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https://www.readbyqxmd.com/read/28097471/experiences-and-perceptions-regarding-clinical-breast-exam-screening-by-trained-laywomen-in-malawi
#1
Racquel E Kohler, Anna R Miller, Lily Gutnik, Clara N Lee, Satish Gopal
PURPOSE: Despite the increasing burden, breast cancer control in sub-Saharan Africa is insufficient. Late diagnosis and lack of early detection and screening services contribute to high mortality. Clinical breast exam (CBE) screening can be valuable in low-income countries, including use of community health workers and non-health professionals to conduct exams. We assessed experiences of women who underwent CBE screening by trained laywomen in Lilongwe, Malawi, as part of a pilot program...
January 17, 2017: Cancer Causes & Control: CCC
https://www.readbyqxmd.com/read/28095824/community-based-health-care-is-an-essential-component-of-a-resilient-health-system-evidence-from-ebola-outbreak-in-liberia
#2
Kendra Siekmans, Salim Sohani, Tamba Boima, Florence Koffa, Luay Basil, Saïd Laaziz
BACKGROUND: Trained community health workers (CHW) enhance access to essential primary health care services in contexts where the health system lacks capacity to adequately deliver them. In Liberia, the Ebola outbreak further disrupted health system function. The objective of this study is to examine the value of a community-based health system in ensuring continued treatment of child illnesses during the outbreak and the role that CHWs had in Ebola prevention activities. METHODS: A descriptive observational study design used mixed methods to collect data from CHWs (structured survey, n = 60; focus group discussions, n = 16), government health facility workers and project staff...
January 17, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28093988/adherence-to-secondary-prophylaxis-for-acute-rheumatic-fever-and-rheumatic-heart-disease-a-systematic-review
#3
Priya Minaxi Kevat, Benjamin M Reeves, Alan R Ruben, Ronny Gunnarsson
BACKGROUND: Optimal delivery of regular benzathine penicillin G (BPG) injections prescribed as secondary prophylaxis for acute rheumatic fever (ARF) and rheumatic heart disease (RHD) is vital to preventing disease morbidity and cardiac sequelae in affected pediatric and young adult populations. However, poor uptake of secondary prophylaxis remains a significant challenge to ARF/RHD control programs. OBJECTIVE: In order to facilitate better understanding of this challenge and thereby identify means to improve service delivery, this systematic literature review explored rates of adherence and factors associated with adherence to secondary prophylaxis for ARF and RHD worldwide...
January 16, 2017: Current Cardiology Reviews
https://www.readbyqxmd.com/read/28086983/mailed-hpv-self-sampling-for-cervical-cancer-screening-among-underserved-minority-women-study-protocol-for-a-randomized-controlled-trial
#4
Erin Kobetz, Julia Seay, Anthony Amofah, Larry Pierre, Jordan Baeker Bispo, Dinah Trevil, Martha Gonzalez, Martine Poitevien, Tulay Koru-Sengul, Olveen Carrasquillo
BACKGROUND: Underserved ethnic minority women experience significant disparities in cervical cancer incidence and mortality, mainly due to lack of cervical cancer screening. Barriers to Pap smear screening include lack of knowledge, lack of health insurance and access, and cultural beliefs regarding disease prevention. In our previous SUCCESS trial, we demonstrated that HPV self-sampling delivered by a community health worker (CHW) is efficacious in circumventing these barriers. This approach increased screening uptake relative to navigation to Pap smear screening...
January 13, 2017: Trials
https://www.readbyqxmd.com/read/28077148/linking-communities-to-formal-health-care-providers-through-village-health-teams-in-rural-uganda-lessons-from-linking-social-capital
#5
Laban Kashaija Musinguzi, Emmanueil Benon Turinawe, Jude T Rwemisisi, Daniel H de Vries, David K Mafigiri, Denis Muhangi, Marije de Groot, Achilles Katamba, Robert Pool
BACKGROUND: Community-based programmes, particularly community health workers (CHWs), have been portrayed as a cost-effective alternative to the shortage of health workers in low-income countries. Usually, literature emphasises how easily CHWs link and connect communities to formal health care services. There is little evidence in Uganda to support or dispute such claims. Drawing from linking social capital framework, this paper examines the claim that village health teams (VHTs), as an example of CHWs, link and connect communities with formal health care services...
January 11, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28069014/cultural-elements-underlying-the-community-health-representative-client-relationship-on-navajo-nation
#6
Vikas Gampa, Casey Smith, Olivia Muskett, Caroline King, Hannah Sehn, Jamy Malone, Cameron Curley, Chris Brown, Mae-Gilene Begay, Sonya Shin, Adrianne Katrina Nelson
BACKGROUND: Navajo Nation Community Health Representatives (CHR) are trained community health workers (CHWs) who provide crucial services for patients and families. The success of the CHRs' interventions depends on the interactions between the CHRs and their clients. This research investigates the culturally specific factors that build and sustain the CHR-client interaction. METHODS: In-depth interviews were conducted with 16 CHRs on Navajo Nation. Interviews were transcribed and coded according to relevant themes...
January 9, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28064212/impact-of-a-critical-health-workforce-shortage-on-child-health-in-zimbabwe-a-country-case-study-on-progress-in-child-survival-2000-2013
#7
Connie A Haley, Sten H Vermund, Precious Moyo, Aaron M Kipp, Bernard Madzima, Trevor Kanyowa, Teshome Desta, Kasonde Mwinga, Marie A Brault
Despite notable progress reducing global under-five mortality rates, insufficient progress in most sub-Saharan African nations has prevented the achievement of Millennium Development Goal four (MDG#4) to reduce under-five mortality by two-thirds between 1990 and 2015. Country-level assessments of factors underlying why some African countries have not been able to achieve MDG#4 have not been published. Zimbabwe was included in a four-country study examining barriers and facilitators of under-five survival between 2000 and 2013 due to its comparatively slow progress towards MDG#4...
January 7, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28062811/moving-upstream-health-extension-and-primary-care
#8
Lyle J Fagnan
Health extension programs represent an opportunity for practice-based research networks (PBRNs) and primary care practices to develop collaborations reaching beyond the clinic walls to address the upstream social determinants of health and engage in community-based research. The Health Extension Regional Officers (HEROs) program at the University of New Mexico described in this issue of the JABFM is an innovative model with a bidirectional approach to linking academic health centers to community-based practices and organizations...
January 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28061853/location-location-location-environmental-factors-better-predict-malaria-positive-individuals-during-reactive-case-detection-than-index-case-demographics-in-southern-province-zambia
#9
David A Larsen, Tokozile Ngwenya-Kangombe, Sanford Cheelo, Busiku Hamainza, John Miller, Anna Winters, Daniel J Bridges
BACKGROUND: Decreasing malaria transmission leads to increasing heterogeneity with increased risk in both hot spots (locations) and hot pops (certain demographics). In Southern Province, Zambia, reactive case detection has formed a part of malaria surveillance and elimination efforts since 2011. Various factors may be associated with finding malaria infections during case investigations, including the demographics of the incident case and environmental characteristics of the location of the incident case...
January 6, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28052071/impact-of-the-13-valent-pneumococcal-conjugate-vaccine-on-clinical-and-hypoxemic-childhood-pneumonia-over-three-years-in-central-malawi-an-observational-study
#10
Eric D McCollum, Bejoy Nambiar, Rashid Deula, Beatiwel Zadutsa, Austin Bondo, Carina King, James Beard, Harry Liyaya, Limangeni Mankhambo, Marzia Lazzerini, Charles Makwenda, Gibson Masache, Naor Bar-Zeev, Peter N Kazembe, Charles Mwansambo, Norman Lufesi, Anthony Costello, Ben Armstrong, Tim Colbourn
BACKGROUND: The pneumococcal conjugate vaccine's (PCV) impact on childhood pneumonia during programmatic conditions in Africa is poorly understood. Following PCV13 introduction in Malawi in November 2011, we evaluated the case burden and rates of childhood pneumonia. METHODS AND FINDINGS: Between January 1, 2012-June 30, 2014 we conducted active pneumonia surveillance in children <5 years at seven hospitals, 18 health centres, and with 38 community health workers in two districts, central Malawi...
2017: PloS One
https://www.readbyqxmd.com/read/28049753/behavioral-lifestyle-interventions-for-the-primary-prevention-of-type-2-diabetes-and-translation-to-hispanic-latino-communities-in-the-united-states-and-mexico
#11
Elizabeth M Venditti
Lifestyle behaviors in overweight and obese individuals are closely linked to the development, course, and outcomes of type 2 diabetes and multiple comorbid health conditions. Behavior change theory and many randomized controlled studies offer strong support for screening and identifying adults at increased cardiometabolic risk and for providing early intervention to mitigate risk factors to prevent or delay the onset of disease. The current article reviews key lifestyle intervention efficacy and dissemination trials conducted with individuals deemed to be at increased risk for diabetes and describes the rationale for training teams of professionals and community health workers (e...
January 2017: Nutrition Reviews
https://www.readbyqxmd.com/read/28049523/safety-of-a-fixed-dose-combination-of-artesunate-and-amodiaquine-for-the-treatment-of-uncomplicated-plasmodium-falciparum-malaria-in-real-life-conditions-of-use-in-c%C3%A3-te-d-ivoire
#12
Serge-Brice Assi, Yapo Thomas Aba, Jean Claude Yavo, Abouo Franklin Nguessan, N'cho Bertin Tchiekoi, Koffi Moïse San, Emmanuel Bissagnéné, Stephan Duparc, Valérie Lameyre, Mea Antoine Tanoh
BACKGROUND: In many malaria-endemic, sub-Saharan African countries, existing pharmacovigilance systems are not sufficiently operational to document reliably the safety profile of anti-malarial drugs. This study describes the implantation of a community-based pharmacovigilance system in Côte d'Ivoire and its use to document the safety of ASAQ Winthrop(®) (artesunate-amodiaquine). METHODS: This prospective, longitudinal, descriptive, non-comparative, non-interventional study on the use of artesunate-amodiaquine in real-life conditions of use was conducted in seven Community Health Centres of the Agboville district in Côte d'Ivoire...
January 3, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28049486/towards-eliminating-malaria-in-high-endemic-countries-the-roles-of-community-health-workers-and-related-cadres-and-their-challenges-in-integrated-community-case-management-for-malaria-a-systematic-review
#13
REVIEW
Bruno F Sunguya, Linda B Mlunde, Rakesh Ayer, Masamine Jimba
BACKGROUND: Human resource for health crisis has impaired global efforts against malaria in highly endemic countries. To address this, the World Health Organization (WHO) recommended scaling-up of community health workers (CHWs) and related cadres owing to their documented success in malaria and other disease prevention and management. Evidence is inconsistent on the roles and challenges they encounter in malaria interventions. This systematic review aims to summarize evidence on roles and challenges of CHWs and related cadres in integrated community case management for malaria (iCCM)...
January 3, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28049458/factors-associated-with-male-involvement-in-reproductive-care-in-bangladesh
#14
Ghose Bishwajit, Shangfeng Tang, Sanni Yaya, Seydou Ide, Hang Fu, Manli Wang, Zhifei He, Feng Da, Zhanchun Feng
BACKGROUND: Men's active involvement in reproductive healthcare has shown to be positively associated with maternal and child health outcomes. Bangladesh has made appreciable progress in its pursuance of maternal mortality related goals in the framework of the MDGs. However, there remains a lot to be accomplished to realise the long-term goals for which active participation of male counterparts in reproductive care is crucial. Therefore, the objective of the present study was to investigate factors associated with male involvement in reproductive health among Bangladeshi men...
January 3, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28033090/community-health-workers-as-allies-in-hypertension-self-management-and-medication-adherence-in-the-united-states-2014
#15
Caitlin G Allen, J Nell Brownstein, Anamika Satsangi, Cam Escoffery
INTRODUCTION: Rates of hypertension control remain low among underserved populations in the United States; moreover, disparities in hypertension-related cardiovascular disease death are increasing. Community health workers (CHWs) can address barriers to hypertension control among underrepresented and diverse populations. We identify unique roles CHWs play in hypertension self-management and medication adherence. METHODS: In 2014, we conducted a mixed methods study with an online survey of 265 CHWs and 23 telephone interviews...
December 29, 2016: Preventing Chronic Disease
https://www.readbyqxmd.com/read/28032057/affecting-factors-on-the-performance-of-community-health-workers-in-iran-s-rural-areas-a-review-article
#16
REVIEW
Gholamhossein Salehi Zalani, Mahboubeh Bayat, Azad Shokri, S Elmira Mirbahaeddin, Vahid Rasi, Samira Alirezaei, Fatemeh Manafi
BACKGROUND: This study aimed to use a mixed-method approach to investigate affecting factors on the performance of Community Health Workers (CHW) in Iran's villages. METHODS: This study was conducted during 2014-2015 with a mixed method in three phases of literature review, Delphi technique and developing a rich picture. Overall, in order to finalize the affecting factors and their relationships between qualitative content analysis, Delphi technique, AHP technique and Focus Group Discussion were used, respectively...
November 2016: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/28031305/qualitative-assessment-of-the-application-of-a-discrete-choice-experiment-with-community-health-workers-in-uganda-aligning-incentives-with-preferences
#17
Aurélie Brunie, Mario Chen, Angela Akol
BACKGROUND: Maximizing the benefits of community health worker (CHW) programs requires strategies for improving motivation, performance, and retention. Discrete choice experiments (DCE) are increasingly used to inform policy response to health workforce shortages in rural areas, and may be of value in the context of CHW programs. Participants are presented with pairs of hypothetical jobs that are described by job attributes with varying levels and are asked what their preferred job is within each pair...
December 23, 2016: Global Health, Science and Practice
https://www.readbyqxmd.com/read/28006961/key-informants-perceptions-on-the-implementation-of-a-national-program-for-improving-nutritional-status-of-children-in-iran
#18
Delaram Ghodsi, Nasrin Omidvar, Arash Rashidian, Hossein Raghfar, Hassan Eini-Zinab, Marziyeh Ebrahimi
INTRODUCTION: Childhood malnutrition is a major public health issue. Multidisciplinary approach for Improvement of Nutritional Status of Children in Iran was implemented in order to reduce malnutrition among children. OBJECTIVE: This study aimed to evaluate the implementation aspect of the program and to explore key informants' perceptions and experience regarding the factors affected its implementation. METHODS: Data were collected through the review of secondary data and semistructured interviews at national, province, and local levels...
January 1, 2016: Food and Nutrition Bulletin
https://www.readbyqxmd.com/read/27994282/pulse-oximetry-for-children-with-pneumonia-treated-as-outpatients-in-rural-malawi
#19
Eric D McCollum, Carina King, Rashid Deula, Beatiwel Zadutsa, Limangeni Mankhambo, Bejoy Nambiar, Charles Makwenda, Gibson Masache, Norman Lufesi, Charles Mwansambo, Anthony Costello, Tim Colbourn
OBJECTIVE: To investigate implementation of outpatient pulse oximetry among children with pneumonia, in Malawi. METHODS: In 2011, 72 health-care providers at 18 rural health centres and 38 community health workers received training in the use of pulse oximetry to measure haemoglobin oxygen saturations. Data collected, between 1 January 2012 and 30 June 2014 by the trained individuals, on children aged 2-59 months with clinically diagnosed pneumonia were analysed...
December 1, 2016: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/27993594/the-effectiveness-of-community-health-workers-in-cvd-prevention-in-lmic
#20
REVIEW
Aditya K Khetan, Raghunandan Purushothaman, Tarek Chami, Vittal Hejjaji, Sri Krishna Madan Mohan, Richard A Josephson, Allison R Webel
Community health workers (CHW) may be effective in tackling the burden of cardiovascular diseases in low- and middle-income countries (LMIC). This review examines whether CHWs can improve the identification and control of cardiovascular risk factors in LMIC. We searched for studies that used CHW as a basis for cardiovascular risk factor management. Our search yielded 11 articles that targeted cardiovascular risk factor assessment, hypertension, diabetes, smoking, diet and physical activity. There were 4 randomized controlled trials, 3 quasi-experimental studies, 3 cross-sectional studies, and 1 retrospective analysis...
December 16, 2016: Global Heart
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