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https://www.readbyqxmd.com/read/29784223/the-effect-of-a-community-mental-health-training-program-for-multidisciplinary-staff
#1
Bing Xiang Yang, Teresa E Stone, Scott A Davis
BACKGROUND: Primary health workers play a critical role in providing health education to people with mental disorders. In China community health workers working with people with mental health problems lack experience and training in this area. Additionally, coordination between hospital and community staff is not well established. The aim of this study was to provide an interdisciplinary community mental health training program and to evaluate the effect of the training on staff knowledge about mental health and confidence in their roles...
June 2018: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/29783961/diabetes-management-training-for-female-community-health-volunteers-in-western-nepal-an-implementation-experience
#2
Bishal Gyawali, Shiva Raj Mishra, Dinesh Neupane, Abhinav Vaidya, Annelli Sandbæk, Per Kallestrup
BACKGROUND: In the backdroup of a rapidly increasing burden of diabetes in Nepal, a community-based diabetes management program is implemented involving female community health volunteers (FCHVs) under the government run FCHVs program. FCHVs received an intensive one-week training workshop on prevention, control and management of diabetes. The training program was implemented and evaluated to enhance diabetes knowledge of FCHVs and matched according to their literacy level. METHODS: A range of teaching methods were applied, including desk review, active participation, lectures, presentations, discussions, role plays, demonstration and field test...
May 21, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29781923/going-beyond-clinical-care-to-reduce-health-care-spending-findings-from-the-j-chip-community-based-population-health-management-program-evaluation
#3
Shannon M E Murphy, Douglas E Hough, Martha L Sylvia, Melissa Sherry, Linda J Dunbar, Raymond Zollinger, Regina Richardson, Scott A Berkowitz, Kevin D Frick
BACKGROUND: Addressing both clinical and nonclinical determinants of health is essential for improving population health outcomes. In 2012, the Johns Hopkins Community Health Partnership (J-CHiP) implemented innovative population health management programs across acute and community environments. The community-based program involved multidisciplinary teams [ie, physicians, care managers (CM), health behavior specialists (HBS), community health workers, neighborhood navigators] and collaboration with community-based organizations to address social determinants...
May 17, 2018: Medical Care
https://www.readbyqxmd.com/read/29781919/development-of-a-community-health-worker-delivered-cognitive-behavioral-training-intervention-for-individuals-with-diabetes-and-chronic-pain
#4
Susan J Andreae, Lynn J Andreae, Andrea L Cherrington, Marquita Lewis, Ethel Johnson, Debra Clark, Monika M Safford
Cognitive behavioral therapy (CBT) programs have the potential to improve quality of life in individuals with chronic pain and diabetes. Rural communities often lack the infrastructure necessary to implement such programs. CBT traditionally requires trained therapists, who are rarely available in these areas. An alternative may be programs delivered by community health workers (CHWs). We present an iterative developmental approach that combined program adaptation, pretesting, and CHW training processes for a CBT-based diabetes self-care program for individuals living with diabetes and chronic pain...
July 2018: Family & Community Health
https://www.readbyqxmd.com/read/29781697/the-roles-training-and-knowledge-of-community-health-workers-about-diabetes-and-hypertension-in-khayelitsha-cape-town
#5
Lungiswa P Tsolekile, Helen Schneider, Thandi Puoane
BACKGROUND:  The current roles and capacity of community health workers (CHWs) in the management and control of non-communicable diseases (NCDs) remain poorly understood. OBJECTIVES:  To assess CHWs' current roles, training and knowledge about diabetes and hypertension in Khayelitsha, Cape Town. METHODS:  A cross-sectional study of 150 CHWs from two non-governmental organisations contracted to provide NCD care as part of a comprehensive package of services was conducted...
March 26, 2018: Curationis
https://www.readbyqxmd.com/read/29781677/community-health-workers-in-lesotho-experiences-of-health-promotion-activities
#6
Thato Seutloali, Lizeka Napoles, Nomonde Bam
BACKGROUND: Lesotho adopted primary health care in 1979, and community health workers (CHWs) were included in the programme to focus on health promotion, particularly to reach people in underserved rural areas. Although the CHW programme has been successful, the heavy burden of disease because of HIV and/or AIDS and tuberculosis shifted resources from health promotion to home-based care. AIM: The study explored the lived experience of CHWs in conducting health promotion activities in Lesotho...
February 27, 2018: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/29781528/assessing-the-competency-and-acceptability-of-community-health-worker-provision-of-standard-days-method%C3%A2-in-family-planning-services-in-gisagara-district-rwanda
#7
Lauren VanEnk, Victoria Shelus, Catherine Mugeni, Marie Mukabatsinda, Jeannette Cachan
This study assesses the competency and acceptability of community-based provision of Standard Days Method® (SDM) to first-time users in Rwanda. The national strategy equips community health workers (CHWs) to resupply pills, injectables and condoms to existing clients. With the aim of expanding access, SDM provision to first-time users was added to the method mix in Gisagara district and assessed with a 12 month prospective, mixed methods study. Thirty percent of SDM clients had never used a method of family planning and 58 percent had not been using a method for at least three months...
May 21, 2018: Studies in Family Planning
https://www.readbyqxmd.com/read/29776359/evaluation-of-malaria-rapid-diagnostic-test-rdt-use-by-community-health-workers-a-longitudinal-study-in-western-kenya
#8
Matthew R Boyce, Diana Menya, Elizabeth L Turner, Jeremiah Laktabai, Wendy Prudhomme-O'Meara
BACKGROUND: Malaria rapid diagnostic tests (RDTs) are a simple, point-of-care technology that can improve the diagnosis and subsequent treatment of malaria. They are an increasingly common diagnostic tool, but concerns remain about their use by community health workers (CHWs). These concerns regard the long-term trends relating to infection prevention measures, the interpretation of test results and adherence to treatment protocols. This study assessed whether CHWs maintained their competency at conducting RDTs over a 12-month timeframe, and if this competency varied with specific CHW characteristics...
May 18, 2018: Malaria Journal
https://www.readbyqxmd.com/read/29768594/-health-needs-of-the-rural-population-in-environmental-conflict-due-to-the-installation-of-irrigated-perimeters
#9
Andrezza Graziella Veríssimo Pontes, Raquel Maria Rigotto, Jennifer Vale Silva
The transformations in the Brazilian agricultural scenario have reconfigured lifestyles in the countryside, with repercussions on the health of the rural population. The scope of this paper is to analyze health needs of farmers, identified by a collective of university actors, the Unified Health System and social movements. It is action-research, with a group comprised of community health workers, workers in a Reference Center in Occupational Health, a university professor and representatives of social movements...
May 2018: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/29765777/patterns-of-authorship-on-community-health-workers-in-low-and-middle-income-countries-an-analysis-of-publications-2012-2016
#10
Helen Schneider, Nelisiwe Maleka
Introduction: Studies of authorship provide a barometer of local research capacity and ownership of research, considered key to defining appropriate research priorities, developing contextualised responses to health problems and ensuring that research informs policy and practice. This paper reports on an analysis of patterns of research authorship of the now substantial literature on community health workers (CHWs) in low-and-middle-income countries (LMICs) for the 5-year period: 2012-2016...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29760028/roles-and-functions-of-community-health-workers-in-primary-care
#11
Andrea L Hartzler, Leah Tuzzio, Clarissa Hsu, Edward H Wagner
Community health workers have potential to enhance primary care access and quality, but remain underutilized. To provide guidance on their integration, we characterized roles and functions of community health workers in primary care through a literature review and synthesis. Analysis of 30 studies identified 12 functions (ie, care coordination, health coaching, social support, health assessment, resource linking, case management, medication management, remote care, follow-up, administration, health education, and literacy support) and 3 prominent roles representing clusters of functions: clinical services, community resource connections, and health education and coaching...
May 2018: Annals of Family Medicine
https://www.readbyqxmd.com/read/29758176/women-s-satisfaction-use-storage-and-disposal-of-subcutaneous-depot-medroxyprogesterone-acetate-dmpa-sc-during-a-randomized-trial
#12
Holly M Burke, Mario Chen, Mercy Buluzi, Rachael Fuchs, Silver Wevill, Lalitha Venkatasubramanian, Leila Dal Santo, Bagrey Ngwira
OBJECTIVE: To describe women's experiences with subcutaneous depot medroxyprogesterone acetate (DMPA-SC) to inform scale-up of self-administered DMPA-SC. STUDY DESIGN: We conducted a 12-month randomized controlled trial in Malawi to measure DMPA-SC continuation rates. A total of 731 women presenting at six Ministry of Health clinics or to community health workers (CHWs) in rural communities were randomized to receive DMPA-SC administered by a provider, or be trained to self-inject DMPA-SC...
May 11, 2018: Contraception
https://www.readbyqxmd.com/read/29755054/cervical-cancer-screening-among-underscreened-and-unscreened-brazilian-women-training-community-health-workers-to-be-agents-of-change
#13
Nádia Kienen, Lorna Bittencourt, Sandra M Pelloso, Marcia E Consolaro, Philip E Castle, Edward E Partridge, Nia R Silva, Isabel C Scarinci
BACKGROUND: Despite the availability of cervical cancer screening programs in Brazil, some women do not participate in these programs owing to structural and/or interpersonal/intrapersonal barriers, resulting in high cervical cancer incidence and mortality. Integrating community health workers (CHWs) into the delivery of cervical cancer screening interventions is potentially a feasible strategy to address these barriers. OBJECTIVES: This study aimed to implement and evaluate a CHW training to deliver a brief intervention to promote cervical cancer screening among underscreened and unscreened women in Brazil...
2018: Progress in Community Health Partnerships: Research, Education, and Action
https://www.readbyqxmd.com/read/29752848/can-community-health-workers-identify-omphalitis-a-validation-study-from-southern-province-zambia
#14
Julie M Herlihy, Sara Gille, Caroline Grogan, Lauren Bobay, Kelvin Simpamba, Bashagaluke Akonkwa, Tina Chisenga, Davidson H Hamer, Katherine Semrau
OBJECTIVE: Omphalitis, or umbilical cord infection, is an important cause of newborn morbidity and mortality in low-resource settings. We tested an algorithms that task-shifts omphalitis diagnosis to community-level workers in sub-Saharan Africa. METHODS: Community-based field monitors and Zambian pediatricians independently evaluated newborns presenting to health facilities in Southern Zambia using a signs and symptoms checklist. Responses were compared against the pediatrician's gold standard clinical diagnosis...
May 12, 2018: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/29752026/safety-of-a-heat-stable-rotavirus-vaccine-among-children-in-niger-data-from-a-phase-3-randomized-double-blind-placebo-controlled-trial
#15
Matthew E Coldiron, Ousmane Guindo, Rockyath Makarimi, Issaka Soumana, Amadou Matar Seck, Souna Garba, Emilie Macher, Sheila Isanaka, Rebecca F Grais
BACKGROUND: Rotavirus remains a major cause of diarrhea among children under 5 years of age. The efficacy of RotaSIIL, a pentavalent rotavirus vaccine, was shown in an event-driven trial in Niger. We describe the two-year safety follow-up of this trial. METHODS: Follow-up of safety outcomes began upon administration of the first dose of RotaSIIL or placebo. Adverse events were followed until 28 days after the third dose, and serious adverse events were followed until 2 years of age...
May 8, 2018: Vaccine
https://www.readbyqxmd.com/read/29744286/adolescent-pregnancy-and-challenges-in-kenyan-context-perspectives-from-multiple-community-stakeholders
#16
Manasi Kumar, Keng-Yen Huang, Caleb Othieno, Dalton Wamalwa, Beatrice Madeghe, Judith Osok, Simon Njuguna Kahonge, Joyce Nato, Mary McKernon McKay
Objective: The key objective of this paper is to provide a phenomenological account of the mental health challenges and experiences of adolescent new mothers. We explore the role of social support and the absence of empathy plays in depression among pregnant adolescents. The project also collected data on the adolescents' caregiving environment which includes the adolescents' mothers, their partners, the community, and health care workers, as well as feedback from staff nurses at the maternal and child health centers...
March 2018: Global Social Welfare: Research, Policy & Practice
https://www.readbyqxmd.com/read/29743188/engaging-men-in-family-planning-perspectives-from-married-men-in-lom%C3%A3-togo
#17
Tekou B Koffi, Karen Weidert, Erakalaza Ouro Bitasse, Marthe Adjoko E Mensah, Jacques Emina, Sheila Mensah, Annette Bongiovanni, Ndola Prata
Family planning programs have made vast progress in many regions of sub-Saharan Africa in the last decade, but francophone West Africa is still lagging behind. More emphasis on male engagement might result in better outcomes, especially in countries with strong patriarchal societies. Few studies in francophone West Africa have examined attitudes of male involvement in family planning from the perspective of men themselves, yet this evidence is necessary for development of successful family planning projects that include men...
May 9, 2018: Global Health, Science and Practice
https://www.readbyqxmd.com/read/29741936/community-health-workers-bringing-a-new-era-of-systems-change-to-stimulate-investments-in-health-care-for-vulnerable-us-populations
#18
Hector Balcazar, Sheba George
No abstract text is available yet for this article.
June 2018: American Journal of Public Health
https://www.readbyqxmd.com/read/29741232/understanding-pediatric-caretakers-views-on-obtaining-medical-care-for-low-acuity-illness
#19
Whitney V Cabey, Judy A Shea, Shreya Kangovi, Danielle Kennedy, Chiamaka Onwuzulike, Joel Fein
BACKGROUND: A significant proportion of low acuity emergency department (ED) visits are by patients under 18 years of age. Results from prior interventions designed to reduce low acuity pediatric ED use have been mixed or poorly sustained, perhaps because they were not informed by patient and caretakers' perspectives. The objective of this study was to explore caretaker decision-making processes, values and priorities when deciding to seek care. METHODS: We conducted semi-structured interviews of caretakers in both emergency and primary care settings, incorporating stimulated recall methodology...
May 9, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29739786/using-mobile-health-technology-and-community-health-workers-to-identify-and-refer-caesarean-related-surgical-site-infections-in-rural-rwanda-a-randomised-controlled-trial-protocol
#20
Kristin A Sonderman, Theoneste Nkurunziza, Fredrick Kateera, Magdalena Gruendl, Rachel Koch, Erick Gaju, Caste Habiyakare, Alexi Matousek, Evrard Nahimana, Georges Ntakiyiruta, Robert Riviello, Bethany L Hedt-Gauthier
INTRODUCTION: Surgical site infections (SSIs) are a significant cause of morbidity and mortality in low-income and middle-income countries, where rates of SSIs can reach 30%. Due to limited access, there is minimal follow-up postoperatively. Community health workers (CHWs) have not yet been used for surgical patients in most settings. Advancements in telecommunication create an opportunity for mobile health (mHealth) tools to support CHWs. We aim to evaluate the use of mHealth technology to aid CHWs in identification of SSIs and promote referral of patients back to healthcare facilities...
May 8, 2018: BMJ Open
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