Index by author
Communities as the Cornerstone of Primary Health Care: Learning, Policy, and Practice
Abdalla, Omar
- Open AccessApplying the Community Health Worker Coverage and Capacity Tool for Time-Use Modeling for Program Planning in Rwanda and ZanzibarMelanie Morrow, Eric Sarriot, Allyson R. Nelson, Felix Sayinzoga, Beatrice Mukamana, Evariste Kayitare, Halima Khamis, Omar Abdalla and William WinfreyGlobal Health: Science and Practice March 2021, 9(Supplement 1):S65-S78; https://doi.org/10.9745/GHSP-D-20-00324
The C3 Tool supports community health worker (CHW) program planning by making tradeoffs apparent between human resources and the services to be provided at varying levels of population coverage. Governments in Rwanda and Zanzibar used the tool, respectively, to optimize CHW time allocation and to estimate how many CHWs were needed to meet universal health coverage goals.
Agarwal, Anup
- Open AccessMeasuring Knowledge of Community Health Workers at the Last Mile in Liberia: Feasibility and Results of Clinical Vignette AssessmentsJordan Downey, Anne H. McKenna, Savior Flomo Mendin, Ami Waters, Nelson Dunbar, Lekilay G. Tehmeh, Emily E. White, Mark J. Siedner, Raj Panjabi, John D. Kraemer, Avi Kenny, E. John Ly, Jennifer Bass, Kuang-Ning Huang, M. Shoaib Khan, Nathan Uchtmann, Anup Agarwal and Lisa R. HirschhornGlobal Health: Science and Practice March 2021, 9(Supplement 1):S111-S121; https://doi.org/10.9745/GHSP-D-20-00380
We integrated clinical vignettes into routine programmatic supervision to assess community health worker knowledge of integrated community case management in rural Liberia. Results included higher rates of correct diagnosis and lifesaving treatment for uncomplicated disease than for more severe cases, with accurate recognition of danger signs posing a challenge.
Albert, Joshua
- Open AccessThe Community Health Systems Reform Cycle: Strengthening the Integration of Community Health Worker Programs Through an Institutional Reform PerspectiveNan Chen, Mallika Raghavan, Joshua Albert, Abigail McDaniel, Lilian Otiso, Richard Kintu, Melissa West and David JacobsteinGlobal Health: Science and Practice March 2021, 9(Supplement 1):S32-S46; https://doi.org/10.9745/GHSP-D-20-00429
Efforts to scale community health worker programs within primary health care systems in 7 countries illustrated that these efforts are best understood as a complex process of institutional reform. Successful scale up depends on a problem-driven political process; requires that models develop solutions that align with resources, capabilities, and commitments of key stakeholders; and emerges from iterative cycles of learning and improvement.
Amosse, Felizarda
- Open AccessImplementation of a Community Transport Strategy to Reduce Delays in Seeking Obstetric Care in Rural MozambiqueFelizarda Amosse, Helena Boene, Mai-Lei Woo Kinshella, Sharla Drebit, Sumedha Sharma, Prestige Tatenda Makanga, Anifa Valá, Laura A. Magee, Peter von Dadelszen, Marianne Vidler, Esperança Sevene, Khátia Munguambe and the Community Level Interventions for Pre-eclampsia (CLIP) Working GroupGlobal Health: Science and Practice March 2021, 9(Supplement 1):S122-S136; https://doi.org/10.9745/GHSP-D-20-00511
Encouraging local transport programs and transport infrastructure in poorly-resourced communities can help improve community access and strengthen engagement with health systems. Mobilizing community resources and leadership to implement a community-based transport scheme in rural Mozambique to support referrals to health facilities can help improve maternal and child health outcomes.
Andersson, Sarah R.
- Open AccessUsing Human-Centered Design to Adapt Supply Chains and Digital Solutions for Community Health Volunteers in Nomadic Communities of Northern KenyaSarah R. Andersson, Sarah Hassanen, Amos M. Momanyi, Danielson K. Onyango, Daniel K. Gatwechi, Mercy N. Lutukai, Karen O. Aura, Alex M. Mungai and Yasmin K. ChandaniGlobal Health: Science and Practice March 2021, 9(Supplement 1):S151-S167; https://doi.org/10.9745/GHSP-D-20-00378
Investing the time and effort to use human-centered design (HCD) approaches is beneficial to designing supply chains and digital solutions for complex sociocultural settings. HCD enables users to be engaged in cocreating solutions that address their challenges, are appropriate for their context and capacity, and build local ownership.
Aura, Karen O.
- Open AccessUsing Human-Centered Design to Adapt Supply Chains and Digital Solutions for Community Health Volunteers in Nomadic Communities of Northern KenyaSarah R. Andersson, Sarah Hassanen, Amos M. Momanyi, Danielson K. Onyango, Daniel K. Gatwechi, Mercy N. Lutukai, Karen O. Aura, Alex M. Mungai and Yasmin K. ChandaniGlobal Health: Science and Practice March 2021, 9(Supplement 1):S151-S167; https://doi.org/10.9745/GHSP-D-20-00378
Investing the time and effort to use human-centered design (HCD) approaches is beneficial to designing supply chains and digital solutions for complex sociocultural settings. HCD enables users to be engaged in cocreating solutions that address their challenges, are appropriate for their context and capacity, and build local ownership.
Baird, Madeline
- Open AccessEvaluating Vertical Malaria Community Health Worker Programs as Malaria Declines: Learning From Program Evaluations in Honduras and Lao PDRHarriet G. Napier, Madeline Baird, Evelyn Wong, Eliza Walwyn-Jones, Manuel Espinoza Garcia, Lizeth Cartagena, Nontokozo Mngadi, Viengxay Vanisaveth, Viengphone Sengsavath, Phoutnalong Vilay, Kenesay Thongpiou, Theodoor Visser and Justin M. CohenGlobal Health: Science and Practice March 2021, 9(Supplement 1):S98-S110; https://doi.org/10.9745/GHSP-D-20-00379
Community case management by community health workers has substantially reduced malaria across the Greater Mekong Subregion and Central America. To sustain current and achieve further reductions in malaria, surveillance and delivery platforms must be redesigned to ensure their continued use by key populations.
Bass, Jennifer
- Open AccessMeasuring Knowledge of Community Health Workers at the Last Mile in Liberia: Feasibility and Results of Clinical Vignette AssessmentsJordan Downey, Anne H. McKenna, Savior Flomo Mendin, Ami Waters, Nelson Dunbar, Lekilay G. Tehmeh, Emily E. White, Mark J. Siedner, Raj Panjabi, John D. Kraemer, Avi Kenny, E. John Ly, Jennifer Bass, Kuang-Ning Huang, M. Shoaib Khan, Nathan Uchtmann, Anup Agarwal and Lisa R. HirschhornGlobal Health: Science and Practice March 2021, 9(Supplement 1):S111-S121; https://doi.org/10.9745/GHSP-D-20-00380
We integrated clinical vignettes into routine programmatic supervision to assess community health worker knowledge of integrated community case management in rural Liberia. Results included higher rates of correct diagnosis and lifesaving treatment for uncomplicated disease than for more severe cases, with accurate recognition of danger signs posing a challenge.
Bellows, Ben
- Open AccessStrength in Diversity: Integrating Community in Primary Health Care to Advance Universal Health CoverageCharlotte E. Warren, Ben Bellows, Rachel Marcus, Jordan Downey, Sarah Kennedy and Nazo KureshyGlobal Health: Science and Practice March 2021, 9(Supplement 1):S1-S5; https://doi.org/10.9745/GHSP-D-21-00125
The supplement highlights a systems approach that recognizes the communities' roles and their interactions with other health system actors to accelerate outcomes and reflect the diversity of the community health ecosystem. Several cross-cutting priorities emerge from the articles, namely coverage, community health financing, policy change, institutionalization, resilience, accountability, community engagement, and whole-of-society efforts.
Benard, Mitto
- Open AccessCommunity Health Worker Program Sustainability in Africa: Evidence From Costing, Financing, and Geospatial Analyses in MaliPatrick Pascal Saint-Firmin, Birama Diakite, Kevin Ward, Mitto Benard, Sara Stratton, Christine Ortiz, Arin Dutta and Seydou TraoreGlobal Health: Science and Practice March 2021, 9(Supplement 1):S79-S97; https://doi.org/10.9745/GHSP-D-20-00404
Understanding specific program costs through efficiency analyses and geospatial targeting allows national stakeholders to make strategic, targeted investments, making the first steps toward sustainability. Costs required for community health worker programs can be reduced without sacrificing quality, and spending can be geographically targeted to optimize service use by rural populations. Results from Mali provide an example for other sub-Saharan African countries.