ArticleJournal of global health2026
Measuring community engagement and trust in community health workers in Haiti, Malawi, and Rwanda: a cross-sectional study.
Article in Journal of global health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Community health workers (CHWs) increase the accessibility of institutional health systems by building trust in communities. We assessed community members' trust in CHWs in Haiti, Malawi, and Rwanda. We explored whether potentially modifiable factors, including sex concordance between community members and CHWs and time spent by CHWs engaging with their community, are associated with increased trust in CHWs. Methods: Between June and October 2023, we used two-stage sampling to conduct a cross-sectional survey of 1920 community members, cared for by Partners In Health. We multiplied the frequency and duration of self-reported interactions with CHWs to calculate cumulative self-engagement and cumulative perceived engagement between a CHW and others in their community over the past six months. Community members who interacted with their CHW at least once in the past six months answered the Trust-in-CHW Scale. We compared engagement levels by country using a Rao-Scott χ Results: Many community members in Haiti (51.1%), Rwanda (47.2%), and Malawi (5.8%) reported no interaction with their CHW in the past six months (P < 0.001). Among those who had interacted at least once, the cumulative self-engagement duration (in hours) was highest in Malawi (mean (x̄) = 3.3 hours), followed by Rwanda (x̄ = 1.2) and Haiti (x̄ = 1.1). Trust in CHWs was also the highest in Malawi (x̄ = 3.6), followed by Rwanda (x̄ = 3.5) and Haiti (x̄ = 3.4). While neither sex nor sex concordance were significantly associated with self-engagement duration or trust, longer cumulative durations of self- and community-engagement were significantly associated with increased trust for all countries. Conclusions: Increased duration of engagement with CHWs was associated with increased trust. However, many community members reported no meaningful engagement with their CHWs in the past six months. This finding underscores the importance of empowering CHWs to engage with community members.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.