The training and fieldwork experiences of community health workers conducting population-based, noninvasive screening for CVD in LMIC

Global Heart
Shafika Abrahams-GesselThandi Puoane

Abstract

Cardiovascular disease (CVD) is on the rise in low- and middle-income countries and is proving difficult to combat due to the emphasis on improving outcomes in maternal and child health and infectious diseases against a backdrop of severe human resource and infrastructure constraints. Effective task-sharing from physicians or nurses to community health workers (CHW) to conduct population-based screening for persons at risk has the potential to mitigate the impact of CVD on vulnerable populations. CHW in Bangladesh, Guatemala, Mexico, and South Africa were trained to conduct noninvasive population-based screening for persons at high risk for CVD. This study sought to quantitatively assess the performance of CHW during training and to qualitatively capture their training and fieldwork experiences while conducting noninvasive screening for CVD risk in their communities. Written tests were used to assess CHW's acquisition of content knowledge during training, and focus group discussions were conducted to capture their training and fieldwork experiences. Training was effective at increasing the CHW's content knowledge of CVD, and this knowledge was largely retained up to 6 months after the completion of fieldwork. Common themes that...Continue Reading

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Citations

Apr 23, 2016·Global Heart·Michael M EngelgauUNKNOWN National Health, Lung, and Blood Institute–UnitedHealth Global Health Centers of Excellence Collaborators
Mar 11, 2015·Global Heart·Uchechukwu K A SampsonJagat Narula
Feb 23, 2017·Global Health Action·Abimbola OlaniranNynke van den Broek
Jul 22, 2017·Angiology·Evangelos OikonomouDimitris Tousoulis

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