ◽  
Zika Virus ◽  
Health Personnel ◽  
Mosquito Control ◽  
Health Workers ◽  
Low Cost ◽  
Local Health ◽  
Worker Training ◽  
Integrated Intervention

Objective: To study the effectiveness of an integrated intervention of health worker training, a low-cost ecological mosquito ovitrap, and community engagement on Aedes spp. mosquito control over 10 months in 2015 in an urban remote community in Guatemala at risk of dengue, chikungunya and Zika virus transmission. Methods: We implemented a three-component integrated intervention consisting of: web-based training of local health personnel in vector control, cluster-randomized assignment of ecological ovillantas or standard ovitraps to capture Aedes aegypti mosquito eggs, and community engagement to promote participation of community members and health personnel in the understanding and maintenance of ovitraps for mosquito control. The intervention was implemented in local collaboration with the Ministry of Health’s Vector Control Programme, and in international collaboration with the National Institute of Public Health in Mexico. Findings: Eighty percent of the 25 local health personnel enrolled in the training programme received accreditation of their improved knowledge of vector control. Significantly more eggs were trapped by  ecological ovillantas than standard ovitraps over the 10 month (42 week) study period (t=5.2577; p<0.05). Among both community members and health workers, the levels of knowledge, interest, and participation in community mosquito control and trapping increased. Recommendations for enhancing and sustaining community mosquito control were identified. Conclusion: Our three-component integrated intervention proved beneficial to this remote community at risk of mosquito-borne diseases such as dengue, chikungunya, and Zika. The combination of training of health workers, low-cost ecological ovillanta to destroy the second generation of mosquitoes, and community engagement ensured the project met local needs and fostered collaboration and participation of the community, which can help improve sustainability. The ovillanta intervention and methodology may be modified to target other species such as Culex, should it be established that such mosquitoes carry Zika virus in addition to Aedes.

scholarly journals Community Health Worker Training Curricula and Intervention Outcomes in African American and Latinx Communities: A Systematic Review

2020 ◽  
pp. 109019812095932
Author(s):  
Leslie B. Adams ◽  
Jennifer Richmond ◽  
Sable N. Watson ◽  
Crystal W. Cené ◽  
Rachel Urrutia ◽  
...  
Keyword(s):  
Public Health ◽  
African American ◽  
Community Health ◽  
Health Workers ◽  
Health Interventions ◽  
Intervention Effectiveness ◽  
Racially Diverse ◽  
Public Health Interventions ◽  
Worker Training ◽  
Key Stakeholders

In recent years, community health workers (CHWs) have emerged as key stakeholders in implementing community-based public health interventions in racially diverse contexts. Yet little is known about the extent to which CHW training curriculums influence intervention effectiveness in marginalized racial and ethnic minority communities. This review summarizes evidence on the relationship between CHW training curricula and intervention outcomes conducted among African American and Latinx populations. We conducted a literature search of intervention studies that focused on CHW public health interventions in African American and Latinx populations using PubMed, PsycINFO, ERIC, CINAHL, EMBASE, and Web of Science databases. Included studies were quantitative, qualitative, and mixed methods studies employed to conduct outcome (e.g., blood pressure and HbA1c) and process evaluations (e.g., knowledge and self-efficacy) of CHW-led interventions. Out of 3,295 articles from the database search, 36 articles met our inclusion criteria. Overall, the strength of evidence linking specific CHW training curricula components to primary intervention health outcomes was weak, and no studies directly linked outcomes to specific characteristics of CHW training. Studies that described training related to didactic sessions or classified as high intensity reported higher percentages of positive outcomes compared to other CHW training features. These findings suggest that CHW training may positively influence intervention effectiveness but additional research using more robust methodological approaches is needed to clarify these relationships.

The Impact of Community Health Worker Training and Programs in NYC

2006 ◽  
Vol 17 (1S) ◽  
pp. 26-43 ◽  
Author(s):  
Moises Perez ◽  
Sally E. Findley ◽  
Miriam Mejia ◽  
Jacqueline Martinez
Keyword(s):  
Community Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Worker Training ◽  
The Impact ◽  
Health Worker Training

scholarly journals Caregiving and Intervention Uptake, an Exploration of Women's Experiences with Nutrition- specific and Nutrition- sensitive Interventions in Rural Zimbabwe (P10-132-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Dadirai Fundira ◽  
Gretel Pelto ◽  
Mduduzi Mbuya ◽  
Jean Humphrey ◽  
Rebecca Stoltzfus
Keyword(s):  
International Development ◽  
Family Involvement ◽  
Infant Nutrition ◽  
Health Workers ◽  
Mode Of Delivery ◽  
Well Being ◽  
Structured Interview ◽  
Intervention Delivery ◽  
Nutrition Sensitive ◽  
Intervention Uptake

Abstract Objectives To explore women's caregiving experiences, and identify motivators and barriers to the uptake, of interventions aimed at improving health and nutrition behaviors. Methods 40 in-depth interviews were conducted with a purposely selected sample of caregivers of infants (age 12 months to 18 months) using a semi structured interview guide. All participants in the interviews had received one or more interventions in the Sanitation Hygiene Infant Nutrition Efficacy (SHINE) trial, which included nutrition specific and nutrition sensitive messages delivered one on one by Village Health workers (VHWs) in the participant's household. All interviews were audio recorded, transcribed and translated, and then analyzed for themes and sub-themes, using standard text analysis coding procedures. Results Based on mothers’ narratives in response to broad, open-ended questions, the barriers and facilitators of reported appropriate child care practices and intervention uptake can be classified under four major themes: (1) caregiving environment (including sub themes around perceived child health and well-being, family involvement, social support, cultural/social norms, resources and husband involvement), (2) maternal capabilities (with sub themes around caregiver knowledge, self-efficacy and time, (3) intervention messages (with sub themes around perceived ease/complexity of intervention, mode of delivery and duration of intervention lessons), and (4) intervention delivery agent (with sub themes around perceived VHW knowledge, communication skills and reliability). Conclusions Our results show that in rural Zimbabwe caregiving decisions and hence intervention uptake is influenced by multiple factors, but the underlying dynamic can be characterized in terms of the interaction between caregiver actions and child feedback. Funding Sources Supported by the Bill & Melinda Gates Foundation, the UK Department for International Development and Borlaug LEAP.

The Impact of Community Health Worker Training and Programs in NYC

2006 ◽  
Vol 17 (1) ◽  
pp. 26-43 ◽  
Author(s):  
Moises Perez ◽  
Sally E. Findley ◽  
Miriam Mejia ◽  
Jacqueline Martinez
Keyword(s):  
Community Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Worker Training ◽  
The Impact ◽  
Health Worker Training

Standards Development as Hybridization

2013 ◽  
Vol 11 (2) ◽  
pp. 34-45 ◽  
Author(s):  
Xiaobai Shen ◽  
Ian Graham ◽  
James Stewart ◽  
Robin Williams
Keyword(s):  
Intellectual Property ◽  
Mobile Phones ◽  
Science And Technology Studies ◽  
Chinese Government ◽  
Systems Of Innovation ◽  
National Systems Of Innovation ◽  
The World ◽  
Indigenous Innovation ◽  
National Systems ◽  
Additional Option

While users in the rest of the World have been offered 3G mobile phones based on either the CDMA2000 or W-CDMA standards, users in China have the additional option of using phones based on the TD-SCDMA standard. As a technology largely developed by Chinese actors and only implemented in China, TD-SCDMA has been seen as an “indigenous innovation” orchestrated by the Chinese government and supported by Chinese firms. This paper adopts a science and technology studies (STS) framework to explore how global and national institutional and social elements have been embedded in and impacted on the artifacts of TD-SCDMA technology. Rather than being an indigenous Chinese technology, TD-SCDMA’s history exemplifies how standards and the intellectual property embedded in them lead to a complex hybridization between the global and national systems of innovation.

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