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Task-shifting to community health workers: evaluation of the performance of a peer-led model in an antiretroviral program in Uganda Instituut voor Tropische Geneeskunde

S Alamo, F. Wabwire-Mangen, E Kenneth, P. Sunday, M Laga, RL Colebunders
Task shifting to community health workers (CHW) has received recognition. We examined the performance of community antiretroviral therapy and tuberculosis treatment supporters (CATTS) in scaling up antiretroviral therapy (ART) in Reach Out, a community-based ART program in Uganda. Retrospective data on home visits made by CATTS were analyzed to examine the CATTS ability to perform home visits to patients based on the model's standard procedures. ...

Pentavalent vaccination in Kenya : coverage and geographical accessibility to health facilities using data from a community demographic and health surveillance system in Kilifi County Universiteit Gent

Morris Ogero, James Orwa, Rachael Odhiambo, Felix Agoi, Adelaide Lusambili, Jerim Obure, Marleen Temmerman, Stanley Lüchters, Anthony Ngugi
Background There is substantial evidence that immunization is one of the most significant and cost-effective pillars of preventive and promotive health interventions. Effective childhood immunization coverage is thus essential in stemming persistent childhood illnesses. The third dose of pentavalent vaccine for children is an important indicator for assessing performance of the immunisation programme because it mirrors the completeness of a ...

Key dimensions of collaboration quality in mental health care service networks Vrije Universiteit Brussel KU Leuven

Pablo Nicaise, Adeline Grard, Mark Leys, Chantal Van Audenhove, Vincent Lorant

Appropriate care delivery for patients with severe mental illness (SMI) requires a high level of collaboration quality between primary, mental health, and social care services. Few studies have addressed the interpersonal and inter-organizational components of collaboration within one unique study setting and it is unclear how these components contribute to overall collaboration quality. Using a comprehensive model that includes ten key ...

Community health workers as a strategy to tackle psychosocial suffering due to physical distancing : a randomized controlled trial Universiteit Gent

Dorien Vanden Bossche, Susan Lagaert, Sara Willems, Peter Decat
Background: During the COVID-19 pandemic, many primary care professionals were overburdened and experienced difficulties reaching vulnerable patients and meeting the increased need for psychosocial support. This randomized controlled trial (RCT) tested whether a primary healthcare (PHC) based community health worker (CHW) intervention could tackle psychosocial suffering due to physical distancing measures in patients with limited social ...

The Compassionate Communities Connectors model for end-of-life care : a community and health service partnership in Western Australia Universiteit Gent Vrije Universiteit Brussel

Samar M. Aoun, Julian Abel, Bruce Rumbold, Kate Cross, Jo Moore, Piari Skeers, Luc Deliens
Background: There is an international drive towards increasing provision of community-led models of social and practical support for people living with advanced illness. Aim: This feasibility project aims to develop, implement and evaluate a model of community volunteers, identified as Compassionate Communities Connectors, to support people living with advanced life limiting illnesses/palliative care needs. The aims also include the development ...

The theoretical and empirical basis of a BioPsychoSocial (BPS) risk screener for detection of older people's health related needs, planning of community programs, and targeted care interventions Vrije Universiteit Brussel

Zoe J-L Hildon, Chuen Seng Tan, Farah Shiraz, Wai Chong Ng, Xiaodong Deng, Gerald Choon Huat Koh, Kelvin Bryan Tan, Ian Philp, Dick Wiggins, Su Aw, et al.

BACKGROUND: This study introduces the conceptual basis and operational measure, of BioPyschoSocial (BPS) health and related risk to better understand how well older people are managing and to screen for risk status. The BPS Risk Screener is constructed to detect vulnerability at older ages, and seeks to measure dynamic processes that place equal emphasis on Psycho-emotional and Socio-interpersonal risks, as Bio-functional ones. We validate ...

CHWs + mHealth. An assessment of mHealth interventions utilized by community health workers in low and middle-income countries Instituut voor Tropische Geneeskunde

Ona Ilozumba
The growth of mobile networks and access to mobile phones has led to the design of health interventions reliant on the utilization of existing infrastructure. The use of mobile phones to improve health outcomes is known as mobile health (mHealth). One health domain within which mHealth technology is currently used is in assisting community health workers in delivering maternal health care in low and middle-income countries (LMICs). Community ...

Recovery for all in the community; position paper on principles and key elements of community-based mental health care KU Leuven

Guido Pieters
BACKGROUND: Service providers throughout Europe have identified the need to define how high-quality community-based mental health care looks to organize their own services and to inform governments, commissioners and funders. In 2016, representatives of mental health care service providers, networks, umbrella organizations and knowledge institutes in Europe came together to establish the European Community Mental Health Services Provider ...

Capturing the most significant change after a work-training program for community health workers Vrije Universiteit Brussel

Sylvia Hoens, Suzannah D'Hooghe, Octavia Kint, Bert Quintiens, Dorien Brosens, Liesbeth De Donder, An Sofie Smetcoren

This paper examines the changes community health workers experienced after following a nine-month work-training program and the enabling/disabling factors leading to these changes. Using the Most Significant Change technique, stories from community health workers were collected through individual interviews (N = 9), after which other community health works discussed these stories in a focus group (N = 7). Results showed that Most Significant ...

The Impact of Community Health Workers on HIV Therapy Outcome in Sub-Saharan Africa KU Leuven

Anneleen Kiekens, Anne-Mieke Vandamme
In sub-Saharan Africa, the burden on HIV care givers is high. This resulted in renewed interest in community health worker (CHW) programs. We conducted a review of the literature to summarize CHWs' effects on HIV therapy outcome. We also investigated which CHW tasks might favorably impact treatment outcome.
We conducted a comprehensive literature search in PubMed, Web of Science and Embase for papers published up to October 2018. The ...