scholarly journals Adapting antenatal care in a rural LMIC during COVID‐19: A low literacy checklist to mitigate risk for community health workers

2020 ◽  
Vol 151 (2) ◽  
pp. 289-291
Author(s):  
Sasha Hernandez ◽  
Jessica B. Oliveira ◽  
Concepcion Mendoza Sosof ◽  
Eleanor Lawrence ◽  
Taraneh Shirazian
Keyword(s):  
Antenatal Care ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Low Literacy

scholarly journals 3125 Acceptability of a Narrative Video to Enhance the Use of Genetic Counseling in Latina Women at-risk of Hereditary Breast and Ovarian Cancer: Community Health Worker’s Perspective

2019 ◽  
Vol 3 (s1) ◽  
pp. 80-81
Author(s):  
Alejandra Hurtado de Mendoza ◽  
Kristi Graves ◽  
Sara Gómez-Trillos ◽  
Minna Song ◽  
Lyndsay Anderson ◽  
...  
Keyword(s):  
At Risk ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Underserved Populations ◽  
Community Outreach ◽  
The United States ◽  
Low Literacy ◽  
Patient Navigators ◽  
Latino Community

OBJECTIVES/SPECIFIC AIMS: The goal of the study was to assess the acceptability of a culturally targeted narrative video and identify potential avenues for dissemination in a sample of bilingual community health workers who provide services to the Latino community in the United States. METHODS/STUDY POPULATION: We piloted the video in a sample of bilingual community health workers who provide services to Latinos (n=31). After watching the video, participants filled out a survey. The survey captured sociodemographic data (e.g. education), their role and experience working with Latinos (e.g. patient navigators), acceptability of the video (e.g. general satisfaction, length of the video, amount of information), and potential dissemination (e.g., dissemination channels, preferred settings to watch the video, and preferred context). Three open ended questions captured information about how the video could be useful for the Latino community, what they liked the most from the video, and suggestions for improvement. Data was entered in SPSS version 25. We used descriptive statistics to analyze the survey, and content analysis to summarize the feedback from the open-ended questions. RESULTS/ANTICIPATED RESULTS: Participants (n = 31) had an average age of 46 years (SD=16.99), all self-identified as Hispanic or Latinos, most were female (90.3%), and worked as patient navigators (29%) or community outreach workers (25.8%). The video’s general acceptability was very high. Participants reported high ratings for overall satisfaction, how much they liked the video, enjoyed it, and considered it to be interesting (all means >9.6, range 1-10). Most participants strongly agreed or agreed that the length was adequate (80.7%), that the information presented was very helpful (100%), that the video could be useful for the Latina community (96.8%), and that they would share the video with women at-risk of HBOC (100%). The highest endorsed channels for dissemination were Facebook (90.3) and YouTube (87.1%). The highest endorsed settings were community centers (100%), churches (96.8%), and hospitals (80.6%). Most participants (90.3%) considered that the best context to watch the video would be with relatives, followed by watching with other women at-risk of HBOC (71.0%), friends (71.0%), and lastly by oneself (41.9%) DISCUSSION/SIGNIFICANCE OF IMPACT: This study represents a multidisciplinary approach to intervention development that aims to reduce well-documented knowledge gaps and disparities in the use of GCRA among at-risk Latinas. A culturally targeted video has the potential to reach underserved populations with low literacy and English proficiency and it can be widely disseminated. The video was well received by community health workers who reported high acceptability. These findings are promising given that community health workers could play a key role in the dissemination of the video if it is proven to be efficacious.

Improving use of maternal care services among married adolescent girls: an intervention study in rural India

2020 ◽  
pp. 1-20
Author(s):  
Ashok Dyalchand ◽  
Rohini Prabha Pande ◽  
Gopal Kulkarni ◽  
Manisha Khale
Keyword(s):  
Antenatal Care ◽  
Community Health ◽  
Community Health Workers ◽  
Adolescent Girls ◽  
Maternal Care ◽  
Health Workers ◽  
Care Delivery ◽  
Scale Up ◽  
Care Services ◽  
Study Sites

Abstract This study examined the effect of the Safe Adolescent Transition and Health Initiative (SATHI) programme on the use of maternal care services among rural, pregnant adolescents in India. This was an intensive community-based, multi-site intervention project conducted in Maharashtra state between 2008 and 2011. Its aims were to improve the reproductive health of married adolescent girls and avert the adverse consequences of early motherhood. It had a quasi-experimental, case-control, pre-post design to enable rigorous evaluation. This study used cross-sectional data from 644 married girls aged under 19 years at baseline and 802 at endline to assess the maternal care outcomes of antenatal care, delivery and postnatal services and nutrition during pregnancy. Difference-in-differences analysis showed that all outcomes improved significantly in the study sites between baseline and endline, and the improvement in study sites was significantly larger than in the control sites. Multivariate analysis showed a statistically significant dose–response effect of intervention participation for antenatal care, pregnancy nutrition and postnatal care. Study participation was not statistically significantly associated with higher rates of safe or institutional delivery. The analysis suggests that training and supporting community health workers to work with married adolescent girls using interpersonal communication and interacting frequently with them and their families and communities can significantly improve the use of maternal care services among this population. With almost a million community health workers and 200,000 auxiliary nurse midwives at the community level providing primary level care in India, this intervention offers a proven strategy to replicate and scale-up to reach large numbers of married adolescent girls who do not currently use maternal care services.

scholarly journals Community Health Workers to Improve Antenatal Care and PMTCT Uptake in Dar es Salaam, Tanzania

2014 ◽  
Vol 67 ◽  
pp. S195-S201 ◽  
Author(s):  
Irene A. Lema ◽  
David Sando ◽  
Lucy Magesa ◽  
Lameck Machumi ◽  
Esther Mungure ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Dar Es Salaam

scholarly journals Experiences of women receiving mhealth-supported antenatal care in the village from community health workers in rural Burkina Faso, Africa

2019 ◽  
Vol 5 ◽  
pp. 205520761989275 ◽  
Author(s):  
Antonia Arnaert ◽  
Norma Ponzoni ◽  
Zoumanan Debe ◽  
Mouoboum M Meda ◽  
Noufou G Nana ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Burkina Faso ◽  
Community Health ◽  
Community Health Workers ◽  
Formal Education ◽  
Health Workers ◽  
Structured Interviews ◽  
Community Clinic ◽  
The Village ◽  
Experiences Of Women

Objective This qualitative study explored the experiences of women receiving mhealth-supported antenatal care in a village, from community health workers (CHWs) in rural Burkina Faso, Africa. Intervention CHWs entered patient clinical data manually in their smartphone during their home visits. All wireless transferred data was monitored by the midwives in the community clinic for arising medical complications. Methods Semi-structured interviews were conducted with 19 pregnant women, who were housewives, married and their age ranged from 18 to 39 years. None had completed their formal education. Depending on the weeks of gestation during their first antenatal care visit, length of enrollment in the project varied between three and eight months. Transcripts were content-analyzed. Results Despite the fact that mhealth was a novel service for all participants, they expressed appreciation for these interventions, which they found beneficial on three levels: 1) it allowed for early detection of pregnancy-related complications, 2) it was perceived as promoting collaboration between CHWs and midwives, and 3) it was a source of reassurance during a time when they are concerned about their health. Although not unanimous, certain participants said their husbands were more interested in their antenatal care as a result of these services. Conclusion Findings suggested that mhealth-supported visits of the CHWs have the potential to increase mothers’ knowledge about their pregnancy and, as such, motivate them to attend more ANC visits. In response to this increased patient engagement, midwives approached women differently, which led to the mothers’ perception of improvement in the patient–provider relationship. Results also indicated that mhealth may increase spousal involvement, as services are offered at home, which is an environment where spouses feel more comfortable.

scholarly journals Men perspectives on attending antenatal care visits together with their pregnant partners in Misungwi district, rural Tanzania: a qualitative study

2020 ◽  
Author(s):  
Maendeleo Boniphace ◽  
Dismas Matovelo ◽  
Rose Laisser ◽  
Hadija Swai ◽  
Victoria Yohana ◽  
...  
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Community Health ◽  
Community Health Workers ◽  
Research Team ◽  
English Language ◽  
Health Workers ◽  
Cultural Beliefs ◽  
National Language ◽  
Rural Tanzania

Abstract Background: Mens’ attendance, together with their pregnant partners at facility-based antenatal care (ANC) visits is important, yet remains uncommon in parts of rural Tanzania. This study examined perspectives of men on attending with their pregnant partners in Misungwi District, Tanzania.Methods: Individual interviews (n=6) and focus group discussions (5) were conducted using semi-structured questionnaires with fathers, expectant fathers and other key informants (health providers, volunteer community health workers, Village leaders). The interviewers were researchers trained on how to conduct interviews prior field visits. The questions were asked using Tanzania National language ( Swahili).Transcripts were recorded, transcribed in Swahili Language and later on it was translated in English language. The research team conducted thematic analysis using English language by grouping related codes into themes. The main themes were obtained upon agreement with the research team. Results: Two key system/societal-level themes were identified: (1) males who attended facility-based ANC visits and experienced lack of being given ANC feedback from health care workers and partners and hence men felt excluded from visit services; and (2) traditional cultural beliefs and gender roles strongly influenced the choice not to attend visits. This resulted into men being hidden pregnancy details (secrecy) from their partners in the community. Conclusion: To maximize gender equity in maternal and health requires involvement of men at ANC visits in Misungwi. This can be achieved by addressing core traditional and systemic barriers including use of community health workers. Improved communication between partners and health care providers through provision of ANC feedback and male involvement in examination room is warranted to promote access to ANC.

scholarly journals Contribution of community health workers in the prevention of disease caused by malnutrition in Rwanda

2020 ◽  
Author(s):  
Roger Muremyi
Keyword(s):  
Antenatal Care ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Preschool Age ◽  
Physical Growth ◽  
Physical Work ◽  
Standard Normal Distribution ◽  
Physical Work Capacity ◽  
Healthy Children

Abstract Background Malnutrition affects physical growth, morbidity, mortality, cognitive development, reproduction, and physical work capacity, and it consequently impacts on human performance, health and survival. It is underlying factor in many diseases for both children and adults, and is particularly prevalent in developing countries, where it affects one out of every 3 preschool-age children. A well-nourished child is one whose weight and height measurements compare very well with standard normal distribution of heights and weights of healthy children of the same age and sex. Factors that contribute to malnutrition are many and varied.Objective The objective of the present study is to evaluate the contribution of community health workers in the prevention of diseases caused by malnutrition in Rwanda. Factors included: community health workers, place of residence (urban, rural), sex of child, marital status, antenatal care, breastfeeding, wealth index and education level.Methodology: We used data from NISR(DHS2014.2015) collected on child that covered 1137 Households. The results show that the level of wasting, stunting, and underweight in children under five years of age was 51.89%, 58.4% and 36.24% respectively.Findings: Malnutrition was significantly (p < 0.01) higher among boys than among girls. The prevalence of wasting and stunting decreased significantly by community health workers and antenatal care. The higher the level of parent’s education, the lower the level of child underweight observed. Breastfeeding was found to reduce the occurrence of underweight among children.Conclusion The study findings imply that efforts for redressing child under nutrition in Rwanda should focus on factors associated with development outcomes such as, community health worker’s improvements, parent’s education, and the creation of employment or economic engagements that do not comprise important child care practices such as breastfeeding and antenatal care.

Piloting a roving nurse mentor into community-based health programmes to capacitate community health workers: Findings from a realist evaluation in South Africa

2021 ◽  
Author(s):  
Hlologelo Malatji ◽  
Jane Goudge ◽  
Frances Griffiths
Keyword(s):  
South Africa ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Dynamic Environment ◽  
Realist Evaluation ◽  
Low Literacy ◽  
Post Intervention ◽  
Department Of Health ◽  
Facility Staff

Abstract Background Many low- and middle- income countries (LMICs) are repositioning community health workers (CHW) programmes to provide promotive and preventive services and referrals to the formal health service. However, the CHW low literacy levels, insufficient supervision and fragmented programmes result in the under-performance of the programmes in many settings. In this paper, we report on the realist evaluation of an intervention to explain mechanisms that led to a change in CHW care and household coverage in a semi-rural area of South Africa. Methods Using a case study approach, we conducted in-depth interviews, focus group discussions and observations to document the experiences of CHWs, their supervisors, clients, facility staff and community representatives prior to the intervention, during, and after a 6 month post-intervention gap to assess how the benefits were generated and sustained. Results The nurse mentor (senior nurse) intervention operated in a complex and dynamic environment with resource shortages, conflicts between CHWs and facility staff, and a disruptive CHW labour union. Over 15 months, the mentor was able to overcome these issues and (1) create learning platforms for the CHWs and their supervisors to learn and practice new skills relating to priority activities, (2) address their fears of failing and (3) establish operational systems to address inefficiencies in the CHWs’ activities, resulting in improved service provision and household coverage. An increase in the CHWs’ stipend to the minimum wage improved their motivation, and their direct employment by the Department of Health led to their formal integration into the health care team working at their ‘home’ facility. However, given the volatile communities in which the teams operated, and the communities focus on demanding government housing, the nurse mentor was not able to establish a collaboration with the community structures. Conclusions A roving nurse mentor overseeing several CHW teams within a district healthcare system is a feasible option, particularly in a context where there is a shortage of qualified supervisors. However, the long term sustainability of the effects of intervention is dependent on CHWs’ formal employment by the Department of Health.

Sign in / Sign up

Export Citation Format

Share Document