Evidence map›Paper›PMID 33727328›Full record

ArticleGlobal health, science and practice2021

Early Lessons From Launching an Innovative Community Health Household Model Across 3 Country Contexts.

Daniel Palazuelos, Lassana M Jabateh, Miry Choi, Ariwame Jimenez, Matthew Hing, Mariano Matias Iberico, Basimenye Nhlema, Emily Wroe

Abstract read
In one paragraph

Article in Global health, science and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Implementing active surveillance for tuberculosis: The experiences of healthcare workers at four sites in two provinces in South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022
    Article
  6. Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Daniel PalazuelosPartners In Health, Boston, MA, USA. dpalazuelos@bwh.harvard.edu.
Lassana M JabatehPartners In Health - Liberia, Monrovia, Liberia.
Miry ChoiPartners In Health - Liberia, Monrovia, Liberia.
Ariwame JimenezCompañeros En Salud - México, Chiapas, Mexico.
Matthew HingPartners In Health, Boston, MA, USA.
Mariano Matias IbericoCompañeros En Salud - México, Chiapas, Mexico.
Basimenye NhlemaPartners In Health - Malawi, Lilongwe, Malawi.
Emily WroePartners In Health, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Community health workers (CHWs) are integrated into health systems through a variety of designs. Partners In Health (PIH), a nongovernmental organization with more than 30 years of experience in over 10 countries, initially followed a vertical approach by assigning CHWs to individual patients with specific conditions, such as HIV, multidrug resistant-TB, diabetes, and other noncommunicable diseases, to provide one-on-one psychosocial and treatment support. Starting in 2015, PIH-Malawi redesigned their CHW assignments to focus on entire households, thereby offering the opportunity to address a wider variety of conditions in any age group, all with a focus on working toward effective universal health coverage. Inspired by this example, PIH-Liberia and then PIH-Mexico engaged in a robust cross-site dialogue on how to adapt these plans for their unique nongovernmental organization-led CHW programs. We describe the structure of this "household model," how these structures were changed to adapt to different country contexts, and early impressions on the effects of these adaptations. Overall, the household model is proving to be a feasible and functional method for organizing CHW programs so that they can contribute toward achieving universal health coverage, but there is no "one-size-fits-all" approach. Other countries planning on adopting this model should plan to analyze and adapt as needed.

Indexed as

Community Health WorkersPublic HealthFamily CharacteristicsHumansLiberiaMalawi

Identifiers

PMID33727328
PMCPMC7971378

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.