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Community health workers and health equity in low- and middle-income countries: systematic review and recommendations for policy and practice | International Journal for Equity in Health

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  • Tulenko K, Møgedal S, Afzal M, Frymus D, Oshin A, Pate M, et al. Community health workers for universal health-care coverage: From fragmentation to synergy. Bull World Health Organ. 2013;91:847–52.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • WHO. WHO guideline on health policy and system support to optimize community health worker programmes. Geneva: World Health Organization; 2018.


    Google Scholar     

  • WHO. The world health report 2008: primary health care now more than ever. Geneva: World Health Organization; 2008.


    Google Scholar     

  • Scott K, Beckham S, Gross M, Pariyo G, Rao K, Cometto G, et al. What do we know about community-based health programs? A systematic review of existing reviews on community health workers and their integration with health systems. Hum Resour Health. 2018;16:39.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Cometto G, Ford N, Pfaffman-Zambruni J, Akl EA, Lehmann U, McPake B, et al. Health policy and system support to optimise community health worker programmes: an abridged WHO guideline. Lancet Glob Health. 2018;6:e1397–404 Elsevier Ltd.

    Article 
    PubMed 

    Google Scholar     

  • McCollum R, Gomez W, Theobald S, Taegtmeyer M. How equitable are community health worker programmes and which programme features influence equity of community health worker services? A systematic review. BMC Public Health. 2016;16(1):1–16.

    Article 

    Google Scholar     

  • Blanchard AK, Prost A, Houweling TAJJ. Effects of community health worker interventions on socioeconomic inequities in maternal and newborn health in low-income and middle-income countries: A mixed-methods systematic review. BMJ Glob Health. 2019;4(3):1–11.

    Article 

    Google Scholar     

  • Barnett ML, Gonzalez A, Miranda J, Chavira DA, Lau AS. Mobilizing community health workers to address mental health disparities for underserved populations: A systematic review. Adm Policy Ment Health Ment Health Serv Res. 2018;45(2):195–211.

    Article 

    Google Scholar     

  • World Health Organization. Handbook on health inequality monitoring. Geneva: World Health Organization; 2013.


    Google Scholar     

  • O’Neill J, Tabish H, Welch V, Petticrew M, Pottie K, Clarke M, et al. Applying an equity lens to interventions: Using PROGRESS ensures consideration of socially stratifying factors to illuminate inequities in health. J Clin Epidemiol. 2014;67(1):56–64.

    Article 
    PubMed 

    Google Scholar     

  • Welch V, Petticrew M, Tugwell P, Moher D, O’Neill J, Waters E, et al. PRISMA-equity 2012 extension: Reporting guidelines for systematic reviews with a focus on health equity. PLoS Med. 2012;9(10):e1001333.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Welch VA, Petticrew M, O’Neill J, Waters E, Armstrong R, Bhutta ZA, et al. Health equity: Evidence synthesis and knowledge translation methods. Syst Rev. 2013;2(1):43.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Belur J, Tompson L, Thornton A, Simon M. Interrater reliability in systematic review methodology: Exploring variation in coder decision-making. Sociol Methods Res. 2018;50(2):837–65.

    Article 

    Google Scholar     

  • Higgins JPT, Savović J, Page MJ, Elbers RG, Sterne JAC. Assessing risk of bias in a randomized trial. In: Higgins J, Thomas J, Chandler J, M C, Li T, Page M, et al., editors. Cochrane handbook for systematic reviews of interventions version 60; 2019.

    Chapter 

    Google Scholar     

  • Dixon-Woods M, Sutton AJ, Shaw RL. Appraising qualitative research for inclusion in systematic reviews: A quantitative and qualitative comparison of three methods. J Heal Serv Res Policy. 2007;12(1):42–7.

    Article 

    Google Scholar     

  • Pollard TM, Guell C, Morris S. Communal therapeutic mobility in group walking: A meta-ethnography. Soc Sci Med. 262:113241.

  • Popay J, Roberts H, Sowden A, Petticrew M, Arai L, Rodgers M, et al. Guidance on the conduct of narrative synthesis in systematic reviews: A product from the ESRC methods programme 2006;(January 2006):1–92.

  • Borenstein M, Hedges LV, Higgins JPT, Rothstein HR. Introduction to meta-analysis. Chichester: Wiley; 2011.


    Google Scholar     

  • Piggot T. Advances in meta-analysis. New York: Springer Science & Business Media; 2012.

    Book 

    Google Scholar     

  • Hedges LV, Olkin I. Statistical methods for meta-analysis. Orlando: Academic Press; 1985.


    Google Scholar     

  • Vilms RJ, McDougal L, Atmavilas Y, Hay K, Triplett DP, Silverman J, et al. Gender inequities in curative and preventive health care use among infants in Bihar, India. J Glob Health. 2017;7(2).

  • Geldsetzer P, Vaikath M, De Neve JW, Bossert TJ, Sibandze S, Mkhwanazi M, et al. Distrusting community health workers with confidential health information: A convergent mixed-methods study in Swaziland. Health Policy Plan. 2017;32(6):882–9.

    Article 
    PubMed 

    Google Scholar     

  • Manu A, Hill Z, Ten Asbroek AH, Soremekun S, Weobong B, Gyan T, et al. Increasing access to care for sick newborns: Evidence from the Ghana Newhints cluster-randomised controlled trial. BMJ Open. 2016;6(6):e008107.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Chudasama RK, Kadri AM, Verma PB, Patel UV, Joshi N, Zalavadiya D, et al. Evaluation of integrated child development services program in Gujarat, India. Indian Pediatr. 2014;51(9):707–11.

    Article 
    PubMed 

    Google Scholar     

  • Getnet F, Hashi A, Mohamud S, Mowlid H, Klinkenberg E. Low contribution of health extension workers in identification of persons with presumptive pulmonary tuberculosis in Ethiopian Somali region pastoralists. BMC Health Serv Res. 2017;17(1):1–9.

    Article 

    Google Scholar     

  • Matovu F, Nanyiti A, Rutebemberwa E. Household health care-seeking costs: Experiences from a randomized, controlled trial of community-based malaria and pneumonia treatment among under-fives in eastern Uganda. Malar J. 2014;13(1):1–6.

    Article 

    Google Scholar     

  • Afework MF, Admassu K, Mekonnen A, Hagos S, Asegid M, Ahmed S. Effect of an innovative community based health program on maternal health service utilization in north and south Central Ethiopia: A community based cross sectional study. Reprod Health 2014;11(1):1–9.

  • Agarwal S, Curtis SL, Angeles G, Speizer IS, Singh K, Thomas JC. The impact of India’s accredited social health activist (ASHA) program on the utilization of maternity services: A nationally representative longitudinal modelling study. Hum Resour Health. 2019;17(1):1–13.

    Article 

    Google Scholar     

  • Ashenafi A, Karim AM, Ameha A, Erbo A, Getachew N, Betemariam W. Effect of the health extension program and other accessibility factors on care-seeking behaviors for common childhood illnesses in rural Ethiopia. Ethiop Med J. 2014;52(Suppl 3):57–64.

    PubMed 

    Google Scholar     

  • Shaw B, Amouzou A, Miller NP, Tsui AO, Bryce J, Tafesse M, et al. Determinants of utilization of health extension workers in the context of scale-up of integrated community case management of childhood illnesses in Ethiopia. Am J Trop Med Hyg. 2015;93(3):636–47.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Miyaguchi M, Yasuoka J, Poudyal AK, Silwal RC, Jimba M. Female community health volunteers service utilization for childhood illness- improving quality of health services only is not enough: A cross-sectional study in mid-western region, Nepal. BMC Health Serv Res. 2014;14(1):1–10.

    Article 

    Google Scholar     

  • Chami GF, Kontoleon AA, Bulte E, Fenwick A, Kabatereine NB, Tukahebwa EM, et al. Community-directed mass drug administration is undermined by status seeking in friendship networks and inadequate trust in health advice networks. Soc Sci Med. 2017;183:37–47.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Yaya Y, Data T, Lindtjørn B. Maternal mortality in rural South Ethiopia: Outcomes of community-based birth registration by health extension workers. PLoS One. 2015;10(3):1–17.

    Article 
    CAS 

    Google Scholar     

  • Naidoo N, Railton JP, Khosa SN, Matlakala N, Marincowitz G, McIntyre JA, et al. Fidelity of HIV programme implementation by community health workers in rural Mopani district, South Africa: A community survey. BMC Public Health. 2018;18(1):1099.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Sakeah E, Doctor HV, McCloskey L, Bernstein J, Yeboah-Antwi K, Mills S. Using the community-based health planning and services program to promote skilled delivery in rural Ghana: Socio-demographic factors that influence women utilization of skilled attendants at birth in northern Ghana. BMC Public Health. 2014;14(1):1–9.

    Article 

    Google Scholar     

  • Adongo PB, Phillips JF, Aikins M, Arhin DA, Schmitt M, Nwameme AU, et al. Does the design and implementation of proven innovations for delivering basic primary health care services in rural communities fit the urban setting: The case of Ghana’s Community-based Health Planning and Services (CHPS). Heal Res Policy Syst. 2014;12(1):1–10.


    Google Scholar     

  • Nwameme AU, Tabong PTN, Adongo PB. Implementing Community-based Health Planning and Services in impoverished urban communities: Health workers’ perspective. BMC Health Serv Res. 2018;18(1):1–11.

    Article 

    Google Scholar     

  • Mumtaz Z, Levay A, Bhatti A, Salway S. Good on paper: The gap between programme theory and real-world context in Pakistan’s Community Midwife programme. BJOG An Int J Obstet Gynaecol. 2015;122(2):249–58.

    Article 
    CAS 

    Google Scholar     

  • Elazan SJ, Higgins-Steele AE, Fotso JC, Rosenthal MH, Rout D. Reproductive, maternal, newborn, and child health in the community: Task-sharing between male and female health workers in an Indian rural context. Indian J Community Med. 2016;41(1):34–8 [cited 2021 Mar 22].

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Fotso JC, Higgins-Steele A, Mohanty S. Male engagement as a strategy to improve utilization and community-based delivery of maternal, newborn and child health services: Evidence from an intervention in Odisha, India. BMC Health Serv Res. 2015;15(Suppl 1):1–10.

    Article 

    Google Scholar     

  • Asher L, Hanlon C, Birhane R, Habtamu A, Eaton J, Weiss HA, et al. Community-based rehabilitation intervention for people with schizophrenia in Ethiopia (RISE): A 12 month mixed-methods pilot study. BMC Psychiatry. 2018;18(1):1–17.

    Article 

    Google Scholar     

  • Baum A, Mulwafu W, Phiri M, Polack S, Bright T. An intervention to improve uptake of referrals for children with ear disease or hearing loss in Thyolo district, Malawi: Acceptability and feasibility. Int J Environ Res Public Health. 2019;16(17):1–16.

    Article 

    Google Scholar     

  • Dusabe-Richards JN, Tesfaye HT, Mekonnen J, Kea A, Theobald S, Datiko DG. Women health extension workers: Capacities, opportunities and challenges to use ehealth to strengthen equitable health systems in southern Ethiopia. Can J Public Heal. 2016;107(4–5):e355–61.

    Article 

    Google Scholar     

  • Jackson R, Tesfay FH, Godefay H, Gebrehiwot TG. Health extension workers’ and mothers’ attitudes to maternal health service utilization and acceptance in Adwa Woreda, Tigray region, Ethiopia. PLoS One. 2016;11(3):1–15.

    Article 
    CAS 

    Google Scholar     

  • Namukwaya Z, Barlow-Mosha L, Mudiope P, Kekitiinwa A, Matovu JN, Musingye E, et al. Use of peers, community lay persons and Village Health Team (VHT) members improves six-week postnatal clinic (PNC) follow-up and Early Infant HIV Diagnosis (EID) in urban and rural health units in Uganda: A one-year implementation study. BMC Health Serv Res. 2015;15(1):555.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Negero MG, Mitike YB, Worku AG, Abota TL. Skilled delivery service utilization and its association with the establishment of Women’s Health Development Army in Yeky district, south West Ethiopia: A multilevel analysis. BMC Res Notes 2018;11(1):1–9.

  • Hailemariam M, Fekadu A, Medhin G, Prince M, Hanlon C. Equitable access to mental healthcare integrated in primary care for people with severe mental disorders in rural Ethiopia: A community-based cross-sectional study. Int J Ment Heal Syst. 2019;13(1):1–10.


    Google Scholar     

  • Borg J, Ekman BO, Östergren PO. Is centre-based provision of hearing aids better than community-based provision? A cluster-randomized trial among adolescents in Bangladesh. 2018;13(6):497–503.

  • Fatti G, Jackson D, Goga AE, Shaikh N, Eley B, Nachega JB, et al. The effectiveness and cost-effectiveness of community-based support for adolescents receiving antiretroviral treatment: An operational research study in South Africa. J Int AIDS Soc. 2018;21:23–34.

    Article 
    CAS 

    Google Scholar     

  • Kawakatsu Y, Tanaka J, Ogawa K, Ogendo K, Honda S. Community unit performance: Factors associated with childhood diarrhea and appropriate treatment in Nyanza Province, Kenya. BMC Public Health. 2017;17(1):1–14.

    Article 

    Google Scholar     

  • Kawakatsu Y, Sugishita T, Oruenjo K, Wakhule S, Kibosia K, Were E, et al. Determinants of health facility utilization for childbirth in rural western Kenya: Cross-sectional study. BMC Pregnancy Childbirth. 2014;14(1):265.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Karanja S, Gichuki R, Igunza P, Muhula S, Ofware P, Lesiamon J, et al. Factors influencing deliveries at health facilities in a rural Maasai Community in Magadi sub-county, Kenya. BMC Pregnancy Childbirth. 2018;18(1):1–11.

    Article 

    Google Scholar     

  • Stollak I, Valdez M, Rivas K, Perry H. Casas maternas in the rural highlands of Guatemala: A mixed-methods case study of the introduction and utilization of birthing facilities by an indigenous population. Glob Heal Sci Pract. 2016;4(1):114–31.

    Article 

    Google Scholar     

  • Asiki G, Newton R, Kibirige L, Kamali A, Marions L, Smedman L. Feasibility of using smartphones by village health workers for pregnancy registration and effectiveness of mobile phone text messages on reduction of homebirths in rural Uganda. PLoS One. 2018;13(6):e0198653.

    Article 
    PubMed 
    PubMed Central 
    CAS 

    Google Scholar     

  • Jacobs C, Michelo C, Chola M, Oliphant N, Halwiindi H, Maswenyeho S, et al. Evaluation of a community-based intervention to improve maternal and neonatal health service coverage in the most rural and remote districts of Zambia. PLoS One. 2018;13(1):1–15.

    Article 
    CAS 

    Google Scholar     

  • Huq NL, Ahmed A, al Haque N, Hossaine M, Uddin J, Ahmed F, et al. Effect of an integrated maternal health intervention on skilled provider’s care for maternal health in remote rural areas of Bangladesh: A pre and post study. BMC Pregnancy Childbirth. 2015;15(1):1–15.

    Article 

    Google Scholar     

  • Shah R, Mullany LC, Darmstadt GL, Talukder RR, Rahman SM, Mannan I, et al. Neonatal mortality risks among preterm births in a rural Bangladeshi cohort. Paediatr Perinat Epidemiol. 2014;28(6):510–20.

    Article 
    PubMed 

    Google Scholar     

  • Spangler SA, Barry D, Sibley L. An evaluation of equitable access to a community-based maternal and newborn health program in rural Ethiopia. J Midwifery Women’s Heal. 2014;59(SUPPL1):101–9.

    Article 

    Google Scholar     

  • Karim AM, Tamire A, Medhanyie AA, Betemariam W. Changes in equity of maternal, newborn, and child health care practices in 115 districts of rural Ethiopia: Implications for the health extension program. BMC Pregnancy Childbirth. 2015;15(1).

  • Boone P, Eble A, Elbourne D, Frost C, Jayanty C, Lakshminarayana R, et al. Community health promotion and medical provision for neonatal health—CHAMPION cluster randomised trial in Nagarkurnool district, Telangana (formerly Andhra Pradesh), India. PLoS Med. 2017;14(7):1–28.

    Article 

    Google Scholar     

  • Ahmed J, Ur Rehman S, Shahab M. Community midwives’ acceptability in their communities: A qualitative study from two provinces of Pakistan. Midwifery. 2017;47(September 2016):53–59.

  • Give CS, Sidat M, Ormel H, Ndima S, McCollum R, Taegtmeyer M. Exploring competing experiences and expectations of the revitalized community health worker programme in Mozambique: An equity analysis. Hum Resour Health. 2015;13(1):1–9.

    Article 

    Google Scholar     

  • Canavati SE, Lawpoolsri S, Quintero CE, Nguon C, Ly P, Pukrittayakamee S, et al. Village malaria worker performance key to the elimination of artemisinin-resistant malaria: A Western Cambodia health system assessment. Malar J. 2016;15(1):1–15.

    Article 
    CAS 

    Google Scholar     

  • Loeliger KB, Niccolai LM, Mtungwa LN, Moll A, Shenoi SV. “I have to push him with a wheelbarrow to the clinic”: Community health workers’ roles, needs, and strategies to improve HIV care in rural South Africa. AIDS Patient Care STDs. 2016;30(8):385–94.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Saprii L, Richards E, Kokho P, Theobald S. Community health workers in rural India: Analysing the opportunities and challenges Accredited Social Health Activists (ASHAs) face in realising their multiple roles. Hum Resour Health. 2015;13(1):1–13.

    Article 

    Google Scholar     

  • Hailemariam M, Fekadu A, Prince M, Hanlon C. Engaging and staying engaged: A phenomenological study of barriers to equitable access to mental healthcare for people with severe mental disorders in a rural African setting. Int J Equity Health. 2017;16(1):1–12.

    Article 

    Google Scholar     

  • Shaw B, Amouzou A, Miller NP, Tafesse M, Bryce J, Surkan PJ. Access to integrated community case management of childhood illnesses services in rural Ethiopia: A qualitative study of the perspectives and experiences of caregivers. Health Policy Plan. 2016;31(5):656–66.

    Article 
    PubMed 

    Google Scholar     

  • Wester KC, Medhanyie AA, Spigt M, Beumer C, Alemayehu M, Beyene SA, et al. Best practices for addressing socio-cultural barriers to reproductive, maternal and neonatal health service utilization among women from pastoralist communities of Afar, Ethiopia: A qualitative study. Ethiop J Heal Dev. 2018;32:4–12.


    Google Scholar     

  • Ochieng BM, Akunja E, Edwards N, Mombo D, Marende L, Kaseje DCO. Perceptions of health stakeholders on task shifting and motivation of community health workers in different socio demographic contexts in Kenya (nomadic, peri-urban and rural agrarian). BMC Health Serv Res. 2014;14(SUPPL.1):1–13.


    Google Scholar     

  • Labonté R, Sanders D, Packer C, Schaay N. Is the Alma Ata vision of comprehensive primary health care viable? Findings from an international project. Glob Health Action. 2014;7(1).

  • Mambulu-Chikankheni FN, Eyles J, Ditlopo P. Exploring the roles and factors influencing community health workers’ performance in managing and referring severe acute malnutrition cases in two subdistricts in South Africa. Heal Soc Care Community. 2018;26(6):839–48.

    Article 

    Google Scholar     

  • Kea AZ, Tulloch O, Datiko DG, Theobald S, Kok MC. Exploring barriers to the use of formal maternal health services and priority areas for action in Sidama zone, southern Ethiopia. BMC Pregnancy Childbirth. 2018;18(1):1–12.

    Article 

    Google Scholar     

  • Gupta M, Bosma H, Angeli F, Kaur M, Chakrapani V, Rana M, et al. Impact of a multi-strategy community intervention to reduce maternal and child health inequalities in India: A qualitative study in Haryana. PLoS One. 2017;12(1):1–23.

    Article 
    CAS 

    Google Scholar     

  • Shah R, Rehfuess EA, Paudel D, Maskey MK, Delius M. Barriers and facilitators to institutional delivery in rural areas of Chitwan district, Nepal: A qualitative study. Reprod Health. 2018;15(1):1–13.

    Article 

    Google Scholar     

  • Panday S, Bissell P, Van Teijlingen E, Simkhada P. The contribution of female community health volunteers (FCHVs) to maternity care in Nepal: A qualitative study. BMC Health Serv Res. 2017;17(1):1–11.

    Article 

    Google Scholar     

  • Angeles G, Ahsan KZ, Streatfield PK, El Arifeen S, Jamil K. Reducing inequity in urban health: Have the intra-urban differentials in reproductive health service utilization and child nutritional outcome narrowed in Bangladesh? J Urban Health. 2019;96(2):193–207.

    Article 
    PubMed 

    Google Scholar     

  • Flink IJE, Ziebe R, Vagaï D, Van De Looij F, Van ‘T Riet H, Houweling TAJ. Targeting the poorest in a performance-based financing programme in northern Cameroon. Health Policy Plan. 2016;31(6):767–76.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Liverani M, Nguon C, Sok R, Kim D, Nou P, Nguon S, et al. Improving access to health care amongst vulnerable populations: A qualitative study of village malaria workers in Kampot, Cambodia. BMC Health Serv Res. 2017;17(1):1–11.

    Article 

    Google Scholar     

  • Jefferds MED, Mirkovic KR, Subedi GR, Mebrahtu S, Dahal P, Perrine CG. Predictors of micronutrient powder sachet coverage in Nepal. Matern Child Nutr. 2015;11:77–89.

    Article 
    PubMed 

    Google Scholar     

  • Kosec K, Avula R, Holtemeyer B, Tyagi P, Hausladen S, Menon P. Predictors of essential health and nutrition service delivery in Bihar, India: Results from household and frontline worker surveys. Glob Heal Sci Pr. 2015;3(2):255–73.

    Article 

    Google Scholar     

  • Cros M, Cavagnero E, Alfred JP, Sjoblom M, Collin N, Mathurin T. Equitable realization of the right to health in Haiti: How household data inform health seeking behavior and financial risk protection. Int J Equity Health. 2019;18(1).

  • Bâ EH, Pitt C, Dial Y, Faye SL, Cairns M, Faye E, et al. Implementation, coverage and equity of large-scale door-to-door delivery of Seasonal Malaria Chemoprevention (SMC) to children under 10 in Senegal. Sci Rep. 2018;8(1):1–15.


    Google Scholar     

  • Yitayal M, Berhane Y, Worku A, Kebede Y. Health extension program factors, frequency of household visits and being model households, improved utilization of basic health services in Ethiopia. BMC Health Serv Res. 2014;14.

  • Teklehaimanot HD, Teklehaimanot A, Yohannes M, Biratu D. Factors influencing the uptake of voluntary HIV counseling and testing in rural Ethiopia: A cross sectional study. BMC Public Health. 2016;16(1):1–13.

    Article 

    Google Scholar     

  • Edmond KM, Foshanji AI, Naziri M, Higgins-Steele A, Burke JM, Strobel N, et al. Conditional cash transfers to improve use of health facilities by mothers and newborns in conflict affected countries, a prospective population based intervention study from Afghanistan. BMC Pregnancy Childbirth. 2019;19(1):193.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Corbin JH, Mittelmark MB, Lie GT. Grassroots volunteers in context: Rewarding and adverse experiences of local women working on HIV and AIDS in Kilimanjaro, Tanzania. Glob Health Promot. 2016;23(3):72–81.

    Article 
    PubMed 

    Google Scholar     

  • Kimani-Murage EW, Griffiths PL, Wekesah FM, Wanjohi M, Muhia N, Muriuki P, et al. Effectiveness of home-based nutritional counselling and support on exclusive breastfeeding in urban poor settings in Nairobi: A cluster randomized controlled trial. Glob Health. 2017;13(1):90.

    Article 

    Google Scholar     

  • Vellakkal S, Gupta A, Khan Z, Stuckler D, Reeves A, Ebrahim S, et al. Has India’s national rural health mission reduced inequities in maternal health services? A pre-post repeated cross-sectional study. Health Policy Plan. 2017;32(1):79–90.

    Article 
    PubMed 

    Google Scholar     

  • Sibley LM, Amare Y, Abebe ST, Belew ML, Shiffra K, Barry D. Appropriateness and timeliness of care-seeking for complications of pregnancy and childbirth in rural Ethiopia: A case study of the maternal and newborn health in Ethiopia partnership. J Health Popul Nutr. 2017;36(Suppl 1):50.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Sharkey AB, Martin S, Cerveau T, Wetzler E, Berzal R. Demand generation and social mobilisation for integrated community case management (iCCM) and child health: Lessons learned from successful programmes in Niger and Mozambique. J Glob Health. 2014;4(2).

  • Soremekun S, Kasteng F, Lingam R, Vassall A, Kertho E, Settumba S, et al. Variation in the quality and out-of-pocket cost of treatment for childhood malaria, diarrhoea, and pneumonia: Community and facility based care in rural Uganda. PLoS One. 2018;13(11):1–24.

    Article 
    CAS 

    Google Scholar     

  • Gope RK, Tripathy P, Prasad V, Pradhan H, Sinha RK, Panda R, et al. Effects of participatory learning and action with women’s groups, counselling through home visits and crèches on undernutrition among children under three years in eastern India: A quasi-experimental study. BMC Public Health. 2019;19(1):962.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Jolly SP, Rahman M, Afsana K, Yunus FM, Chowdhury AM. Evaluation of maternal health service indicators in urban slum of Bangladesh. PLoS One. 2016;11(10):e0162825.

    Article 
    PubMed 
    PubMed Central 
    CAS 

    Google Scholar     

  • Avery LS, Du Plessis E, Shaw SY, Sankaran D, Njoroge P, Kayima R, et al. Enhancing the capacity and effectiveness of community health volunteers to improve maternal, newborn and child health: Experience from Kenya. Can J Public Heal. 2017;108(4):e427–34.

    Article 

    Google Scholar     

  • Ekirapa-Kiracho E, Kananura RM, Tetui M, Namazzi G, Mutebi A, George A, et al. Effect of a participatory multisectoral maternal and newborn intervention on maternal health service utilization and newborn care practices: A quasi-experimental study in three rural Ugandan districts. Glob Health Action. 2017;10:1363506.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Seth A, Tomar S, Singh K, Chandurkar D, Chakraverty A, Dey A, et al. Differential effects of community health worker visits across social and economic groups in Uttar Pradesh, India: A link between social inequities and health disparities. Int J Equity Health. 2017;16(1):1–9.

    Article 

    Google Scholar     

  • Adams AM, Nababan HY, Hanifi SM, Manzoor Ahmed Hanifi SM. Building social networks for maternal and newborn health in poor urban settlements: A cross-sectional study in Bangladesh. PLoS One. 2015;10(4):1–17.

    Article 
    CAS 

    Google Scholar     

  • Gonzalez-Casanova I, Nguyen PH, Young MF, Harding KB, Reinhart G, Nguyen H, et al. Predictors of adherence to micronutrient supplementation before and during pregnancy in Vietnam. BMC Public Health. 2017;17(1):452.

    Article 
    PubMed 
    PubMed Central 
    CAS 

    Google Scholar     

  • Johri M, Chandra D, Koné GK, Dudeja S, Sylvestre MP, Sharma JK, et al. Interventions to increase immunisation coverage among children 12-23 months of age in India through participatory learning and community engagement: Pilot study for a cluster randomised trial. BMJ Open. 2015;5(9):e007972.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • McDougal L, Atmavilas Y, Hay K, Silverman JG, Tarigopula UK, Raj A. Making the continuum of care work for mothers and infants: Does gender equity matter? Findings from a quasi-experimental study in Bihar, India. PLoS One. 2017;12(2):1–19.

    Article 
    CAS 

    Google Scholar     

  • Kawakatsu Y, Tanaka J, Ogawa K, Ogendo K, Honda S. Effects of three interventions and determinants of full vaccination among children aged 12-59 months in Nyanza province, Kenya. Public Health. 2015;129(11):1530–8.

    Article 
    CAS 
    PubMed 

    Google Scholar     

  • Nair N, Tripathy P, Sachdev HS, Pradhan H, Bhattacharyya S, Gope R, et al. Effect of participatory women’s groups and counselling through home visits on children’s linear growth in rural eastern India (CARING trial): A cluster-randomised controlled trial. Lancet Glob Health. 2017;5(10):e1004–16.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Ijumba P, Doherty T, Jackson D, Tomlinson M, Sanders D, Swanevelder S, et al. Effect of an integrated community-based package for maternal and newborn care on feeding patterns during the first 12 weeks of life: A cluster-randomized trial in a south African township. Public Health Nutr. 2015;18(14):2660–8.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Kimani-Murage EW, Norris SA, Mutua MK, Wekesah F, Wanjohi M, Muhia N, et al. Potential effectiveness of community health strategy to promote exclusive breastfeeding in urban poor settings in Nairobi, Kenya: A quasi-experimental study. J Dev Orig Health Dis. 2016;7(2):172–84.

    Article 
    CAS 
    PubMed 

    Google Scholar     

  • Gudu W, Addo B. Factors associated with utilization of skilled service delivery among women in rural northern Ghana: A cross sectional study. BMC Pregnancy Childbirth. 2017;17(1):159.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Muhumuza Kananura R, Tetui M, Bua J, Ekirapa-Kiracho E, Mutebi A, Namazzi G, et al. Effect of a participatory multisectoral maternal and newborn intervention on birth preparedness and knowledge of maternal and newborn danger signs among women in eastern Uganda: A quasi-experiment study. Glob Health Action. 2017;10(sup4):1362826.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Mitra DK, Mullany LC, Harrison M, Mannan I, Shah R, Begum N, et al. Incidence and risk factors of neonatal infections in a rural Bangladeshi population: A community-based prospective study. J Health Popul Nutr. 2018;37(1):6.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Peltzer K, Babayigit S, Rodriguez VJ, Jean J, Sifunda S, Jones DL. Effect of a multicomponent behavioural PMTCT cluster randomised controlled trial on HIV stigma reduction among perinatal HIV positive women in Mpumalanga province, South Africa. SAHARA J J Soc Asp HIV/AIDS Res Alliance. 2018;15(1):80–8.

    Article 

    Google Scholar     

  • Wagner AL, Xia L, Ghosh A, Datta S, Pandey P, Santra S, et al. Using community health workers to refer pregnant women and young children to health care facilities in rural West Bengal, India: A prospective cohort study. PLoS One. 2018;13(6):1–10.

    Article 

    Google Scholar     

  • Lee HY, Oh J, Heo J, Abraha A, Perkins JM, Lee JK, et al. Association between maternal literacy and child vaccination in Ethiopia and southeastern India and the moderating role of health workers: A multilevel regression analysis of the Young Lives study. Glob Health Action. 2019;12(1).

  • Akeju DO, Oladapo OT, Vidler M, Akinmade AA, Sawchuck D, Qureshi R, et al. Determinants of health care seeking behaviour during pregnancy in Ogun state, Nigeria. Reprod Health. 2016;13(1):32.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Puett C, Alderman H, Sadler K, Coates J. “Sometimes they fail to keep their faith in us”: Community health worker perceptions of structural barriers to quality of care and community utilisation of services in Bangladesh. Matern Child Nutr. 2015;11(4):1011–22.

    Article 
    PubMed 

    Google Scholar     

  • Beam M, Spencer A, Fernandez L, Atto R, Muro C, Vilchez P, et al. Barriers to participation in a community-based program to control transmission of Taenia solium in Peru. Am J Trop Med Hyg. 2018;98(6):1748–54.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Ayon S, Ndimbii J, Jeneby F, Abdulrahman T, Mlewa O, Wang B, et al. Barriers and facilitators of access to HIV, harm reduction and sexual and reproductive health services by women who inject drugs: Role of community-based outreach and drop-in centers. AIDS Care. 2018;30(4):480–7.

    Article 
    PubMed 

    Google Scholar     

  • Khuzwayo L, Moshabela M. Benefits of health reform for households in rural South Africa following implementation of ward-based primary healthcare outreach teams: A qualitative inquiry. Glob Health Action. 2018;11(1).

  • Bello G, Faragher B, Sanudi L, Namakhoma I, Banda H, Malmborg R, et al. The effect of engaging unpaid informal providers on case detection and treatment initiation rates for TB and HIV in rural Malawi (triage plus): A cluster randomised health system intervention trial. PLoS One. 2017;12(9):1–21.

    Article 
    CAS 

    Google Scholar     

  • Geldsetzer P, Vaikath M, De Neve JW, Bossert TJ, Sibandze S, Bärnighausen T. Household coverage of Swaziland’s national community health worker programme: A cross-sectional population-based study. Trop Med Int Health. 2017;22(8):1012–20.

    Article 
    PubMed 

    Google Scholar     

  • Shaw B, Amouzou A, Miller NP, Bryce J, Surkan PJ. A qualitative exploration of care-seeking pathways for sick children in the rural Oromia region of Ethiopia. BMC Health Serv Res. 2017;17(1):1–12.

    Article 

    Google Scholar     

  • Linn NYY, Kathirvel S, Das M, Thapa B, Rahman MM, Maung TM, et al. Are village health volunteers as good as basic health staffs in providing malaria care? A country wide analysis from Myanmar, 2015. Malar J. 2018;17(1):1–12.

    Article 

    Google Scholar     

  • Nair N, Tripathy P, Sachdev HS, Pradhan H, Bhattacharyya S, Gope R, et al. Effect of participatory women’s groups and counselling through home visits on children’s linear growth in rural eastern India (CARING trial): A cluster-randomised controlled trial. Lancet Glob Health. 2017;5(10):e1004–16.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Yirgu R, Molla M, Sibley L. Determinants of neonatal mortality in rural northern Ethiopia: A population based nested case control study. PLoS One. 2017;12(4):1–10.

    Article 
    CAS 

    Google Scholar     

  • Shidhaye R, Murhar V, Gangale S, Aldridge L, Shastri R, Parikh R, et al. The effect of VISHRAM, a grass-roots community-based mental health programme, on the treatment gap for depression in rural communities in India: A population-based study. Lancet Psychiatry. 2017;4(2):128–35.

    Article 
    PubMed 

    Google Scholar     

  • Coker M, Etiebet M-A, Chang H, Awwal G, Jumare J, Musa B, et al. Socio-demographic and adherence factors associated with viral load suppression in HIV-infected adults initiating therapy in northern Nigeria: A randomized controlled trial of a peer support intervention. Curr HIV Res. 2015;13(4):279–85.

    Article 
    CAS 
    PubMed 

    Google Scholar     

  • Gill CJ, MacLeod WB, Phiri-Mazala G, Guerina NG, Mirochnick M, Knapp AB, et al. Can traditional birth attendants be trained to accurately identify septic infants, initiate antibiotics, and refer in a rural African setting? Glob Heal Sci Pract. 2014;2(3):318–27.

    Article 

    Google Scholar     

  • Lusli M, Peters R, van Brakel W, Zweekhorst M, Iancu S, Bunders J, et al. The impact of a rights-based counselling intervention to reduce stigma in people affected by leprosy in Indonesia. PLoS Negl Trop Dis. 2016;10(12):e0005088.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Jackson R, Kilsby D, Hailemariam A. Gender exploitative and gender transformative aspects of employing health extension workers under Ethiopia’s health extension program. Trop Med Int Health. 2019;24(3):304–19.

    Article 
    PubMed 

    Google Scholar     

  • Najafizada SAM, Bourgeault IL, Labonté R. A gender analysis of a national community health workers program: A case study of Afghanistan. Glob Public Health. 2019;14(1):23–36.

    Article 
    PubMed 

    Google Scholar     

  • Steege R, Taegtmeyer M, McCollum R, Hawkins K, Ormel H, Kok M, et al. How do gender relations affect the working lives of close to community health service providers? Empirical research, a review and conceptual framework. Soc Sci Med. 2018;209(November 2017):1–13.

    Article 
    PubMed 

    Google Scholar     

  • Panday S, Bissell P, Van Teijlingen E, Simkhada P. Perceived barriers to accessing Female Community Health Volunteers’ (FCHV) services among ethnic minority women in Nepal: A qualitative study. PLoS One. 2019;14(6):1–17.

    Article 
    CAS 

    Google Scholar     

  • Wharton-Smith A, Rassi C, Batisso E, Ortu G, King R, Endriyas M, et al. Gender-related factors affecting health seeking for neglected tropical diseases: Findings from a qualitative study in Ethiopia. PLoS Negl Trop Dis. 2019;13(12):e0007840.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Farmer DB, Berman L, Ryan G, Habumugisha L, Basinga P, Nutt C, et al. Motivations and constraints to family planning: A qualitative study in Rwanda’s southern Kayonza District. Glob Heal Sci Pract. 2015;3(2):242–54.

    Article 

    Google Scholar     

  • Gittings L. ‘When you visit a man you should prepare yourself’: Male community care worker approaches to working with HIV-positive male clients in Cape Town, South Africa. Cult Health Sex. 2016;18(8):936–50.

    Article 
    PubMed 

    Google Scholar     

  • Musoke D, Ssemugabo C, Ndejjo R, Ekirapa-Kiracho E, George AS. Reflecting strategic and conforming gendered experiences of community health workers using photovoice in rural Wakiso district. Uganda Hum Resour Health. 2018;16(1):1–9.


    Google Scholar     

  • Jacobs C, Michelo C, Moshabela M. Implementation of a community-based intervention in the most rural and remote districts of Zambia: A process evaluation of safe motherhood action groups. Implement Sci. 2018;13(1):1–10.

    Article 

    Google Scholar     

  • Feldhaus I, Silverman M, Lefevre AE, Mpembeni R, Mosha I, Chitama D, et al. Equally able, but unequally accepted: Gender differentials and experiences of community health volunteers promoting maternal, newborn, and child health in Morogoro region, Tanzania. Int J Equity Health. 2015;14(1):1–11.

    Article 

    Google Scholar     

  • Datiko DG, Yassin MA, Tulloch O, Asnake G, Tesema T, Jamal H, et al. Exploring providers’ perspectives of a community based TB approach in southern Ethiopia: Implication for community based approaches. BMC Health Serv Res. 2015;15(1):1–9.

    Article 

    Google Scholar     

  • Tancred T, Mandu R, Hanson C, Okuga M, Manzi F, Peterson S, et al. How people-centred health systems can reach the grassroots: Experiences implementing community-level quality improvement in rural Tanzania and Uganda. Health Policy Plan. 2018;33(1):e1–13.

    Article 
    PubMed 

    Google Scholar     

  • Rafiq MY, Wheatley H, Mushi HP, Baynes C. Who are CHWs? An ethnographic study of the multiple identities of community health workers in three rural districts in Tanzania. BMC Health Serv Res. 2019;19(1):1–15.

    Article 

    Google Scholar     

  • Tesfaye S, Barry D, Gobezayehu AG, Frew AH, Stover KE, Tessema H, et al. Improving coverage of postnatal care in rural Ethiopia using a community-based, collaborative quality improvement approach. J Midwifery Womens Heal. 2014;59(Suppl 1):S55–64.

    Article 

    Google Scholar     

  • Juma PA, Mutombo N, Mukiira C. Women’s attitudes towards receiving family planning services from community health workers in rural Western Kenya. Afr Health Sci. 2015;15(1):161–70.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Negussie A, Girma G. Is the role of health extension workers in the delivery of maternal and child health care services a significant attribute? The case of dale district, southern Ethiopia. BMC Health Serv Res. 2017;17(1):1–8.

    Article 

    Google Scholar     

  • Russell CL, Sallau A, Emukah E, Graves PM, Noland GS, Ngondi JM, et al. Determinants of bed net use in Southeast Nigeria following mass distribution of LLINs: Implications for social behavior change interventions. PLoS One. 2015;10(10):1–15.

    Article 
    CAS 

    Google Scholar     

  • Ara G, Khanam M, Papri N, Nahar B, Haque MA, Kabir I, et al. Peer counselling improves breastfeeding practices: A cluster randomized controlled trial in urban Bangladesh. Matern Child Nutr. 2018;14(3):e12605.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Barry D, Frew AH, Mohammed H, Desta BF, Tadesse L, Aklilu Y, et al. The effect of community maternal and newborn health family meetings on type of birth attendant and completeness of maternal and newborn care received during birth and the early postnatal period in rural Ethiopia. J Midwifery Womens Heal. 2014;59(Suppl 1):S44–54.

    Article 

    Google Scholar     

  • Choulagai BP, Onta S, Subedi N, Bhatta DN, Shrestha B, Petzold M, et al. A cluster-randomized evaluation of an intervention to increase skilled birth attendant utilization in mid- and far-western Nepal. Health Policy Plan. 2017;32(8):1092–101.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Darega B, Dida N, Tafese F, Ololo S. Institutional delivery and postnatal care services utilizations in Abuna Gindeberet District, west Shewa, Oromiya region, Central Ethiopia: A community-based cross sectional study. BMC Pregnancy Childbirth. 2016;16(1):1–7.

    Article 

    Google Scholar     

  • George AS, Mohan D, Gupta J, Lefevre AE, Balakrishnan S, Ved R, et al. Can community action improve equity for maternal health and how does it do so? Research findings from Gujarat, India. Int J Equity Health. 2018;17(1):1–11.

    Article 

    Google Scholar     

  • Sam-Agudu NA, Ramadhani HO, Isah C, Anaba U, Erekaha S, Fan-Osuala C, et al. The impact of structured Mentor mother programs on 6-month postpartum retention and viral suppression among HIV-positive women in rural Nigeria: A prospective paired cohort study. J Acquir Immune Defic Syndr. 2017;75:S173–81.

    Article 
    PubMed 

    Google Scholar     

  • Burke HM, Chen M, Buluzi M, Fuchs R, Wevill S, Venkatasubramanian L, et al. Factors affecting continued use of subcutaneous depot medroxyprogesterone acetate (DMPA-SC): A secondary analysis of a 1-year randomized trial in Malawi. Glob Heal Sci Pract. 2019;7(1):54–65.

    Article 

    Google Scholar     

  • Brooks MI, Johns NE, Quinn AK, Boyce SC, Fatouma IA, Oumarou AO, et al. Can community health workers increase modern contraceptive use among young married women? A cross-sectional study in rural Niger. Reprod Health. 2019;16(1):1–10.

    Article 

    Google Scholar     

  • Taleb F, Perkins J, Ali NA, Capello C, Ali M, Santarelli C, et al. Transforming maternal and newborn health social norms and practices to increase utilization of health services in rural Bangladesh: A qualitative review. BMC Pregnancy Childbirth. 2015;15(1):1–11.

    Article 

    Google Scholar     

  • Balakrishnan R, Gopichandran V, Chaturvedi S, Chatterjee R, Mahapatra T, Chaudhuri I. Continuum of Care Services for Maternal and Child Health using mobile technology – a health system strengthening strategy in low and middle income countries. BMC Med Inform Decis Mak. 2016;16(1):1–8.

    Article 

    Google Scholar     

  • Matsumoto-Takahashi ELA, Tongol-Rivera P, Villacorte EA, Angluben RU, Yasuoka J, Kano S, et al. Determining the impact of community awareness-raising activities on the prevention of malaria transmission in Palawan, the Philippines. Parasitol Int. 2014;63(3):519–26.

    Article 
    PubMed 

    Google Scholar     

  • Pelcastre-Villafuerte B, Ruiz M, Meneses S, Amaya C, Márquez M, Taboada A, et al. Community-based health care for indigenous women in Mexico: A qualitative evaluation. Int J Equity Health. 2014;13(1):1–9.

    Article 

    Google Scholar     

  • Bergen N, Mamo A, Asfaw S, Abebe L, Kurji J, Kiros G, et al. Perceptions and experiences related to health and health inequality among rural communities in Jimma zone, Ethiopia: A rapid qualitative assessment. Int J Equity Health. 2018;17(1):1–7.

    Article 

    Google Scholar     

  • McCollum R, Otiso L, Mireku M, Theobald S, De Koning K, Hussein S, et al. Exploring perceptions of community health policy in Kenya and identifying implications for policy change. Health Policy Plan. 2016;31(1):10–20.

    Article 
    PubMed 

    Google Scholar     

  • Kelbessa Z, Baraki N, Egata G. Level of health extension service utilization and associated factors among community in Abuna Gindeberet District, west Shoa zone, Oromia regional state, Ethiopia. BMC Health Serv Res. 2014;14(1):1–9.

    Article 

    Google Scholar     

  • Luckow PW, Kenny A, White E, Dorr L, Erlandson K, Grant B, et al. Implementation research on health services in rural Liberia; 2020. p. 1–11.


    Google Scholar     

  • Buchner DL, Brenner JL, Kabakyenga J, Teddy K, Maling S, Barigye C, et al. Stakeholders’ perceptions of integrated community case management by community health workers: A post-intervention qualitative study. PLoS One. 2014;9(6).

  • Tschirhart N, Nosten F, Foster AM. Migrant tuberculosis patient needs and health system response along the Thailand-Myanmar border. Health Policy Plan. 2017;32(8):1212–9.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Naidoo S, Naidoo D, Govender P. Community healthcare worker response to childhood disorders: Inadequacies and needs. African J Prim Heal Care Fam Med 2019;11(1):1–10.

  • Crenshaw K. Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanford Law Rev. 1991;43(6):1241.

    Article 

    Google Scholar     

  • Tefera W, Tesfaye H, Bekele A, Kayessa E, Waltensperger KZ, Marsh DR. Factors influencing the low utilization of curative child health services in Shebedino District, Sidama zone, Ethiopia. Ethiop Med J. 2014;52(Suppl 3):109–17.

    PubMed 

    Google Scholar     

  • Nandi S, Schneider H. Addressing the social determinants of health: A case study from the Mitanin (community health worker) programme in India. Health Policy Plan. 2014;29:ii71–81.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • de Lange N, Mitchell C. Community health workers as cultural producers in addressing gender-based violence in rural South Africa. Glob Public Health. 2016;11(5–6):783–98.

    Article 
    PubMed 

    Google Scholar     

  • Woods-Jaeger BA, Kava CM, Akiba CF, Lucid L, Dorsey S. The art and skill of delivering culturally responsive trauma-focused cognitive behavioral therapy in Tanzania and Kenya. Psychol Trauma Theory Res Pract Policy. 2017;9(2):230–8.

    Article 

    Google Scholar     

  • Miller JS, Musominali S, Baganizi M, Paccione GA. A process evaluation of performance-based incentives for village health workers in Kisoro district, Uganda. Hum Resour Health. 2014;12(1):1–11.

    Article 

    Google Scholar     

  • Edward A, Branchini C, Aitken I, Roach M, Osei-Bonsu K, Arwal SH. Toward universal coverage in Afghanistan: A multi-stakeholder assessment of capacity investments in the community health worker system. Soc Sci Med. 2015;145:173–83.

    Article 
    PubMed 

    Google Scholar     

  • Sharma R, Webster P, Bhattacharyya S. Factors affecting the performance of community health workers in India: A multi-stakeholder perspective. Glob Health Action. 2014;7(1).

  • Kok MC, Namakhoma I, Nyirenda L, Chikaphupha K, Broerse JEW, Dieleman M, et al. Health surveillance assistants as intermediates between the community and health sector in Malawi: Exploring how relationships influence performance. BMC Health Serv Res. 2016;16(1):1–12.

    Article 

    Google Scholar     

  • Kwon HJ, Ramasamy R, Morgan A. “How often? How much? Where from?” knowledge, attitudes, and practices of mothers and health workers to iron supplementation program for children under five in rural Tamil Nadu, South India. Asia-Pacific J Public Heal. 2014;26(4):378–89.

    Article 

    Google Scholar     

  • Kane S, Radkar A, Gadgil M, McPake B. Community health workers as influential health system actors and not “just another pair of hands”. Int J Health Policy Manag. 2020;(x):1–10.

  • Olaniran A, Smith H, Unkels R, Bar-Zeev S, van den Broek N. Who is a community health worker? – a systematic review of definitions. Glob Health Action. 2017;10(1).

  • Kane S, Kok M, Ormel H, Otiso L, Sidat M, Namakhoma I, et al. Limits and opportunities to community health worker empowerment : A multi-country comparative study. Soc Sci Med. 2016;164:27–34.

    Article 
    PubMed 

    Google Scholar     

  • Ved R, Scott K, Gupta G, Ummer O, Singh S, Srivastava A, et al. How are gender inequalities facing India’s one million ASHAs being addressed? Policy origins and adaptations for the world’s largest all-female community health worker programme. Hum Resour Health. 2019;17(3):1–15.


    Google Scholar     

  • Hampshire K, Porter G, Mariwah S, Munthali A, Robson E, Owusu SA, et al. Who bears the cost of “informal mhealth”? Health-workers’ mobile phone practices and associated political-moral economies of care in Ghana and Malawi. Health Policy Plan. 2017;32(1):34–42.

    Article 
    PubMed 

    Google Scholar     

  • Maes K. “Volunteers are not paid because they are priceless”: Community health worker capacities and values in an AIDS treatment intervention in urban Ethiopia. Med Anthropol Q. 2014;29(1):97–115.

    Article 
    PubMed 

    Google Scholar     

  • Maes K, Kohrt BA, Closser S. Culture, status and context in community health worker pay: Pitfalls and opportunities for policy research. A commentary on Glenton et al. (2010). Soc Sci Med. 2010;71(8):1375–80.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Maes K. Examining health-care volunteerism in a food- and financially-insecure world. Bull World Health Organ. 2010;88(11):867–9.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Maes K. Task-shifting in global health: mental health implications for community health workers and volunteers. In: Kohrt BA, Mendenhall E, editors. Global mental health: anthropological perspectives. Walnut Creek: Left Coast Press; 2015. p. 291–308.


    Google Scholar     

  • Maes K. Volunteerism or labor exploitation? Harnessing the volunteer spirit to sustain AIDS treatment programs in urban Ethiopia. Hum Organ. 2012;71(1):54–64.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Chase LE, Gurung D, Shrestha P, Rumba S. Gendering psychosocial care: Risks and opportunities for global mental health. Lancet Psychiatry. 2020;8(4):267–9.

    Article 
    PubMed 

    Google Scholar     

  • Bhatia K. Community health worker programs in India: A rights-based review. Perspect Public Health. 2014;134(5):276–82.

    Article 
    PubMed 

    Google Scholar     

  • World Health Organization. Global strategy on human resources for health: Workforce 2030. Geneva: World Health Organization; 2016.


    Google Scholar     

  • World Health Organization. A conceptual framework for action on the social determinants of health, vol. 28. Geneva: World Health Organization; 2010.


    Google Scholar     

  • Gilmore B, Adams BJ, Bartoloni A, Alhaydar B, McAuliffe E, Raven J, et al. Improving the performance of community health workers in humanitarian emergencies: A realist evaluation protocol for the PIECES programme. BMJ Open. 2016;6(8):e011753.

    Article 
    PubMed 
    PubMed Central 

    Google Scholar     

  • Devkota HR, Clarke A, Murray E, Groce N. Do experiences and perceptions about quality of care differ among social groups in Nepal? : A study of maternal healthcare experiences of women with and without disabilities, and Dalit and non-Dalit women. Abe T, editor. PLoS One. 2017;12(12):e0188554 [cited 2021 Mar 22].

    Article 
    PubMed 
    PubMed Central 
    CAS 

    Google Scholar     

  • Cáceres C, Pecheny M, Frasca T, Rios RR, Pocahy F. Review of legal frameworks and the situation of human rights related to sexual diversity in low and middle income countries: UNAIDS; 2008.


    Google Scholar     

  • Swartz L, Kilian S, Twesigye J, Attah D, Chiliza B. Language, culture, and task shifting – an emerging challenge for global mental health. Glob Health Action. 2014;7(1):23433.

    Article 
    PubMed 

    Google Scholar     

  • Sarin E, Lunsford SS. How female community health workers navigate work challenges and why there are still gaps in their performance: A look at female community health workers in maternal and child health in two Indian districts through a reciprocal determinism framework. Hum Resour Health. 2017;15(1):1–10.

    Article 

    Google Scholar     

  • Maes K, Closser S, Kalofonos I. Listening to community health workers: How ethnographic research can inform positive relationships among community health workers, health institutions, communities. Am J Public Health. 2014;104(5):5–9.

    Article 

    Google Scholar     

  • Dixon-Woods M, Bonas S, Booth A, Jones DR, Miller T, Sutton AJ, et al. How can systematic reviews incorporate qualitative research? A critical perspective. Qual Res. 2006;6(1):27–44.

    Article 

    Google Scholar     

  • Dixon-Woods M, Shaw RL, Agarwal S, Smith JA. The problem of appraising qualitative research. Qual Saf Heal Care. 2004;13(3):223–5.

    Article 
    CAS 

    Google Scholar     

  • Toye F, Seers K, Allcock N, Briggs M, Carr E, Andrews J, et al. “Trying to pin down jelly” – exploring intuitive processes in quality assessment for meta-ethnography. BMC Med Res Methodol. 2013;13(1):1–12.

    Article 

    Google Scholar     

  • Toye F, Seers K, Allcock N, Briggs M, Carr E, Barker K. Meta-ethnography 25 years on: Challenges and insights for synthesising a large number of qualitative studies. BMC Med Res Methodol. 2014;14(80).



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    Travel Journals

    Travel Experiences That Looked Better Online, From Frequent Traveler

    Published

    4 hours ago

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    August 4, 2025

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    • I travel a lot and have learned some experiences aren’t as glamorous as they look on social media.
    • Some spots, like LA’s Hollywood Boulevard and Hawaii’s Mānoa Falls, can get crowded.
    • Although gorgeous, taking a gondola ride in Venice can be expensive.

    Social media has a way of airbrushing reality, especially when it comes to travel.

    Many people plan their entire vacations based on viral TikToks and Instagram photo ops, often without realizing what those places are actually like behind the lens.

    I’ve been lucky enough to explore over 20 countries, and have been everywhere from the Arctic Circle and the European countryside to the Caribbean.

    I love snapping photos and curating videos of my adventures along the way, but I’ll also admit that social media can make every trip look like a dreamy highlight reel with perfect sunsets, pristine hotel rooms, or bucket-list adventures.

    Although I’ll always be grateful for the chance to see the world, the truth is, not every moment is as glamorous as it looks online.

    Visiting Hollywood Boulevard isn’t as glitzy as it seems.

    As a kid, I always glamorized the idea of visiting Hollywood.


    Chloe Caldwell

    As someone who grew up in the Los Angeles area, I’m incredibly familiar with every tourist hot spot in the city. As a product of the suburbs, I glamorized the idea of visiting Hollywood and immersing myself among those famous sidewalk stars.

    The truth, though, is that Hollywood Boulevard is packed with crowds, speckled with trash, and has lots of overpriced attractions and gift shops.

    If you want a good view of the Hollywood sign, I recommend going to Griffith Park Observatory instead. There, you’ll get an up-close look at the landmark and sweeping views of LA.

    Taking a gondola ride in Venice can be expensive.

    Taking a gondola ride in Venice is an incredible — but pricey — experience.


    Chloe Caldwell

    Venice has become one of my favorite cities for its dreamy waterways, cobblestone alleys, and vibrant atmosphere.

    I’ve visited over the past two years and have plans to return this summer. Although a gondola ride might seem like a Venice rite of passage, I have a hard time justifying a nearly $100 price tag for a 30-minute ride.

    It may be worth the splurge if a ride is a must on your itinerary. However, it’s also worth looking into the public gondola transfers (aka the traghetto) across the larger waterways that only cost 2 euros (about $2.35).

    You’ll be with a group of people for a short, 3-minute ride, but you can still get a quick snapshot of yourself on the gondola.

    Mānoa Falls in Honolulu can get crowded.

    Mānoa Falls is a 150-foot waterfall near Honolulu.


    Chloe Caldwell

    The Mānoa Falls Trail is a lush, 1.6-mile round-trip hike near Honolulu that leads to a 150-foot-tall waterfall. It’s a gorgeous trail that I think is worth doing during your visit to Oahu.

    However, in my experience, it’s not as serene as it seems online, and there will likely be crowds gathered at the waterfall’s base and the viewpoints throughout.

    You’ll likely have difficulty getting photos without people in the background, especially if they’re swimming in the fall’s natural pool. I only got a decent picture of myself in front of the waterfall because it started raining and everyone else left.

    I’d recommend going early in the morning to beat some of the rush, or going on a gloomy day when there might be fewer people on the trail. Also, keep an eye out for outlets along the way to find small and secluded streams.

    The northern lights are much more vibrant in photos.

    Photos of the northern lights often appear more vivid than the in-person display.


    Chloe Caldwell

    Don’t get me wrong: seeing the northern lights in Iceland was one of the best travel experiences of my life.

    However, the photos you see online often make them look like a much more saturated version of what they actually look like to the naked eye. More often, the lights are a faint haze of subtle hues.

    Although photos typically appear more vivid and colorful than the in-person display, watching the colors dance in the sky is awe-inspiring nonetheless.





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    Mexico’s Secretary of Tourism Discusses the Country’s New Take on Tourism

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    August 3, 2025

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    Travel is booming in Mexico. According to the nation’s Ministry of Tourism, 39.4 million international visitors arrived in Mexico between January and May, a 14.2% jump from the same period last year. 

    Mexico’s president, Claudia Sheinbaum, is aiming for even greater growth, with a goal of making Mexico the world’s fifth most-visited country by 2030 — as part of a wide-ranging plan, dubbed Mexico 2030, that focuses on economic development in various sectors. 

    Leading the government’s charge in the tourism sector is Josefina Rodriguez Zamora, who was appointed Mexico’s secretary of tourism in October 2024 after serving as secretary of tourism for the state of Tlaxcala from 2021 to 2024. 

    In this interview, Rodriguez discusses various challenges, as well as the ministry’s new take on tourism — which includes a stronger focus on local communities and sustainability, a new tourism campaign and greater collaboration with travel advisors. 

    President Sheinbaum has been in office since October 2024. How would you describe the new administration’s approach to tourism? 

    With the government of President Claudia Sheinbaum, tourism is recognized as a pillar of sustainable development. We’ve strengthened interagency coordination, prioritized sustainable investment and ramped up international promotion with new campaigns. The shared prosperity vision remains, but with an even stronger focus on innovation, inclusion and sustainability.

    RELATED: Tianguis 2025 Showcases Mexico’s Tourism Growth

    The arrival of President Claudia Sheinbaum represents continuity of a national plan with a social vision that’s inclusive and deeply committed to the wellbeing of all Mexicans. Today … we’re establishing a new stage for national tourism, with a focus that’s fairer, more modern and transformative.

    One of this administration’s pillars is the strengthening of community tourism — not just as a development tool, but as a way to share the cultural, historical and natural richness of our communities with the world. We want tourism in Mexico to generate shared prosperity, to empower communities and preserve our traditions, languages, knowledge and ecosystems. 

    How are you moving toward that goal? 

    Technological innovation and the use of digital tools are fundamental for this new phase. We’re promoting online training platforms, intelligent promotion strategies and connectivity systems that allow more people to discover, experience and visit Mexico more easily. 

    Tourism is now a national wellbeing strategy in Mexico.
    Credit: 2025 Puerto Vallarta Tourism Board

    The key difference is that now, tourism is no longer just an economic sector. It’s a national wellbeing strategy that honors our roots, promotes equity and advances the country toward a future that’s more sustainable, better connected and profoundly human.  

    Hospitality knows no political borders. Tourism builds bridges.

    Does political rhetoric in the United States affect Americans traveling to Mexico?

    Mexico maintains a respectful and collaborative stance. What’s most important is that the American people continue to travel to Mexico enthusiastically and frequently. Hospitality knows no political borders. Tourism builds bridges. We focus on delivering experiences so positive that they overcome any prejudice or external rhetoric.

    In Mexico City, the government has introduced new restrictions on short-term rentals to combat gentrification. How do you view these challenges? 

    In Mexico, we firmly believe in tourism as a tool for coming together, for understanding and social development. We’re a supportive people, warm by nature and profoundly proud of our history, our communities and our landscapes. We like to welcome the people who visit as if they were coming home, because we’re great hosts by nature. 

    Josefina Rodriguez Zamora (third from right) at the Guelaguetza festival in Oaxaca
    Credit: 2025 SECTUR

    But we also know that tourism must be responsible. That’s why the government emphasizes the importance of a tourist model that’s sustainable, environmentally respectful and aligned with the needs of local communities. Decrees protect natural areas, and policies support cultural and ecological preservation. 

    It’s not just a matter of tourists enjoying our beaches, mountains, jungles and Magical Towns. It’s also about how we Mexicans can continue to enjoy and share these spaces for generations to come. We want tourism to coexist with its surroundings, not displace it; to strengthen local identity, not erase it.  

    We want tourism to coexist with its surroundings, not displace it; to strengthen local identity, not erase it.

    That’s why we work hand in hand with communities, emphasizing territorial fairness, so that tourism adds rather than subtracts — and so that tourism development benefits everyone. Our commitment is clear: to preserve what we are and what we have, and to continue proudly sharing it with the world.  

    How can travelers have a positive impact when visiting Mexico?

    We encourage travelers to shop locally, respect customs, avoid exploitative tourism and choose sustainable experiences. Traveling consciously transforms both the communities and the traveler who visits them.

    RELATED: How to Better Understand — and Book — Sustainable Travel

    How can travelers minimize the negative effects of overtourism? 

    Mexico isn’t just a nation of sun and beaches — although our coasts are spectacular. We’re also a nation of mountains, jungles, deserts, volcanoes, living communities and towns with history and soul. That’s why we strongly promote community-based tourism: a more conscientious, responsible and respectful way to travel, both for the environment and for each destination’s cultural identity. 

    These new tourism experiences allow visitors to connect with people, their traditions and their way of life, while at the same time supporting local wellbeing and inclusive development. It’s tourism with a purpose. 

    RELATED: Visiting Indigenous Communities in the Yucatan Peninsula

    There are 177 Magical Towns, each with its own unique charm. From the Huichol art in Nayarit to the living Maya traditions in Yucatan and the Otomi rituals in Hidalgo, Mexico offers routes that break away from the crowds and embrace authenticity. 

    We invite travelers to explore these lesser-known destinations, to experience Mexico in the heart of its communities, to become part of a new form of tourism — one that transforms and leaves a mark, as much for those who experience it as for those who offer it. 

    What should travel advisors and their clients know about safety and security in Mexico today? 

    Mexico is currently experiencing one of its safest periods in years, with steadily declining crime rates that have boosted traveler confidence. This is reflected in the fact that more than half of the international tourists who visit are women, who choose Mexico as a safe and welcoming destination.

    Mexico is currently experiencing one of its safest periods in years, with steadily declining crime rates that have boosted traveler confidence.

    Thanks to the national security strategy and coordinated work among the three levels of government, this progress is also reflected in the consistent growth in international visitors, especially from the United States and Canada. Travelers come back not just for our beaches and culture; they also come back because they feel welcome and safe.

    RELATED: Travel Advisors Report Growing Client Hesitation as Global Uncertainty Rises

    Being aware that negative narratives still exist in some international media, we launched the Latidos del Mundo [Heartbeats of the World] campaign, a communication strategy targeting international travelers that conveys a message focused on peace, personal connection and Mexican authenticity. This campaign highlights our strengths: hospitality, natural and cultural richness and the safety that the nation offers as a tourism destination.

    You’re looking to work closely with travel advisors. What are the goals of this year’s roadshow?

    The Meet Mexico Roadshow 2025 is a very special tour. We’ll be in Chicago, Toronto, Dallas, Houston, San Francisco, Los Angeles, Montreal and New York to strengthen business ties, train travel advisors and showcase Mexico’s diversity beyond just sun and beach. Unlike previous editions, this tour focuses on cultural, culinary and health and wellness experiences, as well as newly emerging destinations. We’re sharing a unified message: Mexico as a country of authentic, safe hospitality, aligned with global trends of conscious travel.

    How has the way you collaborate with U.S.-based travel advisors evolved? 

    We’ve significantly strengthened our work with travel advisors in the U.S., building a strategic relationship that provides ongoing support and up-to-date information.  

    The Secretary of Tourism offers various training courses and modules through official digital platforms, specifically designed for travel advisors, tour operators and industry professionals. These courses cover key topics such as emerging destinations, wellness tourism, cultural experiences and sustainability, aligned with our diversification strategy. Through these platforms, advisors can access multimedia resources, specialized itineraries and interactive tools to sell Mexico more effectively and distinctively.

    Dates for the Meet Mexico Roadshow

    Chicago and Toronto: Aug. 25–29 
    Dallas and Houston: Sept. 9–13 
    San Francisco and Los Angeles: Oct. 7–11 
    Montreal and New York: Nov. 10–14 



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    Tripadvisor award names Galashiels attraction one of the best in world

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    2 days ago

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    August 2, 2025

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    The Great Tapestry of Scotland been named in top 10 per cent of visitor attractions in the world for the second year in a row in the Tripadvisor Travellers’ Choice Awards 2025.

    Sandy Maxwell-Forbes, centre director, said: “This is testament to the passion, creativity, and hard work that our small team puts into creating a consistently five-star visitor experience.

    READ MORE: Borders computing shop celebrates 30 years of business

    “We are honoured to be celebrated both nationally, internationally and locally, and remain committed to providing an inspiring and inclusive experience for every visitor who walks through our doors.

    “We would like to extend our deepest thanks to everyone who has taken the time to visit us, leave a review and share their experiences and of course the community which plays a key part in making the centre a success.

    READ MORE: Popular bike shop in Borders town set to close

    “Your kind words, support and enthusiasm have helped make this achievement possible and is important now more than ever as we continue to operate through a cost of living crisis.”

    The awards are based on reviews through the Tripadvisor website from over the last 12 months.

    Mags Fenner, project manager BID for Galashiels, the town’s business improvement district, said: “This world-class attraction puts Galashiels on the map as a cultural destination and draws visitors from near and far.

    READ MORE: Restored rare globes feature in tour of reopened Borders house

    “Local shops, cafés and restaurants have felt the benefit of increased footfall, with many visitors choosing to explore and support our high street after experiencing the tapestry.

    “It’s also been inspiring to see school children from across the region engage with the tapestry as a rich and accessible way to learn about Scottish and Borders history and culture.

    “We’re proud to have such a globally recognised centre at the heart of Galashiels.”





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