scholarly journals Post-Ebola Community Health Worker programme performance in Kenema District, Sierra Leone: A long way to go!

F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 794
Author(s):  
Harold Thomas ◽  
Katrina Hann ◽  
Mohamed Vandi ◽  
Joseph Bengalie Sesay ◽  
Koi Sylvester Alpha ◽  
...  
Keyword(s):  
Community Health ◽  
Health Worker ◽  
Sierra Leone ◽  
Community Health Worker ◽  
Financial Incentives ◽  
Recovery Period ◽  
Positive Trend ◽  
District Health ◽  
Cross Sectional ◽  
The Mean

Background: The devastating 2014-2015 Ebola outbreak in Sierra Leone could erode the gains of the health system including the Community Health Worker (CHW) programme. We conducted a study to ascertain if the positive trend in reporting cases of malaria, pneumonia and diarrhoea treated by CHWs in the post-Ebola period has been sustained 18 months post-Ebola. Methods: We conducted a retrospective cross-sectional study using aggregated CHW programme data (2013-2017) from all Primary Health Units in Kenema district. Data was extracted from the District Health Information System and analysed using STATA. Data in the pre- (June 2013-April 2014), during- (June 2014-April 2015) and post-Ebola recovery (June 2016-April 2017) periods was compared and analysed for reporting completeness; Rapid Diagnostic Tests (RDTs) performed and cases of malaria, diarrhoea and pneumonia treated per month. Differences across periods were tested using two-sample t-test with significance set at 0.05. Results: CHW reporting increased from pre-Ebola by 8% (p-value=0.29) intra-Ebola and 19% (p-value=0.012) post-Ebola. Compared to the pre-Ebola period, in the post-Ebola recovery period, there was a significant increase in the mean monthly reported RDTs of 35% (p-value=0.020); malaria treatments 66% (p-value<0.001); and pneumonia treatments increased by 80% (p-value=0.004). Conversely, the mean monthly diarrhoea cases treated decreased by 20% (p-value=0.16) in the post-Ebola period. Conclusion: The resiliency demonstrated by the CHW programme during and immediately after the Ebola outbreak has been sustained in the post-Ebola recovery period. Continued programme investments in supportive supervision and financial incentives for CHWs will be critical to ensure uninterrupted contribution towards Sustainable Development Goal 3.

scholarly journals Post-Ebola Community Health Worker programme performance in Kenema District, Sierra Leone: A long way to go!

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 794
Author(s):  
Harold Thomas ◽  
Katrina Hann ◽  
Mohamed Vandi ◽  
Joseph Bengalie Sesay ◽  
Koi Sylvester Alpha ◽  
...  
Keyword(s):  
Community Health ◽  
Health Worker ◽  
Sierra Leone ◽  
Community Health Worker ◽  
Financial Incentives ◽  
Recovery Period ◽  
Positive Trend ◽  
District Health ◽  
Cross Sectional ◽  
The Mean

Background: The devastating 2014-2015 Ebola outbreak in Sierra Leone could erode the gains of the health system including the Community Health Worker (CHW) programme. We conducted a study to ascertain if the positive trend in reporting cases of malaria, pneumonia and diarrhoea treated by CHWs in the post-Ebola period has been sustained 18 months post-Ebola. Methods: We conducted a retrospective cross-sectional study using aggregated CHW programme data (2013-2017) from all Primary Health Units in Kenema district. Data was extracted from the District Health Information System and analysed using STATA. Data in the pre- (June 2013-April 2014), during- (June 2014-April 2015) and post-Ebola recovery (June 2016-April 2017) periods was compared and analysed for reporting completeness; Rapid Diagnostic Tests (RDTs) performed and cases of malaria, diarrhoea and pneumonia treated per month. Differences across periods were tested using two-sample t-test with significance set at 0.05. Results: CHW reporting increased from pre-Ebola by 8% (p-value=0.29) intra-Ebola and 19% (p-value=0.012) post-Ebola. Compared to the pre-Ebola period, in the post-Ebola recovery period, there was a significant increase in the mean monthly reported RDTs of 35% (p-value=0.020); malaria treatments 66% (p-value<0.001); and pneumonia treatments increased by 80% (p-value=0.004). Conversely, the mean monthly diarrhoea cases treated decreased by 20% (p-value=0.16) in the post-Ebola period. Conclusion: The resiliency demonstrated by the CHW programme during and immediately after the Ebola outbreak has been sustained in the post-Ebola recovery period. Continued programme investments in supportive supervision and financial incentives for CHWs will be critical to ensure uninterrupted contribution towards Sustainable Development Goal 3.

scholarly journals Processes for Implementing Community Health Worker Workforce Development Initiatives

2021 ◽  
Vol 9 ◽  
Author(s):  
Colleen Barbero ◽  
Theresa Mason ◽  
Carl Rush ◽  
Meredith Sugarman ◽  
Aunima R. Bhuiya ◽  
...  
Keyword(s):  
Community Health ◽  
Conceptual Model ◽  
Health Worker ◽  
Workforce Development ◽  
Community Health Worker ◽  
State Level ◽  
Monitoring And Evaluation ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Development Initiatives

Introduction: The objective of this observational, cross-sectional study was to identify, document, and assess the progress made to date in implementing various processes involved in statewide community health worker (CHW) workforce development initiatives.Methods: From September 2017 to December 2020, we developed and applied a conceptual model of processes involved in implementing statewide CHW initiatives. One or more outputs were identified for each model process and assessed across the 50 states, D.C., and Puerto Rico using peer-reviewed and gray literature available as of September 2020.Results: Twelve statewide CHW workforce development processes were identified, and 21 outputs were assessed. We found an average of eight processes implemented per state, with seven states implementing all 12 processes. As of September 2020, 45 states had a multi-stakeholder CHW coalition and 31 states had a statewide CHW organization. In 20 states CHWs were included in Medicaid Managed Care Organizations or Health Plans. We found routine monitoring of statewide CHW employment in six states.Discussion: Stakeholders have advanced statewide CHW workforce development initiatives using the processes reflected in our conceptual model. Our results could help to inform future CHW initiative design, measurement, monitoring, and evaluation efforts, especially at the state level.

scholarly journals Feasibility and acceptability of a video library tool to support community health worker counseling in rural Afghan districts: a cross-sectional assessment

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Leila C. Dal Santo ◽  
Sayed Haroon Rastagar ◽  
Shafiqullah Hemat ◽  
Sayed Omar Alami ◽  
Subarna Pradhan ◽  
...  
Keyword(s):  
Community Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Cross Sectional ◽  
Video Library

scholarly journals Community health worker-led ART delivery improved scheduled antiretroviral drug refill among men who have sex with men in Lagos State, Nigeria

2020 ◽  
Author(s):  
Olujuwon Ibiloye ◽  
Patrick Akande ◽  
Jwanle Plang ◽  
Franklin Emerenini ◽  
Temiwoluwa Omole ◽  
...  
Keyword(s):  
Community Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Retrospective Cohort ◽  
Routinely Collected Data ◽  
Antiretroviral Drug ◽  
Before And After ◽  
The Mean ◽  
Sex With Men ◽  
Art Delivery

Abstract Background Stigma affects access and treatment outcomes in men who have sex with men. We assessed the effect of novel community health worker-led antiretroviral therapy delivery (CLAD). Methods A retrospective cohort study of routinely collected data was conducted. We used the t-test to compare the mean adherence to scheduled drug refill appointments before and after implementing CLAD. Results The mean adherence to drug refill was 1.4 (±0.7 SD) of monthly scheduled refills before CLAD and 4.7 (±1.2 SD) of monthly refills in CLAD (P &lt; 0.001). Conclusion The CLAD model was more effective for drug refill appointments than a regular HIV clinic.

scholarly journals Ebola and community health worker services in Kenema District, Sierra Leone: please mind the gap!

2017 ◽  
Vol 7 (1) ◽  
pp. 55-61 ◽  
Author(s):  
M. A. Vandi ◽  
J. van Griensven ◽  
A. K. Chan ◽  
B. Kargbo ◽  
J. N. Kandeh ◽  
...  
Keyword(s):  
Community Health ◽  
Health Worker ◽  
Sierra Leone ◽  
Community Health Worker

scholarly journals KEBUTUHAN DAN KENDALA KADER KESEHATAN DALAM MEMBANTU KEBERHASILAN IBU MENYUSUI

2020 ◽  
Vol 7 (2) ◽  
pp. 89-97
Author(s):  
Nova Fajri ◽  
Sri Intan Rahayuningsih ◽  
Nevi Hasrati Nizami ◽  
Mira Rizkia
Keyword(s):  
Community Health ◽  
Health Worker ◽  
Community Health Workers ◽  
Community Health Worker ◽  
Health Workers ◽  
Peer Group ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Adequate Knowledge

Kader kesehatan masyarakat adalah pihak dari masyarakat desa yang merupakan lini terdepan dalam membantu masyarakat di desa mengatasi permasalahan kesehatan termasuk membantu keberhasilan ibu menyusui memberikan ASI ekslusif selama enam bulan dan melanjutkan sampai dua tahun, namun belum banyak penelitian yang menggali bagaimana kebutuhan serta kendala yang dihadapi kader dalam membantu keberhasilan ibu menyusui. Tujuan penelitian ini yaitu untuk mengetahui kebutuhan kader kesehatan desa dalam menyukseskan menyusui eksklusif dan menyusui sampai dua tahun serta kendala yang dihadapi. Penelitian ini menggunakan pendekatan cross sectional study dengan metode deskriptif eksploratif terhadap 47 orang kader kesehatan dari 6 desa di kecamatan Darussalam Aceh Besar yang diambil secara acak. Hasil penelitian menunjukkan bahwa 63,8% kader sangat setuju bahwa mereka berperan dalam keberhasilan ibu menyusui. Selain itu, 66% kader membutuhkan kelompok diskusi dengan pertugas kesehatan tentang menyusui secara tatap muka. Dalam melaksanakan perannya, juga terdapat kendala yang dihadapi kader kesehatan dalam membantu ibu menyusui yaitu merasa gagal dalam berkomunikasi dan meyakinkan ibu untuk menyusui bayinya (21,3%), belum memiliki pengetahuan yang memadai ketika ibu menyusui mengeluhkan ASI nya sedikit, puting kecil, dan bayi tidak mau menyusu (17%). Oleh karena itu, dibutuhkan pengetahuan yang mumpuni dari kader serta forum diskusi yang dapat memotivasi kader serta berkonsultasi terhadap permasalahan yang belum diketahuinya untuk membantu keberhasilan ibu menyusui.   Community health workers are village structures that are at the frontline of helping communities overcome health problems including helping successful mothers to breastfeed exclusively for six months and continue for up to two years. However, very little research has discussed the needs and constraints faced by the community health worker in helping breastfeeding mothers succeed. The purpose of this study was to determine the needs of village community health workers in the success of exclusive breastfeeding and breastfeeding for up to two years and the obstacles faced. This study used a cross-sectional study approach with a descriptive exploratory method on 47 community health workers from 6 villages in the Darussalam Aceh Besar sub-district who were taken randomly. The results showed that 63.8% of the community health worker strongly agreed that they played a role in the success of breastfeeding mothers. Besides, 66% of community health workers need a face-to-face discussion group with health workers about breastfeeding. In carrying out their role, there are also obstacles faced by the community health worker in helping breastfeeding mothers, namely feeling that they fail to communicate and convince mothers to breastfeed their babies (21.3%), do not have adequate knowledge when breastfeeding mothers complain about their low milk, small nipples, and babies do not want to breastfeed (17%). Therefore, it requires qualified knowledge from community health workers as well as discussion peer group with the breastfeeding counselor that can motivate them and consult on unknown problems to help the success of breastfeeding mothers.

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