scholarly journals Risk Behavior for Falls in the Elderly: Experiences of Community Health Workers

Aquichan ◽  
2020 ◽  
Vol 20 (2) ◽  
pp. 1-11
Author(s):  
Renata Francielle Melo dos Reis Fonseca ◽  
Silvia Matumoto ◽  
Joab Jefferson da Silva Xavier ◽  
Jossiane Wilke Faller
Keyword(s):  
Community Health ◽  
Risk Behaviors ◽  
Community Health Workers ◽  
Low Income ◽  
Health Workers ◽  
Elderly Person ◽  
The Elderly ◽  
Extrinsic Factors ◽  
Related Factors ◽  
Study Results

Objective: To identify the risk behaviors of the elderly at home, described by community health workers, and related factors. Materials and methods: Qualitative research, in the dialectical perspective, carried out through a focus group with community health workers from a family health strategy unit in a municipality of the State of São Paulo, Brazil. Thematic content analysis was used for the study. Results: The revealed risk behaviors are related to extrinsic factors (architecture, furniture, and equipment), socioeconomic factors (low income, level of education, deficit of social and a family support), and psychological factors (feeling of vulnerability, dependence and not self-acknowledging in a dangerous condition). Conclusions: Falls are the result of a complex interaction between the factors and, the behaviors studied so that adequate identification of these can subsidize individual and collective intervention actions, as well as care management and planning processes aimed at the health of the elderly person.

scholarly journals Impact of Different Levels of Supervision on the Recovery of Severely Malnourished Children Treated by Community Health Workers in Mali

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 367
Author(s):  
Pilar Charle-Cuéllar ◽  
Noemí López-Ejeda ◽  
Mamadou Traore ◽  
Adama Balla Coulibaly ◽  
Aly Landouré ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Low Income ◽  
Community Intervention ◽  
Health Workers ◽  
Acute Malnutrition ◽  
Control Group ◽  
Supportive Supervision ◽  
Supervision Group ◽  
Different Levels

(1) Background: The Ministry of Health in Mali included the treatment of severe acute malnutrition (SAM) into the package of activities of the integrated community case management (iCCM). This paper evaluates the most effective model of supervision for treating SAM using community health workers (CHWs). Methods (2): This study was a prospective non-randomized community intervention trial with two intervention groups and one control group with different levels of supervision. It was conducted in three districts in rural areas of the Kayes Region. In the high supervision group, CHWs received supportive supervision for the iCCM package and nutrition-specific supervision. In the light supervision group, CHWs received supportive supervision based on the iCCM package. The control group had no specific supervision. (3) Results: A total of 6112 children aged 6–59 months with SAM without medical complications were included in the study. The proportion of cured children was 81.4% in those treated by CHWs in the high supervision group, 86.2% in the light supervision group, and 66.9% in the control group. Children treated by the CHWs who received some supervision had better outcomes than those treated by unsupervised CHWs (p < 0.001). There was no difference between areas with light and high supervision, although those with high supervision performed better in most of the tasks analyzed. (4) Conclusions: Public policies in low-income countries should be adapted, and their model of supervision of CHWs for SAM treatment in the community should be evaluated.

scholarly journals Ongoing training of community health workers in low-income andmiddle-income countries: a systematic scoping review of the literature

BMJ Open ◽  
2018 ◽  
Vol 8 (4) ◽  
pp. e021467 ◽  
Author(s):  
James O’Donovan ◽  
Charles O’Donovan ◽  
Isla Kuhn ◽  
Sonia Ehrlich Sachs ◽  
Niall Winters
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Scoping Review ◽  
Low Income ◽  
Health Workers ◽  
Review Of The Literature ◽  
Ongoing Training

scholarly journals Strategies Used By Community Health Workers to Influence Adoption of Maternal Nutrition Behaviors in Rural Bangladesh: A Focused Ethnographic Study

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1359-1359
Author(s):  
Gargi Wable Grandner ◽  
Katherine Dickin ◽  
Purnima Menon ◽  
Tiffany Yeh ◽  
John Hoddinott
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Low Income ◽  
Maternal Nutrition ◽  
Health Workers ◽  
Ethnographic Study ◽  
Low Income Countries ◽  
Cultural Congruence ◽  
Healthy Tree ◽  
Diet Diversity

Abstract Objectives Efforts to integrate nutrition into antenatal health promotion in low income countries have led to increased involvement of community health workers (CHWs) in counseling on maternal nutrition. Little is known about how CHWs “package” messages in resource-poor communities to increase adoption of recommended maternal nutrition behaviors. We developed focused ethnographic techniques to explore this. Methods We interviewed 35 randomly selected CHWs providing monthly counseling to pregnant women and their families in 7 ‘Alive & Thrive’ intervention sites in Bangladesh. Two sorting exercises explored CHW strategies for promoting and perceptions of adoption of messages on micronutrient supplements, maternal dietary adequacy, and rest during pregnancy. In-depth probing on messages identified as “difficult” to deliver or adopt revealed how CHWs addressed barriers. Analysis of quantitative sorting data complemented thematic coding of qualitative textual data using grounded theory. Results CHW communication strategies involved 3 themes: feasibility (attitudes, norms, agency, poverty), audience (influence, motivators, support), and linguistic choice (emotional appeals, metaphors, logic, sellable but inaccurate arguments). CHWs viewed micronutrient messages as least difficult to adopt, requiring minimal “packaging”. Dietary messages were moderately difficult to adopt, prompting CHWs to leverage cultural congruence to target family members with different strategies. For example, messaging on diet diversity targeted husbands—the primary food-buyers—with logical arguments highlighting costs of inaction. When mothers-in-law held beliefs restricting gestational food intake, CHWs used metaphors (‘healthy tree, healthy fruit’) or faith-based appeals. Some CHWs used inaccurate messages (‘mother rests, baby rests’) to promote rest during pregnancy because it was seen as the least feasible behavior to adopt. Conclusions Where behavior change is viewed as feasible, CHWs use culturally resonant strategies to enhance adoption of maternal nutrition behaviors. Cultural congruence, or shared beliefs, language and cultural identity, is key to CHW effectiveness, but unhelpful for contextually infeasible behaviors. BCC programs co-designed with CHWs could improve messaging and effectiveness. Funding Sources Cornell AWARE Travel Grant.

Assessing community health workers’ conditions for delivering care to patients in low-income communities

2020 ◽  
Vol 82 ◽  
pp. 102944 ◽  
Author(s):  
Alessandro Jatobá ◽  
Hugo Cesar Bellas ◽  
Bárbara Bulhões ◽  
Isabella Koster ◽  
Rodrigo Arcuri ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Low Income ◽  
Health Workers

scholarly journals Screening and Referral for Postpartum Depression among Low-Income Women: A Qualitative Perspective from Community Health Workers

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Rhonda C. Boyd ◽  
Marjie Mogul ◽  
Deena Newman ◽  
James C. Coyne
Keyword(s):  
Mental Health ◽  
Postpartum Depression ◽  
Focus Groups ◽  
Community Health ◽  
Community Health Workers ◽  
Low Income ◽  
Health Workers ◽  
Academic Community ◽  
Barriers And Facilitators ◽  
Postpartum Women

Postpartum depression is a serious and common psychiatric illness. Mothers living in poverty are more likely to be depressed and have greater barriers to accessing treatment than the general population. Mental health utilization is particularly limited for women with postpartum depression and low-income, minority women. As part of an academic-community partnership, focus groups were utilized to examine staff practices, barriers, and facilitators in mental health referrals for women with depression within a community nonprofit agency serving low-income pregnant and postpartum women. The focus groups were analyzed through content analyses and NVIVO-8. Three focus groups with 16 community health workers were conducted. Six themes were identified: (1) screening and referral, (2) facilitators to referral, (3) barriers to referral, (4) culture and language, (5) life events, and (6) support. The study identified several barriers and facilitators for referring postpartum women with depression to mental health services.

scholarly journals Conhecimentos-procedimentos de agentes comunitários de saúde sobre doenças sexualmente transmissíveis: pistas para educação permanente na Amazônia

2012 ◽  
Vol 3 (2) ◽  
pp. 71-74 ◽  
Author(s):  
Elizabeth Teixeira ◽  
Horácio Pires Medeiros ◽  
Juliana Garcez ◽  
Margareth Maria Braun Guimarães Imbiriba ◽  
Bruna Alessandra Costa e Silva
Keyword(s):  
Continuing Education ◽  
Community Health ◽  
Sexually Transmitted Diseases ◽  
Community Health Workers ◽  
Quantitative Study ◽  
Health Workers ◽  
Sexually Transmitted ◽  
Study Results ◽  
Inadequate Care ◽  
Lack Of Knowledge

Objetivou-se identificar conhecimentos-procedimentos em relação às doenças sexualmente transmissíveis. Participaram do estudo 366 ACS de quatro municípios do Pará. Estudo exploratório-quantitativo. Resultados quanto aos conhecimentos: há desconhecimentos; algumas DSTs são conhecidas com outros nomes e carregam significados negativos e pejorativos. Quanto aos procedimentos: há cuidados inadequados para prevenção; enfrentam barreiras para serem aceitos pela comunidade; há falta de confiança, que gera silêncio-tabu dos usuários. Conclui-se que há necessidade de ações de educação permanente que aprimorem, ampliem e qualifiquem as informações desses atores do sistema.Descritores: Doenças Sexualmente Transmissíveis, Agentes Comunitários de Saúde, Educação Permanente em Saúde.Knowledge-procedures community health agents in relation to sexually transmitted diseases: clues for continuing education in AmazoniaThe objective was to identify knowledge-procedures in relation to sexually transmitted diseases. 366 workers participated this study in four municipalities of Pará. That is an exploratory and quantitative study. Results regarding knowledge: there is lack of knowledge, some STDs are known by other names and carry negative and pejorative meanings. As for the procedures: there is inadequate care for prevention, face barriers to be accepted by the community, there is a lack of confidence that generates taboo-silence by the users. It is concluded that there is need for permanent education actions that enhance, extend and qualify the information from these players in the system.Descriptors: Sexually Transmitted Diseases, Community Health Workers, Continuing Health Education.Conocimiento-procedimientos de agentes de salud comunitaria sobre las enfermedades de transmisión sexual: pistas para la formación continua en el AmazoniaEl objetivo fue identificar el conocimiento de los procedimientos en relación con las enfermedades de transmisión sexual. 366 trabajadores participaron del estudio en cuatro municipios de Pará. Se trata de un estudio exploratorio cuantitativo. Los resultados en cuanto al conocimiento: hay incógnitas, algunas enfermedades de transmisión sexual se conocen por otros nombres, y tienen un significado negativo y peyorativo. En cuanto a los procedimientos: no hay una atención inadecuada para la prevención, se enfrentan con barreras para ser aceptados por la comunidad. Se concluye que existe la necesidad de acciones de educación permanente para mejorar, ampliar y cualificar la información.Descriptores: Enfermedades de Transmisión Sexual, Los Trabajadores Comunitarios de Salud, La Educación Continua de La Salud.

scholarly journals Community health workers at the dawn of a new era

2021 ◽  
Vol 19 (S3) ◽  
Author(s):  
Joseph M. Zulu ◽  
Henry B. Perry
Keyword(s):  
Community Health ◽  
Population Health ◽  
Community Health Workers ◽  
Low Income ◽  
Large Scale ◽  
Health Workers ◽  
The United States ◽  
Noncommunicable Diseases ◽  
Full Potential ◽  
New Era

Abstract Background There is now rapidly growing global awareness of the potential of large-scale community health worker (CHW) programmes not only for improving population health but, even more importantly, for accelerating the achievement of universal health coverage and eliminating readily preventable child and maternal deaths. However, these programmes face many challenges that must be overcome in order for them to reach their full potential. Findings This editorial introduces a series of 11 articles that provide an overview highlighting a broad range of issues facing large-scale CHW programmes. The series addresses many of them: planning, coordination and partnerships; governance, financing, roles and tasks, training, supervision, incentives and remuneration; relationships with the health system and communities; and programme performance and its assessment. Above all, CHW programmes need stronger political and financial support, and this can occur only if the potential of these programmes is more broadly recognized. The authors of the papers in this series believe that these challenges can and will be overcome—but not overnight. For this reason, the series bears the title “Community Health Workers at the Dawn of a New Era”. The scientific evidence regarding the ability of CHWs to improve population health is incontrovertible, and the favourable experience with these programmes at scale when they are properly designed, implemented, and supported is compelling. CHW programmes were once seen as a second-class solution to a temporary problem, meaning that once the burden of disease from maternal and child conditions and from communicable diseases in low-income countries had been appropriately reduced, there would be no further need for CHWs. That perspective no longer holds. CHW programmes are now seen as an essential component of a high-performing healthcare system even in developed countries. Their use is growing rapidly in the United States, for instance. And CHWs are also now recognized as having a critically important role in the control of noncommunicable diseases as well as in the response to pandemics of today and tomorrow in all low-, middle-, and high-income countries throughout the world. Conclusion The promise of CHW programmes is too great not to provide them with the support they need to achieve their full potential. This series helps to point the way for how this support can be provided.

Evaluation of human papillomavirus self-collection offered by community health workers at home visits among under-screened women in Brazil

2020 ◽  
pp. 096914132094105
Author(s):  
Naitielle de Paula Pantano ◽  
José H Fregnani ◽  
Júlio CP Resende ◽  
Luiz C Zeferino ◽  
Bruno de Oliveira Fonseca ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Human Papillomavirus ◽  
High Risk ◽  
Community Health ◽  
Community Health Workers ◽  
Low Income ◽  
Pap Smear ◽  
Health Workers ◽  
Major Public Health Problem ◽  
Adult Women

Objective To explore the acceptability of high-risk human papillomavirus self-testing, involving community health workers, for never/under-screened Brazilian women. Cervical cancer is the most common cause of cancer-related death among adult women in a large number of low-income and lower-middle-income countries, where it remains a major public health problem. High-risk human papillomavirus persistence is required for the development of cervical neoplasia. Methods The target population was all women aged 30+ from the list of families available in healthcare centre data, who had never been screened or were not screened in the previous 3 years (under-screened women), and who were living in the 17 cities included in this study. Results Of the 377 women included, 16.9% ( n = 64) had never had a pap smear. Of all samples included in the study, 97.1% ( n = 366) were considered adequate for evaluation, as 2.9% ( n = 11) were considered invalid for all high-risk human papillomavirus types. Analysing these 366 samples, 9.6% ( n = 35) of the women were infected by at least one high-risk human papillomavirus type and 90.4% ( n = 331) had no infection with any high-risk type of the virus. Conclusions Vaginal self-sampling is an adequate strategy to improve the effectiveness of the cervical cancer program by increasing screening in a high-risk group.

Evaluation of The Skills of Community Health Workers in Providing Self-Care Program for Pre-Diabetic Individuals Based On The Precede-Proceed Model: A Descriptive Study

2021 ◽  
Author(s):  
Mahmoud Ghasemi ◽  
Fazlollah Ghofranipour ◽  
Hasan Shahbazi ◽  
Farkhondeh Aminshokravi
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Self Efficacy ◽  
Health Workers ◽  
Pearson Correlation ◽  
Self Care ◽  
Care Program ◽  
Mazandaran Province ◽  
Enabling Factors ◽  
Study Results

Abstract Background This study aimed to investigate the skills of community health workers in providing a self-care program for pre-diabetic individuals in Mazandaran Province, Iran, based on the Precede-Proceed model. Methods This descriptive-analytical study was performed on 400 community health workers in Mazandaran province using the cluster random sampling method. Data collection tools included demographic information and 54 questions based on the structures of the Precede-Proceed model, the validity and reliability of which were confirmed. Data were analyzed using SPSS 22 software and Pearson correlation coefficient and linear regression tests. Results The mean age of participants was 34.13 ± 8.94 years. The study results showed that awareness, attitude, and reinforcing factors variables were in the desired range, and knowledge, self-efficacy, enabling factors, and health workers' skills variables were in the moderate range. According to the regression test, self-efficacy (R2 = 0.503) and enabling factors (R2 = 0.422) were the most important predictors of health workers' skills in presenting a self-care program for pre-diabetic people. Conclusion According to the results obtained in the study of community health workers' skills, it is suggested that educational interventions to improve community health workers' skills in providing self-care programs for pre-diabetics with emphasis on predisposing factors (with more focus on knowledge and self-efficacy) and enabling factors to be designed and implemented.

Sign in / Sign up

Export Citation Format

Share Document