2025
St. Louis enhancing engagement and retention (STEER) in HIV/AIDS care: a participatory intersectional needs assessment for intervention and implementation planning
Humphries D, Marotta P, Hu Y, Wang V, Gross G, Rucker D, Jones J, Alam F, Brown T, Spiegelman D, Carter C. St. Louis enhancing engagement and retention (STEER) in HIV/AIDS care: a participatory intersectional needs assessment for intervention and implementation planning. Frontiers In Public Health 2025, 13: 1589671. PMID: 40567982, PMCID: PMC12187841, DOI: 10.3389/fpubh.2025.1589671.Peer-Reviewed Original ResearchMeSH KeywordsAdultCommunity Health WorkersCommunity-Based Participatory ResearchFemaleHIV InfectionsHumansMaleMiddle AgedMissouriNeeds AssessmentProgram DevelopmentConceptsCommunity health workersNeeds assessmentHealth workersIntegration of community health workersFocus groupsFront-line health workersLack of social supportParticipatory needs assessmentHIV Epidemic initiativeImprove HIV outcomesCommunity engagement principlesContext of HIVDrivers of inequalityPeer specialistsHealth coachingProvider turnoverClinical leadersHealth inequalitiesCare teamHIV/AIDS careHIV outcomesSocial supportCommunity partnersHistory of structural racismOutreach workers
2022
The impact of a community health worker intervention on uptake of antenatal care: a cluster-randomized pragmatic trial in Dar es Salaam
Regan M, Cheng C, Mboggo E, Larson E, Lema I, Magesa L, Machumi L, Ulenga N, Sando D, Mwanyika-Sando M, Barnhart D, Hong B, Mungure E, Li N, Siril H, Mujinja P, Naburi H, Kilewo C, Ekström A, Geldsetzer P, Fawzi W, Bärnighausen T, Sudfeld C, Spiegelman D. The impact of a community health worker intervention on uptake of antenatal care: a cluster-randomized pragmatic trial in Dar es Salaam. Health Policy And Planning 2022, 38: 279-288. PMID: 36377764, PMCID: PMC10019560, DOI: 10.1093/heapol/czac100.Peer-Reviewed Original ResearchMeSH KeywordsCommunity Health WorkersFemaleHospitalsHumansInfant, NewbornPregnancyPrenatal CareProgram EvaluationTanzaniaConceptsMore ANC visitsCommunity health worker interventionHealth worker interventionAntenatal careANC visitsPragmatic trialHigh-quality antenatal carePragmatic cluster-randomized trialUptake of ANCDar es SalaamWorker interventionLarge-scale pragmatic trialsCluster-randomized pragmatic trialModest beneficial effectStandard of careRoutine health system dataCluster-randomized trialHealth system dataANC uptakeCare armCHW interventionPrimary outcomeIntervention armFirst trimesterPregnant women
2020
The fidelity of implementation of recommended care for children with malaria by community health workers in Nigeria
Adeoti O, Spiegelman D, Afonne C, Falade CO, Jegede AS, Oshiname FO, Gomes M, Ajayi IO. The fidelity of implementation of recommended care for children with malaria by community health workers in Nigeria. Implementation Science 2020, 15: 13. PMID: 32131852, PMCID: PMC7057616, DOI: 10.1186/s13012-020-0968-1.Peer-Reviewed Original ResearchMeSH KeywordsAdultAntimalarialsArtemisininsCaregiversChild, PreschoolClinical ProtocolsCommunity Health WorkersCounselingDrug Therapy, CombinationEmployee Performance AppraisalFemaleHumansImplementation ScienceInfantInservice TrainingMalariaMicrobiological TechniquesMiddle AgedNigeriaSocioeconomic FactorsConceptsCommunity health workersResource-poor settingsClinical evaluationTreatment protocolHealth workersPerformance scoresFemale community health workersHome-based caregiversMalaria treatment recommendationsUnit increaseGold standard comparatorPost-treatment counselingOverall adherenceTreatment recommendationsMalaria careBetter outcomesQuality careTotal performance scoreFidelity of implementationIntervention fidelityMean performance scoresStandard checklistHome managementMalariaGold standard
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