scholarly journals Diagnostic Accuracy of a Two-Stage Sequential Screening Strategy Implemented by Community Health Workers (CHWs) to Identify Individuals with COPD in Rural India

2021 ◽  
Vol Volume 16 ◽  
pp. 1183-1192
Author(s):  
Prashant Jarhyan ◽  
Anastasia Hutchinson ◽  
Rajesh Khatkar ◽  
Dimple Kondal ◽  
Mari Botti ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Screening Strategy ◽  
Rural India ◽  
Two Stage ◽  
Sequential Screening

A Community-Based Participatory Diabetes Prevention and Management Intervention in Rural India Using Community Health Workers

2012 ◽  
Vol 38 (6) ◽  
pp. 822-834 ◽  
Author(s):  
Padmini Balagopal ◽  
N. Kamalamma ◽  
Thakor G. Patel ◽  
Ranjita Misra ◽  
Ranjita Misra ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Diabetes Prevention ◽  
Health Workers ◽  
Rural India ◽  
Community Based ◽  
Management Intervention

scholarly journals Acceptability and feasibility of digital technology for training community health workers to deliver brief psychological treatment for depression in rural India

2019 ◽  
Vol 45 ◽  
pp. 99-106 ◽  
Author(s):  
Shital S. Muke ◽  
Ritu D. Shrivastava ◽  
Lauren Mitchell ◽  
Azaz Khan ◽  
Vaibhav Murhar ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Digital Technology ◽  
Health Workers ◽  
Psychological Treatment ◽  
Rural India ◽  
Training Community

scholarly journals Community Health Worker Evaluation of Implementing an mHealth Application to Support Maternal Health Care in Rural India

2021 ◽  
Vol 2 ◽  
Author(s):  
Umesh Charanthimath ◽  
Geetanjali Katageri ◽  
Mai-Lei Woo Kinshella ◽  
Ashalata Mallapur ◽  
Shivaprasad Goudar ◽  
...  
Keyword(s):  
Qualitative Analysis ◽  
Community Health ◽  
Community Health Workers ◽  
Self Efficacy ◽  
Health Workers ◽  
Adverse Outcomes ◽  
Ease Of Use ◽  
Rural India ◽  
Mhealth Intervention ◽  
Auxiliary Nurse

Introduction: PIERS on the Move (POM) is a mobile health (mHealth) application developed for a smartphone to support community health workers (CHWs) for identification and management of women at risk of adverse outcomes from pre-eclampsia. POM was implemented as an addition to routine antenatal care by accredited social health activists (ASHAs) and auxiliary nurse midwives (ANMs) during the community level intervention for pre-eclampsia (CLIP) Trial in Karnataka state, India (NCT01911494). The objective of this study was to evaluate the experiences of CHWs of using POM in rural India and their perceptions of acceptability and feasibility of this mHealth intervention.Methods: A posttrial mixed-methods evaluation was designed to measure CHW knowledge and self-efficacy regarding the care of women with pre-eclampsia and perceptions of CHWs on the ease of use and usefulness of POM. A structured survey with open-ended questions was conducted between October and November 2017. The median values on a 5-point Likert scale for knowledge and self-efficacy questions were compared between trial arms by Mann–Whitney U test (p < 0.05 significant). Qualitative analysis was undertaken on NVivo 12 (QSR International, Melbourne, Australia).Results: A total of 48 ASHAs and ANMs were interviewed, including 24 who used POM (intervention arm) and 24 who did not (control arm). Self-reported knowledge and self-efficacy for the care of women with pre-eclampsia did not differ between groups. The qualitative analysis highlighted that health workers who used POM reported improved interactions with women and families in their communities. POM strengthened the role of ASHA as a CHW beyond a “link-worker” accompanying women to health services. With training, the mHealth application was easy to use even for CHWs who did not have much experience with smartphones.Conclusions: Community health workers found the POM app easy to use, useful, and well-received by women and their families. POM did not improve care through increased knowledge but built capacity by increasing the recognition of the ASHA and ANM as critical members of the continuum of antenatal healthcare within their communities. These findings support the important role that mHealth technologies can play in strengthening health systems to reach rural, remote, and marginalized populations to reduce disparities in health.

Assessing costs of developing a digital program for training community health workers to deliver treatment for depression: A case study in rural India

2021 ◽  
pp. 114299
Author(s):  
Udita Joshi ◽  
John A. Naslund ◽  
Aditya Anand ◽  
Deepak Tugnawat ◽  
Ram Vishwakarma ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Rural India ◽  
Training Community

High uptake of an innovative mobile phone application among community health workers in rural India: An implementation study

2019 ◽  
Vol 32 (5) ◽  
pp. 262
Author(s):  
Shrey Desai ◽  
Pankaj Shah ◽  
Neha Madhiwala ◽  
Shobha Shah ◽  
Gayatri Desai ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Rural India ◽  
Implementation Study ◽  
High Uptake ◽  
Mobile Phone Application

scholarly journals Effect of knowledge of community health workers on essential newborn health care: a study from rural India

2011 ◽  
Vol 27 (2) ◽  
pp. 115-126 ◽  
Author(s):  
P. K. Agrawal ◽  
S. Agrawal ◽  
S. Ahmed ◽  
G. L. Darmstadt ◽  
E. K. Williams ◽  
...  
Keyword(s):  
Health Care ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Newborn Health ◽  
Rural India

Expanding immunization coverage in rural India: A review of evidence for the role of community health workers

Vaccine ◽  
2010 ◽  
Vol 28 (3) ◽  
pp. 604-613 ◽  
Author(s):  
Amit R. Patel ◽  
Mary P. Nowalk
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Immunization Coverage ◽  
Rural India

scholarly journals Access to CKD Care in Rural Communities of India: A Qualitative Study Exploring the Barriers and Potential Facilitators

2020 ◽  
Author(s):  
Tazeen Jafar ◽  
Chandrika Ramakrishnan ◽  
Oommen John ◽  
Abha Tewari ◽  
Benjamin Cobb ◽  
...  
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Healthcare Providers ◽  
Rural India ◽  
Care Level ◽  
Primary Care Level ◽  
Educational Initiatives ◽  
Key Stakeholders

Abstract Background Despite the high and rising burden of chronic kidney disease (CKD) in South Asia, factors that influence access to CKD care at the community level have not been studied previously, especially in the rural areas. We conducted a mixed methods study and interviewed key stakeholders to explore the views and experiences of key stakeholders, and identify barriers and potential facilitators that influence access to CKD care at the primary care level in rural India. Methods A total of 21 stakeholders participated in the study. We conducted 15 in-depth interviews on a purposive sample of stakeholders (CKD patients, healthcare providers and health planners) and one focus group discussion with 6 community health workers. The interviews were audio-recorded and transcribed verbatim. We employed the Lévesque’s framework for access to care to base interview guides and structure the initial codes. By inductive and deductive approaches, thematic analysis was undertaken using QSR NVivo version 11. Results The major patient-level barriers to CKD care as reported by the most patients and healthcare providers was poor knowledge and awareness of CKD. Health system-level barriers included shortages of skilled healthcare professionals and medicines, fragmented referrals pathways to the specialists at the hospitals with inadequate follow up care. Many patients and healthcare providers, when asked about areas for improving access to CKD care, reported educational initiatives to increase awareness of CKD among healthcare providers and patients, provision of CKD related supplies, and a systems-level approach to care coordination including task shifting by engaging community health workers in CKD care, as potential facilitators. Conclusions We identified several barriers to access CKD care at the primary care level in rural India that need urgent attention. Targeted CKD screening programs and CKD specific educational initiatives may improve awareness of CKD. Additionally, primary care infrastructure needs to be strengthened for CKD care, ensuring trained staff, availability of essential diagnostics and medications, and creating efficient referral pathways for quality CKD care.

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