Hi everyone Beatrice Wasunna here, Senior Researcher at Medic Mobile, following up on @isaacholeman previous community heath research round up Issue 012 , below are six articles from the Community Health Impact Coalition -Research Round-Up Issue 013.
June 18 - July 15, 2019
Comments: Would vigorously dispute the characterization of the evidence base for the efficacy of CHW programs as “limited”–the six year old Singh & Sachs article cited in this piece does not make this claim & frankly, in what other field is 100+ positive RCTs characterized in this way? That said, this is an important paper on something that is understudied: the potential unintended consequences of these programs when they are not integrated into the health system
Takeaway: In the context of a bureaucratically weak health system and local grassroots dynamics that jeopardized long-term CHW program sustainability and eroded national health goals, unintended consequences were (a) CHWs moonlighting for multiple organizations, (b) CHWs freelancing in communities without regulation, and © adverse patient outcomes resulting from uncoordinated care.
- The status of Ghanaian community health workers’ supervision and service delivery: descriptive analyses from the 2017 Performance Monitoring and Accountability 2020 survey [version 2; peer review: 2 approved]
Comments: Great use of the Performance Monitoring and Accountability 2020 survey by Lisa, Dan and others!
Methods: Descriptive analyses of survey data
Takeaway: There was variability in supervision frequency and CHW activities. A high proportion of CHWs already meet the
expected frequency of supervision while there were substantial differences by region in CHW service provision, which requires further
Comments: Of interest to our US colleagues and all who care about accreditation/organizing! (Part of a special issue on community-clinical linkages within health care in Hawai‘i)
Takeaway: Presents the perspectives of allies (governmental, university & public health organizations) in support the efforts of Hawai’i CHWs as they organize and move towards establishing a professional association.
- Effects of community health worker interventions on socioeconomic inequities in maternal and newborn health in low-income and middle-income countries: a mixed-methods systematic review
Comments: Add to the arsenal of ‘CHWs are pro-equity!’ arguments
Methods: Mixed-methods systematic review of quantitative and qualitative studies
Takeaway: CHW interventions involving home visits, cash transfers, participatory women’s groups or multiple components can improve equity in maternal and newborn health
Comments: While community health agents remain at the core of many birth and death reporting efforts, previous literature has not explored elements for their successful integration into civil registration and vital statistics (CRVS) systems
Methods: Systematic review
Takeaway: Creating a programmatic norm of integrating with CRVS systems the vital events information collected from existing community health programs has the potential to provide governments with information essential for public health decision-making.
Comments: New report out this week by Phyllis Heydt, a longtime member of the community health family, and team! A cross-cutting issue that I believe is relevant to all our work
Takeaway: People with disabilities have poorer healthcare access, coverage, and outcomes for all SDG 3 indicators.