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Improving access to maternal health services among rural hard-to-reach fishing communities in Uganda, the role of community health workers Universiteit Gent

Ali Ssetaala, Julius Ssempiira, Mathias Wambuzi, Gertrude Nanyonjo, Brenda Okech, Kundai Chinyenze, Bernard Bagaya, Matt Price, Noah Kiwanuka, Olivier Degomme, et al.
Objectives: To explore whether community health worker household-based maternal health visits improve antenatal care and skilled birth attendance among hard-to-reach fishing villages on Lake Victoria, Uganda. Methods: This quasi-experimental 18-month prospective study involved 486 consenting women aged 15-49 years, who were pregnant or had a pregnancy outcome in the past 6 months, from 6 island fishing communities. The community health worker ...

Organization of community mental health services for persons with a severe mental illness and comorbid somatic conditions: a systematic review on somatic outcomes and health related quality of life Universiteit Antwerpen

Marianne Destoop, Geert Dom
It is well established that persons with a severe mental illness (SMI) have a greater risk of physical comorbid conditions and premature mortality. Most studies in the field of community mental health care (CMHC) have only focused on improving cardiovascular health in people with a SMI using lifestyle approaches. Studies using organizational modifications are rather scarce. This systematic review aimed to synthesize and describe possible ...

Community health extension program of Ethiopia, 2003-2018: successes and challenges toward universal coverage for primary healthcare services Instituut voor Tropische Geneeskunde Vrije Universiteit Brussel

Yibeltal Assefa, Yalemzewod Assefa Gelaw, Peter S Hill, Belaynew Wassie Taye, W Van Damme

Background: Ethiopia has been implementing a community health extension program (HEP) since 2003. We aimed to assess the successes and challenges of the HEP over time, and develop a framework that may assist the implementation of the program toward universal primary healthcare services.

Methods: We conducted a systematic review and synthesis of the literature on the HEP in Ethiopia between 2003 and 2018. Literature search was ...

Improving community mental health services for people affected by political violence in Ayacucho, Peru KU Leuven

Miryam Rivera Holguin, Jozef Corveleyn
This study describes a model to intervene in communities affected by the political violence impacting the Ayacucho region of Peru since 1980s. Many community members still experience psychosocial consequences to this day due primarily to grief. Thirty-eight professionals from different sectors in the area received specialized training and implemented five community projects that were accompanied and monitored in the field by a team of community ...

The Impact of In-Event Health Services at Europe’s Largest Electronic Dance Music Festival on Ems and Ed in the Host Community Vrije Universiteit Brussel

Kris Spaepen, Robby Cardinas, Winne A. P. Haenen, Leonard Kaufman, Ives Hubloue
Background: Electronic dance music festivals (EDMF) can cause a significant disruption in the standard operational capacity of emergency medical services (EMS) and hospitals. We determined whether or not the presence of in-event health services (IEHS) can reduce the impact of Europe’s largest EDMF on the host community EMS and local emergency departments (EDs). Methods: We conducted a pre-post analysis of the impact of Europe’s largest EDMF in ...

Patient- and delivery-system factors related to acceptance of HIV councelling and testing services among TB patients in South Africa :a qualitative study with community health workders and program managers Universiteit Antwerpen

J.C. Heunis, Edwin Wouters, W. Norton, M.C. Engelbrecht, G.N. Kigozi, A. Sharma, C. Ragin
Background South Africa has a high tuberculosis (TB)-human immunodeficiency virus (HIV) coinfection rate of 73%, yet only 46% of tuberculosis TB patients are tested for HIV. To date, relatively little work has focused on understanding why TB patients may not accept effective services or participate in programs that are readily available in health care delivery systems. The objective of the study was to explore barriers to and facilitators of ...

Ebola and community health worker services in Kenema District, Sierra Leone: please mind the gap! Instituut voor Tropische Geneeskunde

M A Vandi, Johan van Griensven, A K Chan, B Kargbo, J N Kandeh, K S Alpha, A A Sheriff, K S B Momoh, A Gamanga, R Najjemba, et al.

Setting: All community health workers (CHWs) in rural Kenema District, Sierra Leone. 

Objective: CHW programmes provide basic health services to fill gaps in human health resources. We compared trends in the reporting and management of childhood malaria, diarrhoea and pneumonia by CHWs before, during and after the Ebola outbreak (2014-2016). 

Design: Retrospective cross-sectional study using programme data. Results: CHW ...