Engaging Community Health Workers in HIV/AIDS Care: A Case Exemplar Among Rural Indian Women Living With AIDS

Anp, Adeline Nyamathi; Faan,

doi:10.1080/15381501.2014.964536

Cited by 2 publications

(3 citation statements)

References 18 publications

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“…The more affluent southern Indian states of Kerala, Andhra Pradesh and Karnataka were frequently the research sites for innovative efforts to address non-communicable diseases [ 85 , 110 , 122 , 123 , 125 ]. In addition, all five of the publications on HIV are from one project in Andhra Pradesh on engaging with ASHAs to support women living with HIV [ 79 – 83 ].…”

Section: Resultsmentioning

confidence: 99%

“…Several reviews reflected health policy and systems issues relevant to the ASHA programme, whether related to community processes [ 143 ], system readiness for newborn care [ 150 ], HIV [ 79 ], or CHW scale-up in general [ 151 ]. Some reviews were particularly critical of previous government training efforts and the implications for the ASHA programme [ 142 ] and were concerned about the overall nature of the ASHA programme [ 152 – 155 ].…”

Section: Resultsmentioning

confidence: 99%

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Taking stock of 10 years of published research on the ASHA programme: examining India’s national community health worker programme from a health systems perspective

Scott

George

Ved

2019

Health Res Policy Sys

131

129

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Background: As India's accredited social health activist (ASHA) community health worker (CHW) programme enters its second decade, we take stock of the research undertaken and whether it examines the health systems interfaces required to sustain the programme at scale. Methods: We systematically searched three databases for articles on ASHAs published between 2005 and 2016. Articles that met the inclusion criteria underwent analysis using an inductive CHW-health systems interface framework. Results: A total of 122 academic articles were identified (56 quantitative, 29 mixed methods, 28 qualitative, and 9 commentary or synthesis); 44 articles reported on special interventions and 78 on the routine ASHA program. Findings on special interventions were overwhelmingly positive, with few negative or mixed results. In contrast, 55% of articles on the routine ASHA programme showed mixed findings and 23% negative, with few indicating overall positive findings, reflecting broader system constraints. Over half the articles had a health system perspective, including almost all those on general ASHA work, but only a third of those with a health condition focus. The most extensively researched health systems topics were ASHA performance, training and capacity-building, with very little research done on programme financing and reporting, ASHA grievance redressal or peer communication. Research tended to be descriptive, with fewer influence, explanatory or exploratory articles, and no predictive or emancipatory studies. Indian institutions and authors led and partnered on most of the research, wrote all the critical commentaries, and published more studies with negative results. Conclusion: Published work on ASHAs highlights a range of small-scale innovations, but also showcases the challenges faced by a programme at massive scale, situated in the broader health system. As the programme continues to evolve, critical comparative research that constructively feeds back into programme reforms is needed, particularly related to governance, intersectoral linkages, ASHA solidarity, and community capacity to provide support and oversight.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Taking stock of 10 years of published research on the ASHA programme: examining India’s national community health worker programme from a health systems perspective

Scott

George

Ved

2019

Health Res Policy Sys

131

129

View full text Add to dashboard Cite

show abstract

“…Individuals who work in community-based settings have an important role to play in sexual health promotion and prevention of HIV and sexually transmitted infections (STIs) among gay, bisexual, and other men who have sex with men (MSM) [1][2][3][4]. In the United States [5][6][7] and elsewhere [8][9][10], such workers and volunteers are often characterized as community health workers (CHWs) -a workforce that has gained increased recognition, visibility, and legitimacy, and, in the United States at least, is now seen as an essential part of the public health system [11].…”

Section: Introductionmentioning

confidence: 99%

Nonclinical Sexual Health Support for HIV, Viral Hepatitis, and Other Sexually Transmitted Infections in Gay, Bisexual, and Other Men Who Have Sex With Men: Protocol for a European Community Health Worker Online Survey (ECHOES)

Sherriff¹,

Huber²,

McGlynn³

et al. 2020

JMIR Res Protoc

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Background The term “community health worker” (CHW) can apply to a wide range of individuals providing health services and support for diverse populations. Very little is known about the role of CHWs in Europe working in nonclinical settings who promote sexual health and prevent HIV and other sexually transmitted infections (STIs) among gay, bisexual, and other men who have sex with men (MSM). Objective This paper describes the development and piloting of the first European Community Health Worker Online Survey (ECHOES) as part of the broader European Union-funded ESTICOM (European Surveys and Trainings to Improve MSM Community Health) project. The questionnaire aimed to assess the knowledge, attitudes, and practices of CHWs providing sexual health services to gay, bisexual, and other MSM in European settings. Methods ECHOES comprises three superordinate domains divided into 10 subsections with 175 items (routed) based on a scoping exercise and literature review, online prepiloting, and Europe-wide consultation. Additional piloting and cognitive debriefing interviews with stakeholders were conducted to identify comprehension issues and improve the clarity, intelligibility, accessibility, and acceptability of the survey. Psychometric properties, including internal consistency of the standardized scales used as part of the survey were examined. The final survey was available to 33 countries in 16 languages. Results Recruitment closed on January 31, 2018. Data from 1035 CHWs were available for analysis after application of the exclusion criteria. The findings of the ECHOES survey and the wider ESTICOM project, are now available from the ESTICOM website and/or by contacting the first author. Conclusions The findings of this survey will help characterize, for the first time, the diverse role of CHWs who provide sexual health services to gay, bisexual, and other MSM in Europe. Importantly, the data will be used to inform the content and design of a dedicated training program for CHWs as part of the larger ESTICOM project and provide recommendations for MSM-specific strategies to improve sexual health in general and to reduce the incidence and prevalence of HIV, viral hepatitis, and other STIs in particular. International Registered Report Identifier (IRRID) RR1-10.2196/15012

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Engaging Community Health Workers in HIV/AIDS Care: A Case Exemplar Among Rural Indian Women Living With AIDS

Cited by 2 publications

References 18 publications

Taking stock of 10 years of published research on the ASHA programme: examining India’s national community health worker programme from a health systems perspective

Taking stock of 10 years of published research on the ASHA programme: examining India’s national community health worker programme from a health systems perspective

Nonclinical Sexual Health Support for HIV, Viral Hepatitis, and Other Sexually Transmitted Infections in Gay, Bisexual, and Other Men Who Have Sex With Men: Protocol for a European Community Health Worker Online Survey (ECHOES)

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