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https://www.readbyqxmd.com/read/28544728/index-case-finding-facilitates-identification-and-linkage-to-care-of-children-and-young-adults-living-with-hiv-aids-in-malawi
#1
Saeed Ahmed, Rachael A Sabelli, Katie Simon, Nora E Rosenberg, Elijah Kavuta, Mwelura Harawa, Spencer Dick, Frank Linzie, Peter N Kazembe, Maria H Kim
OBJECTIVES: Evaluation of a novel index case-finding and linkage-to-care program to identify and link HIV-infected children (1-15 years) and young adults (>15-24 years) to care. METHODS: HIV-infected patients enrolled in HIV services were screened and those who reported untested household members (index cases) were offered home or facility-based HIV testing and counseling (HTC) of their household by a community health worker (CHW). HIV-infected household members identified were enrolled in a follow-up program offering home and facility-based follow-up by CHWs...
May 23, 2017: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/28536094/using-beta-version-mhealth-technology-for-team-based-care-management-to-support-stroke-prevention-an-assessment-of-utility-and-challenges
#2
Magaly Ramirez, Shinyi Wu, Gery Ryan, Amytis Towfighi, Barbara G Vickrey
BACKGROUND: Beta versions of health information technology tools are needed in service delivery models with health care and community partnerships to confirm the key components and to assess the performance of the tools and their impact on users. We developed a care management technology (CMT) for use by community health workers (CHWs) and care managers (CMs) working collaboratively to improve risk factor control among recent stroke survivors. The CMT was expected to enhance the efficiency and effectiveness of the CHW-CM team...
May 23, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28529213/effective-strategies-for-affordable-care-act-enrollment-in-immigrant-serving-safety-net-clinics-in-new-mexico
#3
Christina M Getrich, Jacqueline M García, Angélica Solares, Miria Kano
In the new Affordable Care Act (ACA) health care environment, safety-net institutions continue to serve as important sources of culturally appropriate care for different groups of immigrant patients. This article reports on a qualitative study examining the early ACA enrollment experiences of a range of health care providers (n = 29) in six immigrant-serving safety-net clinics in New Mexico. The six clinics configured their ACA enrollment strategies differently with regard to operations, staffing, and outreach...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28528560/design-and-implementation-of-a-community-health-worker-hiv-treatment-and-prevention-intervention-in-an-hiv-hot-spot-fishing-community-in-rakai-uganda
#4
Amanda Long, Ismail Mbabali, Heidi E Hutton, Alvin G Thomas, Eva Bugos, Jeremiah Mulamba, Kathy Rivet Amico, Fred Nalugoda, Ronald H Gray, Maria J Wawer, Gertrude Nakigozi, Larry W Chang
Innovative approaches are needed to increase engagement in HIV treatment and prevention services, particularly in HIV hot spots. Here, we detail our design, training approach, and early implementation experiences of a community-based HIV intervention called "health scouts." The intervention, utilizing a novel, theory-based approach, trained 10 community residents in an HIV hot spot fishing community to use motivational interviewing strategies and a mobile phone-based counseling application. During the first 3 months, 771 residents (median 82/health scout, range 27-160) were counseled...
January 1, 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/28522894/interventional-audiology-to-address-hearing-health-care-disparities-oyendo-bien-pilot-study
#5
REVIEW
Nicole Marrone, Maia Ingram, Maria Somoza, Daisey Sánchez Jacob, Adriana Sanchez, Stephanie Adamovich, Frances P Harris
Interventional audiology, specifically community-based outreach, can connect people with the hearing health care system. Community-based participatory research methods were applied in two phases of research to: (1) investigate the needs of families affected by hearing loss in a rural Arizona community on the U.S.-Mexico border; and (2) evaluate an outreach program on hearing health. The needs assessment included interviews with persons with hearing loss and focus groups with family members and the greater community...
May 2017: Seminars in Hearing
https://www.readbyqxmd.com/read/28521798/use-of-malaria-rdts-in-various-health-contexts-across-sub-saharan-africa-a-systematic-review
#6
Matthew R Boyce, Wendy P O'Meara
BACKGROUND: The World Health Organization recommends parasitological confirmation of malaria prior to treatment. Malaria rapid diagnostic tests (RDTs) represent one diagnostic method that is used in a variety of contexts to overcome limitations of other diagnostic techniques. Malaria RDTs increase the availability and feasibility of accurate diagnosis and may result in improved quality of care. Though RDTs are used in a variety of contexts, no studies have compared how well or effectively RDTs are used across these contexts...
May 18, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28506258/health-care-waste-management-in-community-based-care-experiences-of-community-health-workers-in-low-resource-communities-in-south-africa
#7
Lydia Hangulu, Olagoke Akintola
BACKGROUND: In South Africa, community health workers (CHWs) working in community-based care (CBC) programmes provide care to patients most of whom are living with HIV/AIDS and tuberculosis (TB). Although studies have shown that the caregiving activities provided by the CHWs generate health care waste (HCW), there is limited information about the experiences of CHWs on health care waste management (HCWM) in CBC. This study explored HCWM in CBC in Durban, South Africa from the perspectives CHWs...
May 15, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28485694/childhood-pneumonia-diagnostics-community-health-workers-and-national-stakeholders-differing-perspectives-of-new-and-existing-aids
#8
Hollie Spence, Kevin Baker, Alexandra Wharton-Smith, Akasiima Mucunguzi, Lena Matata, Tedila Habte, Diana Nanyumba, Anteneh Sebsibe, Thol Thany, Karin Källander
BACKGROUND: Pneumonia heavily contributes to global under-five mortality. Many countries use community case management to detect and treat childhood pneumonia. Community health workers (CHWs) have limited tools to help them assess signs of pneumonia. New respiratory rate (RR) counting devices and pulse oximeters are being considered for this purpose. OBJECTIVE: To explore perspectives of CHWs and national stakeholders regarding the potential usability and scalability of seven devices to aid community assessment of pneumonia signs...
2017: Global Health Action
https://www.readbyqxmd.com/read/28482899/improving-access-to-health-care-amongst-vulnerable-populations-a-qualitative-study-of-village-malaria-workers-in-kampot-cambodia
#9
Marco Liverani, Chea Nguon, Ra Sok, Daro Kim, Panharith Nou, Sokhan Nguon, Shunmay Yeung
BACKGROUND: There is growing interest in the expansion of community health workers programmes in low- and middle-income countries as a cost-effective approach to address shortages of health professionals. However, our understanding of the reception of large-scale programmes and how to improve them remains limited, with knowledge gaps about factors that may promote or discourage equitable access to services. This paper examines the case of the Village Malaria Workers (VMW) programme in Cambodia, an extensive community-based intervention for the management of malaria cases in remote rural areas...
May 8, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28482687/psychological-treatments-for-the-world-lessons-from-low-and-middle-income-countries
#10
Daisy R Singla, Brandon A Kohrt, Laura K Murray, Arpita Anand, Bruce F Chorpita, Vikram Patel
Common mental disorders, including depression, anxiety, and posttraumatic stress, are leading causes of disability worldwide. Treatment for these disorders is limited in low- and middle-income countries. This systematic review synthesizes the implementation processes and examines the effectiveness of psychological treatments for common mental disorders in adults delivered by nonspecialist providers in low- and middle-income countries. In total, 27 trials met the eligibility criteria; most treatments targeted depression or posttraumatic stress...
May 8, 2017: Annual Review of Clinical Psychology
https://www.readbyqxmd.com/read/28481900/yaws-resurgence-in-bankim-cameroon-the-relative-effectiveness-of-different-means-of-detection-in-rural-communities
#11
Alphonse Um Boock, Paschal Kum Awah, Ferdinand Mou, Mark Nichter
BACKGROUND: Yaws is an infectious, debilitating and disfiguring disease of poverty that mainly affects children in rural communities in tropical areas. In Cameroon, mass-treatment campaigns carried out in the 1950s reduced yaws to such low levels that it was presumed the disease was eradicated. In 2010, an epidemiological study in Bankim Health District detected 29 cases of yaws. Five different means of detecting yaws in clinical and community settings were initiated in Bankim over the following five years...
May 8, 2017: PLoS Neglected Tropical Diseases
https://www.readbyqxmd.com/read/28476170/provision-versus-promotion-to-develop-a-handwashing-station-the-effect-on-desired-handwashing-behavior
#12
Debashish Biswas, Fosiul Alam Nizame, Tina Sanghvi, Sumitro Roy, Stephen P Luby, Leanne E Unicomb
BACKGROUND: Diarrhea prevalence increases from around the time that complementary foods are introduced. Improving caregiver's hand hygiene during food preparation could reduce complementary food contamination and enteric pathogen transmission. Washing hands with soap is more common when water and soap are together at a convenient location. We conducted a three-month pilot intervention to evaluate two options for setting up handwashing stations: i) provide a handwashing station, or ii) help the family to make their own from available materials...
May 5, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28475904/perceived-mhealth-barriers-and-benefits-for-home-based-hiv-testing-and-counseling-and-other-care-qualitative-findings-from-health-officials-community-health-workers-and-persons-living-with-hiv-in-south-africa
#13
Alastair van Heerden, Danielle M Harris, Heidi van Rooyen, Ruanne V Barnabas, Nithya Ramanathan, Nkosinathi Ngcobo, Zukiswa Mpiyakhe, W Scott Comulada
mHealth has been proposed to address inefficiencies in the current South African healthcare system, including home-based HIV testing and counseling (HTC) programs. Yet wide-scale adoption of mHealth has not occurred. Even as infrastructure barriers decrease, a need to better understand perceived adoption barriers by stakeholders remains. We conducted focus group discussions (FGD) in South Africa in 2016 with 10 home-based HTC field staff, 12 community health workers (CHWs) and 10 persons living with HIV (PLH)...
June 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28464869/reliability-of-information-on-people-with-disabilities-gathered-by-community-health-workers-in-highly-consanguineous-communities-of-northeastern-brazil
#14
Fernando Rocha Lucena Lopes, Karolinne Souza Monteiro, Thalita Figueiredo, Thyago da Costa Wanderley, Thiago de Almeida Pequeno, Shirley Lima, Silvana Santos
BACKGROUND: In Brazil, community health workers have gathered monthly information on people with disabilities to maintain the Primary Care Information System since 1998; however, few studies have used this database for scientific or public health policy purposes. OBJECTIVES: This study aimed to evaluate the reliability of information on people with disabilities gathered by community health workers in primary care services. METHOD: This was a cross-sectional population-based study conducted in two highly consanguineous communities, involving a population of 18,458 inhabitants in Northeastern Brazil...
May 2, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28459925/effect-of-a-community-health-worker-intervention-among-latinos-with-poorly-controlled-type-2-diabetes-the-miami-healthy-heart-initiative-randomized-clinical-trial
#15
Olveen Carrasquillo, Cynthia Lebron, Yisel Alonzo, Hua Li, Aileen Chang, Sonjia Kenya
Importance: Community health worker (CHW) intervention is a promising approach to address type 2 diabetes among Latinos. However, evidence from randomized clinical studies is limited. Objective: To compare a CHW intervention with enhanced usual care. Design, Setting, and Participants: This 52-week, single-blind, randomized clinical trial included 300 Latino adults aged 18 to 65 years who were treated in 2 public hospital outpatient clinics in Miami-Dade County, Florida, from July 1, 2010, through October 31, 2013...
May 1, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28453718/cost-effectiveness-analysis-of-malaria-rapid-diagnostic-tests-for-appropriate-treatment-of-malaria-at-the-community-level-in-uganda
#16
Kristian S Hansen, Richard Ndyomugyenyi, Pascal Magnussen, Sham Lal, Siân E Clarke
In Sub-Saharan Africa, malaria remains a major cause of morbidity and mortality among children under 5, due to lack of access to prompt and appropriate diagnosis and treatment. Many countries have scaled-up community health workers (CHWs) as a strategy towards improving access. The present study was a cost-effectiveness analysis of the introduction of malaria rapid diagnostic tests (mRDTs) performed by CHWs in two areas of moderate-to-high and low malaria transmission in rural Uganda. CHWs were trained to perform mRDTs and treat children with artemisinin-based combination therapy (ACT) in the intervention arm while CHWs offered treatment based on presumptive diagnosis in the control arm...
June 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28453711/improving-access-to-child-health-services-at-the-community-level-in-zambia-a-country-case-study-on-progress-in-child-survival-2000-2013
#17
Aaron M Kipp, Margaret Maimbolwa, Marie A Brault, Penelope Kalesha-Masumbu, Mary Katepa-Bwalya, Phanuel Habimana, Sten H Vermund, Kasonde Mwinga, Connie A Haley
Reductions in under-five mortality in Africa have not been sufficient to meet the Millennium Development Goal #4 (MDG#4) of reducing under-five mortality by two-thirds by 2015. Nevertheless, 12 African countries have met MDG#4. We undertook a four country study to examine barriers and facilitators of child survival prior to 2015, seeking to better understand variability in success across countries. The current analysis presents indicator, national document, and qualitative data from key informants and community women describing the factors that have enabled Zambia to successfully reduce under-five mortality over the last 15 years and achieve MDG#4...
June 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28452662/predictors-of-outcomes-for-older-adults-participating-in-calmer-life-a-culturally-tailored-intervention-for-anxiety
#18
Elizabeth C Conti, Terri L Barrera, Amber B Amspoker, Nancy Wilson, Srijana Shrestha, Paula Wagener, Maria Armento, Gina Evans-Hudnall, Jeremy P Cummings, Mark E Kunik, Melinda A Stanley
OBJECTIVE: Determine predictors of reduced worry and anxiety for older adults participating in the pilot phase of Calmer Life, a modular, personalized cognitive-behavioral treatment for worry. METHODS: Underserved adults (N = 54) over age 50 participated. Therapists were either experts (Ph.D. or Master's) or nonexpert providers (case managers, community health workers, and bachelor's level). Participants completed the Penn State Worry Questionnaire-Abbreviated (PSWQ-A) and the Geriatric Anxiety Inventory-Short Form (GAI-SF) before treatment and at 3 months...
May 2017: Clinical Gerontologist
https://www.readbyqxmd.com/read/28448502/contraceptive-uptake-after-training-community-health-workers-in-couples-counseling-a-cluster-randomized-trial
#19
Clara Lemani, Jennifer H Tang, Dawn Kopp, Billy Phiri, Chrissy Kumvula, Loyce Chikosi, Mwawi Mwale, Nora E Rosenberg
BACKGROUND: Young women in Malawi face many challenges in accessing family planning (FP), including distance to the health facility and partner disapproval. Our primary objective was to assess if training HSAs in couples counseling would increase modern FP uptake among young women. METHODS: In this cluster randomized controlled trial, 30 HSAs from Lilongwe, Malawi received training in FP. The HSAs were then randomized 1:1 to receive or not receive additional training in couples counseling...
2017: PloS One
https://www.readbyqxmd.com/read/28446236/the-malaria-testing-and-treatment-landscape-in-benin
#20
Cyprien Zinsou, Adjibabi Bello Cherifath
BACKGROUND: Since 2004, artemisinin-based combination therapy (ACT) has been the first-line treatment for uncomplicated malaria in Benin. In 2016, a medicine outlet survey was implemented to investigate the availability, price, and market share of anti-malarial treatment and malaria diagnostics. Results provide a timely and important benchmark to measure future interventions aimed at increasing access to quality malaria case management services. METHODS: Between July 5th to August 6th 2016, a cross sectional, nationally-representative malaria outlet survey was conducted in Benin...
April 26, 2017: Malaria Journal
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