Accelerating Best Practices in Peer Support Around the World

lessons

9.27.16

Therapeutic Relationship and Study Adherence in a CHW-Led Intervention

J Community Health. 2016 Jul 23. [Pubmed Abstract]

Therapeutic Relationship and Study Adherence in a Community Health Worker-Led Intervention
Mundorf C, Shankar A, Peng T, Hassan A, Lichtveld MY

Abstract
Community health workers (CHWs) are increasingly utilized to reach low-resource communities. A critical domain influencing success is the CHWs’ ability to create and maintain a therapeutic relationship with the participants they serve. A limited evidence base exists detailing this construct, and evaluating CHW-participant relationships in the context of CHW-led programs. In a longitudinal study design, data on this therapeutic relationship were collected [as captured using The Scale to Assess the Therapeutic Relationship in Community Mental Health Care (STAR)] on 141 participants who had been assigned to a CHW during their perinatal period. Results indicate that therapeutic relationship was associated with the participant’s psychosocial health, and independently predicted…

10.21.15

Key Features of Peer Support in Chronic Disease Prevention and Management

Health Aff (Millwood). 2015 Sep 1;34(9):1523-30. [Pubmed Abstract]

Key Features Of Peer Support In Chronic Disease Prevention And Management
Fisher EB, Ballesteros J, Bhushan N, Coufal MM, Kowitt SD, McDonough AM, Parada H, Robinette JB, Sokol RL, Tang PY, Urlaub D

Abstract
Peer support from community health workers, promotores de salud, and others through community and health care organizations can provide social support and other assistance that enhances health. There is substantial evidence for both the effectiveness and the cost-effectiveness of peer support, as well as for its feasibility, reach, and sustainability. We discuss findings from Peers for Progress, a program of the American Academy of Family Physicians Foundation, to examine when peer support does not work, guide dissemination of peer support programs, and help integrate approaches such as e-health into peer support. Success factors for peer support programs include proactive implementation, attention to…

8.5.15

The Effect of Payment and Incentives on Motivation and Focus of CHWs

Hum Resour Health. 2015 Jul 14;13(1):58. [Pubmed Abstract]

The effect of payment and incentives on motivation and focus of community health workers: five case studies from low- and middle-income countries
Singh D, Negin J, Otim M, Orach CG, Cumming R

Introduction
Community health workers (CHWs) have been proposed as a means for bridging gaps in healthcare delivery in rural communities. Recent CHW programmes have been shown to improve child and neonatal health outcomes, and it is increasingly being suggested that paid CHWs become an integral part of health systems. Remuneration of CHWs can potentially effect their motivation and focus. Broadly, programmes follow a social, monetary or mixed market approach to remuneration. Conscious understanding of the differences, and of what each has to offer, is important in selecting the most appropriate approach according to the context.

Case Descriptions
The objective of this review is to identify and examine different remuneration…

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