Community Interventions

Community-directed treatment with ivermectin (CDTi) and community-directed interventions (CDI) are participatory approaches to strengthen health care at community level. This study aimed at assessing primary health care in two rural Malawian districts without CDTi experience with a view to explore the relevance of the CDI approach. [adapted from abstract]

This extensive report gathered evidence and research to see if technology could be harnessed in transformative ways to address critical gaps in community health worker (CHW) training in Sub-Saharan Africa. It covers: the importance of CHW, current approaches to CHW training, emerging evidence and opportunities. [adapted from author]

This study aimed to analyse the community health worker (CHW) training process in Iran and how different components of training have impacted on CHW performance and satisfaction. [from abstract]

The Community Health Worker Assessment and Improvement Matrix (CHW AIM) was designed to help assess communtiy health worker program functionality and to provide benchmarks against which to measure program improvements. This operations research activity was designed as a field intervention study that applied the CHW AIM process. [adapted from summary]

The purpose of this paper is to survey the literature on community monitoring projects that have attempted to improve health sector governance by promoting greater community involvement in monitoring and oversight of health service providers, to describe common features and shared challenges that these projects face, to identify existing gaps in knowledge and practice, and serve as an input to a broader discussion of the prospects for incorporation of community-based accountability mechanisms in performance-based incentive programs. [adapted from introduction]

Using South Africa as a case study, this article reports on the engagement of non-governmental organizations and community care workers in the implementation of collaborative tuberculosis/HIV activities in rural South Africa, including extent of participation and constraints and opportunities to enhance effective participation. [adapted from abstract]

This study aimed at assessing the current situation of the health system of rural health care and evaluating the clinical competency of village doctors in management of childhood illnesses prior to implementing IMCI program in remote border rural areas. [from abstract]

This systematic review evaluates existing evidence regarding the effectiveness of alternative cadres working in community based rehabilitation in low and middle income countries. [from abstract]

The study estimates the cost of recruiting and training of community health workers (CHWs), the cost of replacement of CHWs, and forgone services in the community due to CHW dropout. [adapted from abstract]

This study compared the performance of community health workers managing malaria and pneumonia with performance of those managing malaria alone in eastern Uganda and the factors influencing performance. [from abstract]

The brief describes the difference a community health worker program has made to the lives of children in one remote region of Ghana.

This training program is designed for community health workers working in maternal and child health and covers topics such as family planning, reproductive health, gender violence, prevention of mother-to-child HIV among others.

This impact evaluation was conducted to assess volunteer community health workers’ effect on child morbidity, mortality and to calculate volunteer retention. [from abstract]

Task-shifting to lay community health providers is increasingly suggested as a potential strategy to overcome the barriers to sustainable antiretroviral treatment scale-up in high-HIV-prevalence, resource-limited settings. This article report on a systematic review of scientific evidence on the contributory role and function of these forms of community mobilisation. [adapted from abstract]

This paper examines the differences in the demographic characteristics, smear grades, and treatment outcomes of pulmonary tuberculosis cases detected through both active and passive case finding to determine if active case finding from health workers in mobile radiography units could contribute to early case finding, considering associated project costs. [adapted from author]

This case study highlights the efficiency with which the Community Health and Development (CHAD) program of the Christian Medical College, Vellore has obtained results through a combination of community-based provider training and innovative community service delivery methodologies, as well as discuss how aspects of the model can be adopted by other institutions to achieve similar results. [adapted from author]

This case study has studied the service delivery model of Kollyani, worked with the remote villages of the Bandarban district to create primary health centers where previously the area had none. Utilizing the local people and resources, they were able to create six local clinics run by trained villagers. The study examines the inputs invested and the outcomes produced in terms of health and social development and the issue of sustainability. [adapted from publisher]

This study sought to understand what the field of mHealth had to offer, to explore how mHealth is implemented in practice and to use these two sources of information to reflect on the lessons and implications for implementing mHealth at scale for monitoring and evaluation of community based services and community health workers. [adapted from summary]

This brief presents an overview of issues related to community health workers and human resources for health along with suggested actions, key considerations, and resources. [from author]

The aim of this study was to explore contemporary lay health worker policy development processes and the extent to which issues of gender are taken up within this process. [from abstract]

This study reviews experiences and lessons learned regarding monetary and non-monetary incentives for community workers. It includes indicative costings and recommendations for further policy and development with regard to the effective recruitment, training and deployment of community workers in Zambia. [adapted from summary]

This literature review attempted to evaluate the evidence base on the use of task-shifting between community health workers and mid-level providers to increase access to family planning and reproductive health. [adapted from author]

This policy brief addresses the role of partnerships between health workers and the community, for the purposes of improving maternal, newborn and child health in resource-constrained settings, with a particular focus on the Asia-Pacific region. [from author]

This policy brief summarises the critical workforce issues
highlighted from a review of the literature of maternal,
newborn and child health services at community
level, with a particular focus on the Asia Pacific region. [from author]

The objectives of this study were to estimate the economic value of community health workers (CHW), current CHW’s workload and responsibilities, and to obtain a preliminary understanding of CHWs’ opinions of the role they serve in their communities (job satisfaction) and how these services are viewed by members of their communities. [adapted from summary]

This study examined the feasibility of using community health workers to implement cardiovascular disease prevention programs within faith-based organizations in Accra, Ghana. [from abstract]

This paper describes a systematically developed intervention for a lay health worker delivered, community-based intervention for schizophrenia care in three sites in India. [adapted from abstract]

This report summarizes a quality assurance project and explains how citizens were engaged at the facility level in improving health service quality, while also contributing to increased responsiveness and accountability on the part of health providers. [adapted from author]

This profile summarises the available information on the cadres working at community level in Papua New Guinea: their diversity, distribution, supervisory structures, education and training, as well as the policy and regulations that govern their practice. [from author]

As part of a community-based package of maternal-neonatal health care, community health workers (CHWs) were trained to conduct household surveillance and to identify and refer sick newborns according to a clinical algorithm. Assessments of newborns by CHWs at home were linked to hospital-based assessments by physicians, and factors impacting referral, referral compliance and outcome were evaluated. [from author]