Abstract:
:Community-based research on child survival in sub-Saharan Africa has focussed on the increased provision of curative health services by a formalised cadre of lay community health workers (CHWs), but we have identified a particular configuration, that deserves closer scrutiny. We identified a two-tiered CHW system, with the first tier being the lessor known or 'hidden' community/village level volunteers and the second tier being formal, paid CHWs, in Ethiopia, Mali, and Niger. Whilst the disease-focussed tasks of the formal CHW tier may be more amenable to classic epidemiological surveillance, we postulate that understanding the relationship between formalised CHWs and volunteer cadres, in terms of scope, location of practice and ratio to population, would be important for a comprehensive evaluation of child survival in these countries. We report on the findings from our joint qualitative and quantitative investigations, highlighting the need to recognise the 'hidden' contribution of volunteers. We need to better characterize the volunteers' interaction with community-based and primary care services and to better understand ways to improve the volunteer systems with the right type of investments. This is particularly important for considering the models for scale-up of CHWs in sub-Saharan Africa.
journal_name
Glob Health Actionjournal_title
Global health actionauthors
Leon N,Sanders D,Van Damme W,Besada D,Daviaud E,Oliphant NP,Berzal R,Mason J,Doherty Tdoi
10.3402/gha.v8.27214subject
Has Abstractpub_date
2015-03-12 00:00:00pages
27214eissn
1654-9716issn
1654-9880pii
27214journal_volume
8pub_type
杂志文章abstract:BACKGROUND:While there is accumulated evidence showing the rapid rise of the burden caused by non-communicable diseases (NCDs) in Vietnam, information on the extent to which households in the country suffer financial catastrophe or impoverishment caused by the diseases is still largely lacking. This paper aims to exami...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v5i0.18892
更新日期:2012-12-20 00:00:00
abstract:BACKGROUND:We have found that community health workers (CHWs) with appropriate training are able to accurately identify people at high cardiovascular disease (CVD) risk in the community who would benefit from the introduction of preventative management, in Bangladesh, Guatemala, Mexico, and South Africa. This paper exa...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.26318
更新日期:2015-04-07 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The global architecture for providing development assistance for health (DAH) has become increasing complex in the last decade, with many new funding agencies entering the health sector. This study presents a detailed picture of European Union (EU) and EU member state originating DAH between 2...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.23510
更新日期:2014-02-13 00:00:00
abstract:BACKGROUND:Transactional sex is associated with the HIV epidemic among young people in Uganda. Few quantitative studies based on nationally representative survey data explored the relationship between sexual behaviors, HIV infection, and transactional sex. OBJECTIVE:This study aimed to determine the associations betwe...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.27249
更新日期:2015-05-21 00:00:00
abstract:BACKGROUND:Mortality has been declining in Bangladesh since the mid- twentieth century, while fertility has been declining since the late 1970s, and the country is now passing through the third stage of demographic transition. This type of demographic transition has produced a huge youthful population with a growing nu...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v3i0.4618
更新日期:2010-09-27 00:00:00
abstract:BACKGROUND:Mortality in a population may be clustered in space and time for a variety of reasons, including geography, socio-economics, environment and demographics. Analysing mortality clusters can therefore reveal important insights into patterns and risks of mortality in a particular setting. OBJECTIVE AND DESIGN:T...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v3i0.5244
更新日期:2010-08-30 00:00:00
abstract:INTRODUCTION:The main cardio-metabolic diseases - mostly cardiovascular diseases such as stroke and ischemic heart disease - share common clinical markers such as raised blood pressure and blood glucose. The pathways of development of many of these conditions are also interlinked. In this regard, a higher level of co-o...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.30626
更新日期:2016-02-09 00:00:00
abstract:BACKGROUND:India's older population is projected to increase up to 96 million by 2011 with older people accounting for 18% of its population by 2051. The Study on Global Ageing and Adult Health aims to improve empirical understanding of health and well-being of older adults in developing countries. OBJECTIVES:To exami...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v3i0.2128
更新日期:2010-09-27 00:00:00
abstract:BACKGROUND:A woman's satisfaction with childbirth services can have a significant impact on her mental health and ability to bond with her neonate. Knowing postnatal women's opinions and satisfaction with services makes the services more women-friendly. Indian women's satisfaction with childbirth services has been expl...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1386932
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:This study explores violence against women in a low-income setting in relation to residency and literacy. SETTING:The study was conducted within the Butajira Rural Health Programme (a Health and Demographic Surveillance Site), which includes rural and semi-urban settings in south-central Ethiopia. DESIGN:Th...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v3i0.2070
更新日期:2010-02-25 00:00:00
abstract:BACKGROUND:The dementia diagnosis gap in sub-Saharan Africa (SSA) is large, partly due to difficulties in assessing function, an essential step in diagnosis. OBJECTIVES:As part of the Identification and Intervention for Dementia in Elderly Africans (IDEA) study, to develop, pilot, and validate an Instrumental Activiti...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.25988
更新日期:2014-12-22 00:00:00
abstract::Since the theoretical frameworks and conceptual tools we employ shape research outcomes by guiding research pathways, it is important that we subject them to ongoing critical reflection. A thoroughgoing analysis of the global production of women's health inequality calls for a comprehensive theorization of how social ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1669353
更新日期:2018-11-23 00:00:00
abstract:BACKGROUND:Many efficacious health service interventions to improve diabetes care are known. However, there is little evidence on whether such interventions are effective while delivered in real-world resource-constrained settings. OBJECTIVE:To evaluate an intervention aimed at improving diabetes care using the RE-AIM...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.28762
更新日期:2015-11-16 00:00:00
abstract::Background: Co-creation is the process of involving stakeholders in the development of interventions. Although co-creation is becoming more widespread, reports of the process and lessons learned are scarce.Objective: To describe the process and lessons learned from using the COHESION manual, a co-creation methodology ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1754016
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND:Despite the importance of an effective health system response to various disasters, relevant research is still in its infancy, especially in middle- and low-income countries. OBJECTIVE:This paper provides an overview of the status of disaster health management in China, with its aim to promote the effective...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.3402/gha.v7.24986
更新日期:2014-09-10 00:00:00
abstract:BACKGROUND:In India, 50-65% of the population face difficulties in accessing medicines. The Health Impact Fund (HIF) is a novel proposal whereby pharmaceutical companies would be paid based on the measured global health impact of their drugs. We conducted a key stakeholder analysis to explore access to medicines in Ind...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2018.1434935
更新日期:2018-01-01 00:00:00
abstract::Ghana is classified as being in the malaria control phase, according to the global malaria elimination program. With many years of policy development and control interventions, malaria specific mortality among children less than 5 years old has declined from 14.4% in 2000 to 0.6% in 2012. However, the same level of su...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1381471
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Global mental health (GMH) advocates for access to and the equitable provision of mental health care. Although the treatment gap is a useful construct to measure access and equitability of care, it fails to communicate the real-life consequences of the treatment gap and the urgent need to address care dispar...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.25447
更新日期:2014-09-30 00:00:00
abstract:BACKGROUND:Adolescents in low and middle-income countries experience pronounced mental health needs in contexts where infrastructure and resources are scarce. While evidence-based treatment are readily available, they may not fit the unique needs of certain contexts. OBJECTIVE:This manuscript illustrates the systemati...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1775062
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND:Human immunodeficiency virus (HIV) is a significant contributor to Malawi's burden of disease. Despite a number of studies describing socio-economic differences in HIV prevalence, there is a paucity of evidence on socio-economic inequity in HIV testing in Malawi. OBJECTIVE:To assess horizontal inequity (HI)...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.31730
更新日期:2016-10-26 00:00:00
abstract:BACKGROUND:Noma is an infectious but opportunistic disease that often results in severe facial disfigurements and mortality if untreated. As noma progresses quickly, early detection and treatment are important to prevent its development. OBJECTIVES:The objective of this study was to investigate primary healthcare work...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1340253
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Madagascar today has one of the highest life expectancies in sub-Saharan Africa, despite being among the poorest countries in the continent. There are relatively few detailed accounts of the epidemiological transition in this country due to the lack of a comprehensive death registration system at the nationa...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.23237
更新日期:2014-05-15 00:00:00
abstract::Environmental and social changes associated with climate change are likely to have impacts on the well-being, health, and productivity of many working populations across the globe. The ramifications of climate change for working populations are not restricted to increases in heat exposure. Other significant risks to w...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v3i0.5640
更新日期:2010-12-17 00:00:00
abstract:BACKGROUND:Women in sub-Saharan Africa bear the brunt of the human immunodeficiency virus (HIV) epidemic, and older married women and those in cohabiting relationships are regarded as the largest HIV risk group. Although preventing HIV infection in married or stable relationships is an international HIV prevention prio...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1341597
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:The collaborative quality improvement approach proposed by the Institute for Healthcare Improvement has the potential to improve coverage of evidence-based maternal and newborn health practices. The Safe Care, Saving Lives initiative supported the implementation of 20 evidence-based maternal and newborn care...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1581466
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The major chronic non-communicable diseases (NCDs) operate through a cluster of common risk factors, whose presence or absence determines not only the occurrence and severity of the disease, but also informs treatment approaches. Primary prevention based on mitigation of these common risk factors through pop...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v2i0.1986
更新日期:2009-09-28 00:00:00
abstract:BACKGROUND:Although community engagement (CE) is widely used in health promotion, components of CE models associated with improved health are poorly understood. This study aimed to examine the magnitude of the impact of CE on health and health inequalities among disadvantaged populations, which methodological approache...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.3402/gha.v8.29842
更新日期:2015-12-18 00:00:00
abstract:BACKGROUND:In most low and middle-income countries vital events registration for births and child deaths is poor, with reporting of pregnancy outcomes highly inadequate or non-existent. Health and Demographic Surveillance System (HDSS) sites and periodic population-based household-level surveys can be used to identify ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1356641
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Although Vietnam has taken great efforts to reduce child mortality in recent years, a large number of children still die at early age. Only a few studies have been conducted to identify at-risk groups in order to provide baseline information for effective interventions. OBJECTIVE:The study estimated the ove...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.29312
更新日期:2016-02-29 00:00:00
abstract:BACKGROUND:Participation of private practitioners in routine disease surveillance in India is minimal despite the fact that they account for over 70% of the primary healthcare provision. We aimed to investigate the knowledge, attitudes, and practices of private practitioners in the city of Pune toward disease surveilla...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.28413
更新日期:2015-10-01 00:00:00