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https://www.readbyqxmd.com/read/28629475/can-formalizing-links-among-community-health-workers-accredited-drug-dispensing-outlet-dispensers-and-health-facility-staff-increase-their-collaboration-to-improve-prompt-access-to-maternal-and-child-care-a-qualitative-study-in-tanzania
#1
Angel Dillip, Suleiman Kimatta, Martha Embrey, John C Chalker, Richard Valimba, Mariam Malliwah, John Meena, Rachel Lieber, Keith Johnson
BACKGROUND: In Tanzania, progress toward achieving the 2015 Millennium Development Goals for maternal and newborn health was slow. An intervention brought together community health workers, health facility staff, and accredited drug dispensing outlet (ADDO) dispensers to improve maternal and newborn health through a mechanism of collaboration and referral. This study explored barriers, successes, and promising approaches to increasing timely access to care by linking the three levels of health care provision...
June 19, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28629360/conceptualisation-of-job-related-wellbeing-stress-and-burnout-among-healthcare-workers-in-rural-ethiopia-a-qualitative-study
#2
Medhin Selamu, Graham Thornicroft, Abebaw Fekadu, Charlotte Hanlon
BACKGROUND: Wellbeing of healthcare workers is important for the effective functioning of health systems. The aim of this study was to explore the conceptualisations of wellbeing, stress and burnout among healthcare workers in primary healthcare settings in rural Ethiopia in order to inform the development of contextually appropriate interventions. METHODS: A qualitative study was conducted in a rural zone of southern Ethiopia. A total of 52 frontline primary healthcare workers participated in in-depth interviews (n = 18) or Focus Group Discussions (FGDs) (4 groups, total n = 34)...
June 19, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28628586/building-a-pediatric-oral-health-training-curriculum-for-community-health-workers
#3
Molly Martin, William Frese, Christie Lumsden, Anna Sandoval
OBJECTIVES: Community health workers (CHWs) are a promising approach to oral health promotion in high-risk populations. This article describes the process of creating a pediatric oral health CHW training curriculum. DESIGN: Existing curricula were identified through outreach efforts to experts in the oral health and CHW fields, as well as PubMed and Google searches. After coding basic information, curricula were mapped to define oral health domains. Then group discussion was employed to determine final curriculum contents...
June 16, 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28623923/making-hiv-testing-work-at-the-point-of-care-in-south-africa-a-qualitative-study-of-diagnostic-practices
#4
Nora Engel, Malika Davids, Nadine Blankvoort, Keertan Dheda, Nitika Pant Pai, Madhukar Pai
BACKGROUND: Point of care testing promises to reduce delays in diagnosing and initiating treatment for infectious diseases such as Human Immuno-deficiency Virus (HIV). In South Africa, decentralized HIV testing with rapid tests offers important lessons for point of care testing programs. Yet, little is known about the strategies of providers and clients to make HIV testing successful in settings short of equipment, human resources and space. We aimed at examining these strategies. METHODS: This paper is based on a larger qualitative study of diagnostic practices across major diseases and actors in homes, clinics, communities, hospitals and laboratories in South Africa...
June 17, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28619418/corrigendum-to-there-s-no-app-for-that-assessing-the-impact-of-mhealth-on-the-supervision-motivation-engagement-and-satisfaction-of-community-health-workers-in-sierra-leone-annals-of-global-health-82-2016-936-949
#5
Frédérique Vallières, Eilish McAuliffe, Bianca van Bavel, P J Wall, Augustine Trye
No abstract text is available yet for this article.
March 2017: Annals of Global Health
https://www.readbyqxmd.com/read/28614514/factors-associated-with-the-use-of-the-child-health-handbook-in-a-large-city-of-the-brazilian-northeast-2009
#6
Graciete Oliveira Vieira, Maiara Coutinho Bastos, Mariana Ribeiro Dos Reis, Isane Souza Santos Moreira, Camilla da Cruz Martins, Daiene Rosa Gomes, Géssica Silva Santana, Tatiana de Oliveira Vieira
This study aimed to investigate the factors associated with mothers reading the Child Health Handbook (CHH) and health professionals completing this instrument, in Feira de Santana, Bahia, 2009. This is a cross-sectional study with the application of 727 forms to mothers of children under one year of age. The outcomes studied were mother reading the CHH and health professionals completing weight and height measures. We performed a logistic regression analysis with p ≤ 0.05. The prevalence of reading, weight and height were, respectively, 81...
June 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28614506/health-work-portrait-of-community-workers-in-the-northeast-region-of-brazil
#7
Paloma Ribeiro Pires Simas, Isabela Cardoso de Matos Pinto
The aim of this study was to characterize the profile of community health workers in northeastern Brazil and aspects related to the management of their work. This is a cross-sectional study, which included 535 community agents who were distributed in 107 primary health units in northeastern Brazil. The data were extracted from eight blocks of questions related to the community agents' perceptions about social-demographic, economic and political factors; their contracts and remuneration; their evaluation as workers; their working conditions and their training...
June 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28610590/a-continuous-quality-improvement-intervention-to-improve-the-effectiveness-of-community-health-workers-providing-care-to-mothers-and-children-a-cluster-randomised-controlled-trial-in-south-africa
#8
Christiane Horwood, Lisa Butler, Pierre Barker, Sifiso Phakathi, Lyn Haskins, Merridy Grant, Ntokozo Mntambo, Nigel Rollins
BACKGROUND: Community health workers (CHWs) play key roles in delivering health programmes in many countries worldwide. CHW programmes can improve coverage of maternal and child health services for the most disadvantaged and remote communities, leading to substantial benefits for mothers and children. However, there is limited evidence of effective mentoring and supervision approaches for CHWs. METHODS: This is a cluster randomised controlled trial to investigate the effectiveness of a continuous quality improvement (CQI) intervention amongst CHWs providing home-based education and support to pregnant women and mothers...
June 13, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28608826/transportation-matters-a-health-impact-assessment-in-rural-new-mexico
#9
Michelle Del Rio, William L Hargrove, Joe Tomaka, Marcelo Korc
This Health Impact Assessment (HIA) informed the decision of expanding public transportation services to rural, low income communities of southern Doña Ana County, New Mexico on the U.S./Mexico border. The HIA focused on impacts of access to health care services, education, and economic development opportunities. Qualitative and quantitative data were collected from surveys of community members, key informant interviews, a focus group with community health workers, and passenger surveys during an initial introduction of the transit system...
June 13, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28606206/antenatal-depressed-mood-and-child-cognitive-and-physical-growth-at-18-months-in-south-africa-a-cluster-randomised-controlled-trial-of-home-visiting-by-community-health-workers
#10
M Tomlinson, M J Rotheram-Borus, A Scheffler, I le Roux
AIM: To examine the child outcomes at 18-months post-birth of a population cohort of women with antenatal depressed mood, half of whom were randomly chosen to receive perinatal home visits from community health workers during pregnancy. METHOD: Pregnant women in 24 neighbourhoods (98% participation) were randomised by neighbourhood to: (1) standard clinic care (SC; 12 neighbourhoods; n = 594) or (2) the Philani Intervention Program, a home visiting intervention plus standard care (12 neighbourhoods; n = 644)...
June 13, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/28606184/multicomponent-intervention-versus-usual-care-for-management-of-hypertension-in-rural-bangladesh-pakistan-and-sri-lanka-study-protocol-for-a-cluster-randomized-controlled-trial
#11
Tazeen H Jafar, Imtiaz Jehan, H Asita de Silva, Aliya Naheed, Mihir Gandhi, Pryseley Assam, Eric A Finkelstein, Helena Legido Quigley, Marcel Bilger, Aamir Hameed Khan, John David Clemens, Shah Ebrahim, Elizabeth L Turner, Anuradhani Kasturiratne
BACKGROUND: High blood pressure (BP) is the leading attributable risk for cardiovascular disease (CVD). In rural South Asia, hypertension continues to be a significant public health issue with sub-optimal BP control rates. The goal of the trial is to compare a multicomponent intervention (MCI) to usual care to evaluate the effectiveness and cost-effectiveness of the MCI for lowering BP among adults with hypertension in rural communities in Bangladesh, Pakistan and Sri Lanka. METHODS/DESIGN: This study is a stratified, cluster randomized controlled trial with a qualitative component for evaluation of processes and stakeholder feedback...
June 12, 2017: Trials
https://www.readbyqxmd.com/read/28602543/reduction-in-cardiovascular-risk-among-latino-participants-in-a-community-based-intervention-linked-with-clinical-care
#12
Mori J Krantz, Brenda Beaty, Stephanie Coronel-Mockler, Bonnie Leeman-Castillo, Kelly Fletcher, Raymond O Estacio
INTRODUCTION: Community Heart Health Actions for Latinos at Risk is a community health worker-led cardiovascular disease risk reduction program targeting low-income urban Latinos. The impact of community programs linked with clinical care has not been well characterized. METHODS: Community Heart Health Actions for Latinos at Risk provided 12 weeks of lifestyle education. Changes in risk factors were assessed before and after completion. Univariate, bivariate, and multivariate analyses were used to determine factors associated with changes in risk factors...
June 8, 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28599588/teaching-parents-about-responsive-feeding-through-a-vicarious-learning-video-a-pilot-randomized-controlled-trial
#13
Tracey Ledoux, Jessica Robinson, Tom Baranowski, Daniel P O'Connor
The American Academy of Pediatrics and World Health Organization recommend responsive feeding (RF) to promote healthy eating behaviors in early childhood. This project developed and tested a vicarious learning video to teach parents RF practices. A RF vicarious learning video was developed using community-based participatory research methods. Fifty parents of preschoolers were randomly assigned to watch Happier Meals or a control video about education. Knowledge and beliefs about RF practices were measured 1 week before and immediately after intervention...
June 1, 2017: Health Education & Behavior: the Official Publication of the Society for Public Health Education
https://www.readbyqxmd.com/read/28597864/motivating-and-demotivating-factors-for-community-health-workers-a-qualitative-study-in-urban-slums-of-delhi-india
#14
Mathew Sunil George, Shradha Pant, Niveditha Devasenapathy, Suparna Ghosh-Jerath, Sanjay P Zodpey
Background Community health workers play an important role in delivering health-care services, especially to underserved populations in low- and middle-income countries. They have been shown to be successful in providing a range of preventive, promotive and curative services. This qualitative study investigated the factors motivating or demotivating community health workers in urban settings in Delhi, India. Methods In this sub-study of the ANCHUL (Ante Natal and Child Healthcare in Urban Slums) implementation research project, four focus-group discussions and nine in-depth interviews were conducted with community health workers and medical officers...
April 2017: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/28597860/co-occurring-depression-and-alcohol-use-disorders-in-south-east-asia-a-narrative-review
#15
REVIEW
Yatan Pal Singh Balhara, Prashant Gupta, Deeksha Elwadhi
Depression and alcohol-use disorders frequently co-occur and the presence of one augments the adverse consequences of the other. This article reviews and synthesizes the available literature on depression and alcohol-use disorders from the World Health Organization (WHO) South-East Asia Region, with respect to epidemiology, screening instruments, interventions and services, and policy. In common with other low- and middle-income settings, data from this region on co-occurring depression and alcohol-use disorders are scarce...
April 2017: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/28596086/use-microbiological-effectiveness-and-health-impact-of-a-household-water-filter-intervention-in-rural-rwanda-a-matched-cohort-study
#16
Miles A Kirby, Corey L Nagel, Ghislaine Rosa, Marie Mediatrice Umupfasoni, Laurien Iyakaremye, Evan A Thomas, Thomas F Clasen
Unsafe drinking water is a substantial health risk contributing to child diarrhoea. We investigated impacts of a program that provided a water filter to households in rural Rwandan villages. We assessed drinking water quality and reported diarrhoea 12-24 months after intervention delivery among 269 households in the poorest tertile with a child under 5 from 9 intervention villages and 9 matched control villages. We also documented filter coverage and use. In Round 1 (12-18 months after delivery), 97.4% of intervention households reported receiving the filter, 84...
June 1, 2017: International Journal of Hygiene and Environmental Health
https://www.readbyqxmd.com/read/28590899/the-potential-in-preparing-community-health-workers-to-address-hearing-loss
#17
Daisey Sánchez, Stephanie Adamovich, Maia Ingram, Frances P Harris, Jill de Zapien, Adriana Sánchez, Sonia Colina, Nicole Marrone
BACKGROUND: In underserved areas, it is crucial to investigate ways of increasing access to hearing health care. The community health worker (CHW) is a model that has been applied to increase access in various health arenas. This article proposes further investigation into the application of this model to audiology. PURPOSE: To assess the feasibility of training CHWs about hearing loss as a possible approach to increase accessibility of hearing health support services in an underserved area...
June 2017: Journal of the American Academy of Audiology
https://www.readbyqxmd.com/read/28590440/the-impact-of-integrated-infant-and-young-child-feeding-and-micronutrient-powder-intervention-on-feeding-practices-and-anemia-in-children-aged-6-23-months-in-madagascar
#18
Lindsey M Locks, Ietje Reerink, Amal Tucker Brown, Smaila Gnegne, Noelimanjaka Ramalanjaona, Simeon Nanama, Christopher P Duggan, Aashima Garg
This study assesses the impact of an integrated infant and young child feeding (IYCF) and micronutrient powder (MNP) intervention on children's risk of anemia and IYCF practices in Madagascar. Quantitative baseline and endline surveys were conducted in representative households with children 6-23 months from two districts, where an 18-month IYCF-MNP intervention was implemented. Relative risks comparing children's risk of anemia and maternal IYCF knowledge and practices at baseline versus endline, and also at endline among MNP-users versus non-users were estimated using log-binomial regression models...
June 7, 2017: Nutrients
https://www.readbyqxmd.com/read/28589270/community-health-workers-promote-civic-engagement-and-organizational-capacity-to-impact-policy
#19
Samantha Sabo, Melissa Flores, Ashley Wennerstrom, Melanie L Bell, Lorena Verdugo, Scott Carvajal, Maia Ingram
Community health workers (CHW) have historically served to link structurally vulnerable populations to broad support systems. Emerging evidence suggests that CHWs engage in various forms of advocacy to promote policy and systems change. We assessed the impact of CHW community advocacy on community change, defined as civic engagement, organizational capacity and policy and systems change. Data are drawn from the 2014 National Community Health Worker Advocacy Survey (N = 1776) aimed to identify the state of the CHW profession, and their impact on health disparities through community advocacy and policy engagement...
June 6, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28589011/modelling-the-health-and-economic-impacts-of-the-elimination-of-river-blindness-onchocerciasis-in-africa
#20
Young Eun Kim, Wilma A Stolk, Marcel Tanner, Fabrizio Tediosi
BACKGROUND: Onchocerciasis (river blindness) is endemic mostly in remote and rural areas in sub-Saharan Africa. The treatment goal for onchocerciasis has shifted from control to elimination in Africa. For investment decisions, national and global policymakers need evidence on benefits, costs and risks of elimination initiatives. METHODS: We estimated the health benefits using a dynamical transmission model, and the needs for health workforce and outpatient services for elimination strategies in comparison to a control mode...
March 2017: BMJ Global Health
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