scholarly journals Community-Based Interventions for Stroke Provided by Nurses and Community Health Workers: A Review of the Literature

2020 ◽  
Vol 52 (4) ◽  
pp. 152-159 ◽  
Author(s):  
Gayenell S. Magwood ◽  
Michelle Nichols ◽  
Carolyn Jenkins ◽  
Ayaba Logan ◽  
Suparna Qanungo ◽  
...  
2020 ◽  
Author(s):  
Laetitia Duval ◽  
Elisa Sicuri ◽  
Susana Scott ◽  
Maminata Traoré ◽  
Halidou Tinto ◽  
...  

Abstract Background To date, there have been few studies on the roles and challenges that community health workers (CHWs) face when encouraging pregnant women to attend health facilities and provide community-based interventions including scheduled screening and treatment (CSST) for malaria. This study investigates the characteristics, daily activities and time commitments of CHWs tasked with delivering CSST as part of a cluster-randomized controlled trial in Benin, Burkina Faso and Gambia. Methods 45 CHWs were interviewed and observed in three rural settings in West Africa, both during and outside the malaria transmission seasons. Results CHWs in all three settings were predominantly male, over 30 years old and relied on farming for income. Most had completed secondary school in Benin (77%) but not in Burkina Faso (33%) or The Gambia (27%). In Benin, most had been in post between 5 to 10 years; in Burkina Faso and The Gambia the majority had been CHWs for over 10 years. CHWs in Burkina Faso received the highest monthly financial reward for taking part in the trial (US$40), next was Benin (US$22.60) and finally Gambian CHWs received US$11. While the CHWs welcomed the increased training, knowledge and skills they acquired on screening and treating malaria in pregnancy afforded by the trial, they also expressed concern about the transportation challenges of successful community-based interventions in remote areas. CHW duties were a bigger time commitment in Burkina Faso than Benin. The time committed to CHW activities (trial and non-trial) was longer during than outside the malaria transmission season. Conclusions This study highlights the importance of taking into account the variety of existing CHW responsibilities when designing and implementing evidence-based policy to address malaria in pregnancy. The findings emphasise the need to consider both financial and non-financial factors likely to impact the scale-up and sustainability of interventions beyond trial conditions.


2012 ◽  
Vol 38 (6) ◽  
pp. 822-834 ◽  
Author(s):  
Padmini Balagopal ◽  
N. Kamalamma ◽  
Thakor G. Patel ◽  
Ranjita Misra ◽  
Ranjita Misra ◽  
...  

BMJ Open ◽  
2018 ◽  
Vol 8 (4) ◽  
pp. e021467 ◽  
Author(s):  
James O’Donovan ◽  
Charles O’Donovan ◽  
Isla Kuhn ◽  
Sonia Ehrlich Sachs ◽  
Niall Winters

1986 ◽  
Vol 6 (4) ◽  
pp. 309-322 ◽  
Author(s):  
Michele G. Shedlin ◽  
Joe D. Wray ◽  
Sergio Correu

The supervision of CHWs in the Mexican Rural Health Program (1977–82) illustrates a wide range of problems and strengths because it was developed within a program based on a strong political mandate to deliver services to an extremely large, as well as culturally and geographically diverse population. This article presents an in-depth perspective on the issues involved in the supervision of community health workers with a focus on the myriad roles and responsibilities which are expected from supervisory personnel. The information and observations which are offered come from program evaluation materials as well as the long-term, first hand experience of the authors with the program discussed.


2012 ◽  
Vol 28 (4) ◽  
pp. 386-399 ◽  
Author(s):  
Chloe Puett ◽  
Kate Sadler ◽  
Harold Alderman ◽  
Jennifer Coates ◽  
John L. Fiedler ◽  
...  

2001 ◽  
Vol 28 (2) ◽  
pp. 150-165 ◽  
Author(s):  
Jesus Ramirez-Valles

Despite health educators’ revitalized interest in community mobilization for health, little attention has been given to participants’ motives for mobilizing. The purpose of this article is to contribute to the understanding of community mobilizing by analyzing the motives for mobilization among a group of women community health workers (CHWs), members of a community-based organization in Mexico. The study is guided by critical feminist and social constructivist theories. It aims at identifying the categories of motives used by women CHWs and exploring how these motives are created while presenting women’s own voices. Women’s motives fall into four categories: getting out, serving, learning, and women’s betterment. These motives blend personal and public motives. The analysis suggests that mobilization for health may be enhanced by addressing both the personal satisfaction of individuals and the accomplishment of public goods. The study of motives may be useful for the recruitment and retention of participants in community mobilization efforts.


2012 ◽  
Vol 102 (8) ◽  
pp. 1443-1446 ◽  
Author(s):  
Patricia J. Peretz ◽  
Luz Adriana Matiz ◽  
Sally Findley ◽  
Maria Lizardo ◽  
David Evans ◽  
...  

Author(s):  
Guma Isaac ◽  
Emuron John Robert ◽  
Namugambe Swabrah ◽  
Nabirye Gloria ◽  
Philip Denis Okungura ◽  
...  

Background: Given the global urgency to improve tuberculosis (TB) case detection, a renewed interest in active case finding (ACF) has risen. Missed TB cases pose a serious threat as they continue to fuel TB transmission in the community. We aimed to assess the feasibility of community based ACF for TB among people living in a pastoralist community in Uganda and determine its impact on case detection and treatment uptake. Methods: Between April and May 2019, four third year medical and nursing students placed at Moroto Regional Referral for community orientation worked together with community health workers to conduct a door-to-door survey for TB in pastoralist communities of Nadunget Sub County, Moroto district. The community health workers and the Medical/Nursing students performed symptom screening, collected sputum and facilitated specimen transport to the laboratory. Gene Xpert MTB/RIF assay was performed at the regional referral Hospital for all sputum samples. The community health workers were tasked to follow up on all those clients whose samples turned out to be positive so that they could start treatment as soon as possible. All presumptive cases with negative sputum results were referred to the TB clinic for further evaluation. Results: In one month, we screened 385 individuals and identified 143 aged above 15 years with symptoms suggestive of TB. Among the presumptive cases, 132 (92%) reported a cough of more than two weeks and we were able to obtain sputum samples from 84(58.7%) participants. We diagnosed 11, including 8 bacteriologically confirmed TB cases using Gene Xpert and there was no multidrug resistant case identified. The median time from sputum collection to notification of the positive result was 3 days. All the positive cases were followed up and initiated on treatment. Conclusion: The findings from our study suggest that in a pastoralist community, ACF for TB using a sensitive symptom screen followed by Gene Xpert contributed to improved case detection of TB, shortening the turnaround time hence timely initiation of patients on TB treatment.


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