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lay health worker

Shokoufeh Ahmadi, Hamidreza Khankeh, Robab Sahaf, Asghar Dalvandi, Seyed Ali Hosseini, Fardin Alipour
OBJECTIVES: In many areas, natural disasters are a major challenge for life and property of people. Earthquake is one of the most devastating natural disasters. This study aimed to explore how older adults responded to challenges after the earthquake in Iran. METHODS: This study was based on qualitative analysis. Data were collected through in-depth and semi-structured interviews. 29 participants including 18 older adult survivors of the earthquake-stricken areas, four lay caregivers, and three health professionals in disasters, one social worker, two relief worker and one disaster psychologist were interviewed...
May 17, 2018: Archives of Gerontology and Geriatrics
Cecilia Ayón
The study describes multiple steps taken to develop and test the Latino Immigrant Family Socialization (LIFS) scale. Scale items were developed based on qualitative interviews, and feedback on the items was solicited from content experts including an academic, practitioner, and a group of promotoras (or lay health workers). The scale was completed by 300 Latino immigrant parents in the state of Arizona. Exploratory and confirmatory factor analysis confirmed a six-factor model. The six factors ware cultural socialization, adapt, advocate, value diversity, promote mistrust, and educate about nativity and documentation...
April 26, 2018: Social Work
Catherine D'Arcy, Ann Taket, Lisa Hanna
Lay Health Worker (LHW) programs have been shown to be effective in engaging community members in health promotion. While successful LHW program implementation requires an understanding of factors influencing program effectiveness, evidence informing such understanding is lacking for empowerment and ecological theory-based LHW programs. This descriptive study explores how enablers and barriers, identified from LHW literature apply (from the LHWs' perspective) in the context of implementing an empowerment and ecological theory-based LHW model in Melbourne, Victoria...
April 24, 2018: Health Promotion International
Ruth Verhey, Dixon Chibanda, Lorna Gibson, Jonathan Brakarsh, Soraya Seedat
BACKGROUND: There is a dearth of validated tools measuring posttraumatic stress disorder (PTSD) in low and middle-income countries in sub-Saharan Africa. We validated the Shona version of the PTSD Checklist for DSM-5 (PCL-5) in a primary health care clinic in Harare, Zimbabwe. METHOD: Adults aged 18 and above attending the clinic were enrolled over a two-week period in June 2016. After obtaining written consent, trained research assistants administered the tool to eligible participants...
April 23, 2018: BMC Psychiatry
Shinobu Watanabe-Galloway, Nada Alnaji, Brandon Grimm, Melissa Leypoldt
Nebraska has one of the highest numbers of refugees per capita in the U.S. A high number of Somalis have resettled in Nebraska due to job opportunities and the low cost of living. In this paper, we report the process and the results of a cervical and breast cancer education program for Somali women conducted through a collaboration among public health, academia, and community entities. The curriculum was built to be suitable for the literacy level and cultural values of this community. Topics include female reproductive anatomy; breast and cervical cancer knowledge and screening; hepatitis C and liver cancer; and preparing for a health screening visit...
April 18, 2018: Journal of Community Health
Janet M Turan, Lynae A Darbes, Pamela L Musoke, Zachary Kwena, Anna Joy Rogers, Abigail M Hatcher, Jami L Anderson, George Owino, Anna Helova, Elly Weke, Patrick Oyaro, Elizabeth A Bukusi
Engaging both partners of a pregnant couple can enhance prevention of mother-to-child transmission of HIV and promote family health. We developed and piloted an intervention to promote couple collaboration in health during pregnancy and postpartum in southwestern Kenya. We utilized formative data and stakeholder input to inform development of a home-based couples intervention. Next, we randomized pregnant women to intervention (n = 64) or standard care (n = 63) arms, subsequently contacting their male partners for enrollment...
March 2018: AIDS Patient Care and STDs
Trish Fraser, Marewa Glover, Penelope Truman
BACKGROUND: The New Zealand (NZ) government is to lift the ban on the sale of nicotine for use in electronic cigarettes (e-cigarettes). METHODS: Using a naturalistic approach, we sought to understand how the current law was experienced by e-cigarette users (vapers). Twenty-nine vapers were interviewed by telephone, between May and September 2016, using a semi-structured interview schedule. Open-ended questions covered: initiating vaping, the experience of stopping smoking, technical problems encountered, reasons for vaping, acceptability of vaping, addiction to vaping and advice given to smokers about vaping...
April 5, 2018: Harm Reduction Journal
Ramya Chari, Chia-Chia Chang, Steven L Sauter, Elizabeth L Petrun Sayers, Jennifer L Cerully, Paul Schulte, Anita L Schill, Lori Uscher-Pines
OBJECTIVE: This article describes the National Institute for Occupational Safety and Health's (NIOSH) development of a conceptual framework for worker well-being. While well-being research is growing, there is a need to translate theoretical concepts into practical models for measurement and action. METHODS: Multidisciplinary literature reviews informed development of the worker well-being framework and major domains and subdomains. An expert panel helped prioritize constructs for measurement...
March 30, 2018: Journal of Occupational and Environmental Medicine
R Frederick Lambert, Chloe A Wong, Karl F Woodmansey, Brianna Rowland, Steven O Horne, Brittany Seymour
Globalization, along with the increasing prevalence of non-communicable diseases, their risk factors, and poor oral health, demands global approaches to oral health care. Trained health care workers' providing volunteer services abroad is one model used for improving access to dental services for some communities. Currently, little is known about U.S. dental student involvement in international clinical service volunteerism. The aim of this exploratory study was to capture national survey data from predoctoral dental students about their interest in and experience with global health service trips...
April 2018: Journal of Dental Education
P T James, Akhilesh Kunoor, P S Rakesh
Airborne infections are major public health concern especially in hospitals and public spaces in a highly populated country like India. Generating awareness about good infection control practices among common man and health care workers are important steps in curtailing transmission of air borne infections. In this study we were trying to assess the awareness of airborne infection control measures among patients, bystanders and healthcare workers in a tertiary care hospital at Kochi, Kerala. Self-administered questionnaire which included 10 questions for health care staff and 12 questions for lay men prepared on the basis of NAIC and NCDC guideline were given to the study participants...
April 2018: Indian Journal of Tuberculosis
Arica Brandford, Adebola Adegboyega, Brenda Combs, Jennifer Hatcher
Health disparities researchers attempting to engage and effectively deliver interventions to underserved populations often encounter a number of challenges ranging from geographical considerations to more complex issues of medical mistrust. While there are a number of strategies researchers may employ to address these challenges, one of the most successful of these has been the use of community health workers (CHWs). Despite the documented success of CHWs, little information exists on the use of theory-driven intervention strategies with these community partners...
March 1, 2018: Health Promotion Practice
Memory Munodawafa, Sumaya Mall, Crick Lund, Marguerite Schneider
BACKGROUND: Perinatal depression is common in low and middle income countries (LAMICs). Task sharing interventions have been implemented to treat perinatal depression in these settings, as a way of dealing with staff shortages. Task sharing allows lay health workers to provide services for less complex cases while being trained and supervised by specialists. Randomized controlled trials suggest that these interventions can be effective but there is limited qualitative information exploring barriers and facilitators to their implementation...
March 23, 2018: BMC Health Services Research
Idowu Oluwabunmi Fagbamila, Marzia Mancin, Lisa Barco, Sati Samuel Ngulukun, Alexander Jambalang, Olawunmi Toyin Ajayi, Nancy Sati, Paulinus Emennaa, Paul Idoko Ankeli, Jakob Kwaga, Paul Ayuba Abdu, Junaidu Kabir, Jarlath Umoh, Antonia Ricci, Maryam Muhammad
BACKGROUND: In 2012/13, the Federal government of Nigeria approved the surveillance of salmonellae in commercial poultry farms with the aim of generating baseline data for the development of a control programme. That baseline provided an opportunity to investigate potential risk factors in commercial layer farms. METHODS: Five hundred and twenty-three farms were evaluated for the presence of Salmonella. Each farmer was interviewed through a structured questionnaire...
April 1, 2018: Preventive Veterinary Medicine
Stephanie M Topp, Chanda Mwamba, Anjali Sharma, Njekwa Mukamba, Laura K Beres, Elvin Geng, Charles B Holmes, Izukanji Sikazwe
BACKGROUND: Failure to keep people living with HIV engaged in life-long care and treatment has serious implications for individual and population-level health. Nested within a four-province study of HIV care and treatment outcomes, we explored the dynamic role of social and service-related factors influencing retention in HIV care in Zambia. METHODS: From a stratified random sample of 31 facilities, eight clinics were selected, one urban and one rural from each province...
2018: PloS One
Jane Goudge, Tobias Chirwa, Sandra Eldridge, Francesc Xavier F Gómez-Olivé, Chodziwadziwa Kabudula, Felix Limbani, Eustasius Musenge, Margaret Thorogood
Introduction: In low/middle-income countries with substantial HIV and tuberculosis epidemics, health services often neglect other highly prevalent chronic conditions, such as hypertension, which as a result are poorly managed. This paper reports on a study to assess the effect on hypertension management of lay health workers (LHW) working in South African rural primary healthcare clinics to support the provision of integrated chronic care. Methods: A pragmatic cluster randomised trial with a process evaluation in eight rural clinics assessed the effect of adding two LHWs supporting nurses in providing chronic disease care in each intervention clinic over 18 months...
2018: BMJ Global Health
Edith Van't Hof, Katie S Dawson, Alison Schafer, Anna Chiumento, Melissa Harper Shehadeh, Marit Sijbrandij, Richard A Bryant, Dorothy Anjuri, Phiona Koyiet, Lincoln Ndogoni, Jeannette Ulate, Mark van Ommeren
Background: Problem Management Plus (PM+) is a brief multicomponent intervention incorporating behavioral strategies delivered by lay health workers. The effectiveness of PM+ has been evaluated in randomized controlled trials in Kenya and Pakistan. When developing interventions for large-scale implementation it is considered essential to evaluate their feasibility and acceptability in addition to their efficacy. This paper discusses a qualitative evaluation of PM+ for women affected by adversity in Kenya...
2018: Global Mental Health
Jennifer E Swanberg, Helen M Nichols, Jessica M Clouser, Pietra Check, Lori Edwards, Ashley M Bush, Yancy Padilla, Gail Betz
We systematically reviewed the literature to describe how community health workers (CHWs) are involved in occupational health and safety research and to identify areas for future research and research practice strategies. We searched five electronic databases from July 2015 through July 2016. Inclusion criteria were as follows: (1) study took place in the United States, (2) published as a full peer-review manuscript in English, (3) conducted occupational health and safety research, and (4) CHWs were involved in the research...
March 3, 2018: Journal of Immigrant and Minority Health
Geoffrey Fatti, Debra Jackson, Ameena E Goga, Najma Shaikh, Brian Eley, Jean B Nachega, Ashraf Grimwood
INTRODUCTION: Adolescents and youth receiving antiretroviral treatment (ART) in sub-Saharan Africa have high attrition and inadequate ART outcomes, and evaluations of interventions improving ART outcomes amongst adolescents are very limited. Sustainable Development Goal (SDG) target 3c is to substantially increase the health workforce in developing countries. We measured the effectiveness and cost-effectiveness of community-based support (CBS) provided by lay health workers for adolescents and youth receiving ART in South Africa...
February 2018: Journal of the International AIDS Society
Roberto Cardarelli, Mary Horsley, Lisa Ray, Nancy Maggard, Jennifer Schilling, Sarah Weatherford, Fran Feltner, Kayla Gilliam
This exploratory study aimed to address the effectiveness of a lay-health worker (LHW) model in addressing social needs and readmissions of high-risk patients admitted in a rural community hospital. A quasi-experimental study design assessed implementation of a LHW model for assisting high-risk patients with their post-discharge social needs. Outcome measures included 30-day hospital readmissions rates during a 4-month baseline period compared with a 6-month post-implementation period. The LHW intervention involved assessment and development of a personalized social needs plan for enrolled patients (e...
February 1, 2018: Health Education Research
Sanghamitra Pati, Abhimanyu Singh Chauhan, Pranab Mahapatra, Devraj Hansdah, Krushna Chandra Sahoo, Sandipana Pati
BACKGROUND: Evidence-based research has documented the association between alcohol intake during pregnancy and increased risk of miscarriage, stillbirth and congenital birth defects. Alcohol consumption is a complex behavior whose origins lay in cultural norms and the social structure. In tribal communities in India, alcohol misuse among women is a public health problem. This study is intended to explore perceptions and beliefs among tribal women and the community towards alcohol consumption during pregnancy...
February 20, 2018: Substance Abuse Treatment, Prevention, and Policy
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