wow-inequalities/02-data/intermediate/wos_sample/599be851a665a216407a4a3c74a01777-ludwick-teralynn-an/info.yaml

132 lines
4.3 KiB
YAML
Raw Normal View History

2023-09-28 14:46:10 +00:00
abstract: 'Addressing urban health challenges in low- and middle-income countries
(LMICs) has been hampered by lack of evidence on effective mechanisms
for delivering health services to the poor. The urban disadvantaged
experience poor health outcomes (often worse than rural counterparts)
and face service barriers. While community health workers (CHWs) have
been extensively employed in rural communities to address inequities,
little attention has been given to understanding the roles of CHWs in
urban contexts. This study is the first to systematically examine urban
CHW roles in LMICs. It aims to understand their roles vis-a-vis other
health providers and raise considerations for informing future scope of
practice and service delivery models. We developed a framework that
presents seven key roles performed by urban CHWs and position these
roles against a continuum of technical to political functions. Our
scoping review included publications from four databases (MEDLINE,
EMBASE, CINAHL and Social Sciences Citation Index) and two CHW resource
hubs. We included all peer-reviewed, CHW studies situated in
urban/peri-urban, LMIC contexts. We identify roles (un)commonly
performed by urban CHWs, present the range of evidence available on CHW
effectiveness in performing each role and identify considerations for
informing future roles. Of 856 articles, 160 met the inclusion criteria.
Programmes spanned 34 LMICs. Studies most commonly reported evidence on
CHWs roles related to health education, outreach and elements of direct
service provision. We found little overlap in roles between CHWs and
other providers, with some exceptions. Reported roles were biased
towards home visiting and individual-capacity building, and not
well-oriented to reach men/youth/working women, support community
empowerment or link with social services. Urban-specific adaptations to
roles, such as peer outreach to high-risk, stigmatized communities, were
limited. Innovation in urban CHW roles and a better understanding of the
unique opportunities presented by urban settings is needed to fully
capitalize on their potential.'
affiliation: 'Ludwick, T (Corresponding Author), Univ Melbourne, Melbourne Sch Populat
\& Global Hlth, Nossal Inst Global Hlth, 333 Exhibit St, Melbourne, Vic 3004, Australia.
Ludwick, Teralynn; McPake, Barbara, Univ Melbourne, Melbourne Sch Populat \& Global
Hlth, Nossal Inst Global Hlth, 333 Exhibit St, Melbourne, Vic 3004, Australia.
Morgan, Alison; Kane, Sumit, Univ Melbourne, Melbourne Sch Populat \& Global Hlth,
Nossal Inst Global Hlth, Maternal Sexual \& Reprod Hlth Unit, Melbourne, Vic, Australia.
Kelaher, Margaret, Univ Melbourne, Ctr Hlth Policy, Melbourne Sch Populat \& Global
Hlth, Melbourne, Vic, Australia.'
author: Ludwick, Teralynn and Morgan, Alison and Kane, Sumit and Kelaher, Margaret
and McPake, Barbara
author-email: teralynn.ludwick@unimelb.edu.au
author_list:
- family: Ludwick
given: Teralynn
- family: Morgan
given: Alison
- family: Kane
given: Sumit
- family: Kelaher
given: Margaret
- family: McPake
given: Barbara
da: '2023-09-28'
doi: 10.1093/heapol/czaa049
eissn: 1460-2237
files: []
issn: 0268-1080
journal: HEALTH POLICY AND PLANNING
keywords: 'Urban health; community health; human resources; low- and middle-income
countries; health inequalities; review'
keywords-plus: 'SOUTH-AFRICA; COST-EFFECTIVENESS; SMOKING-CESSATION; RANDOMIZED-TRIAL;
PEER EDUCATION; CHILD HEALTH; NEWBORN CARE; HOME VISITS; CAPE-TOWN;
INTERVENTION'
language: English
month: OCT
number: '8'
number-of-cited-references: '131'
orcid-numbers: 'McPake, Barbara/0000-0002-9904-1077
Ludwick, Teralynn/0000-0003-4160-7354
Kane, Sumit/0000-0002-4858-7344
Morgan, Alison/0000-0001-5380-1619'
pages: 1039-1052
papis_id: e471994528e3475c435997c026f2f354
ref: Ludwick2020distinctiveroles
researcherid-numbers: 'McPake, Barbara/AAE-8655-2021
Ludwick, Teralynn/AAZ-3458-2020
'
tags:
- review
times-cited: '11'
title: 'The distinctive roles of urban community health workers in low- and middle-income
countries: a scoping review of the literature'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000593028300016
usage-count-last-180-days: '1'
usage-count-since-2013: '9'
volume: '35'
web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
year: '2020'