J Community Health. 2015 Mar 6. [Pubmed Abstract]
Community Health Workers as Agents of Health Promotion: Analyzing Thailand’s Village Health Volunteer Program
Kowitt SD, Emmerling D, Fisher EB, Tanasugarn C
The village health volunteers (VHVs) have been a regular part of Thailand’s health system since the 1960s. Despite widespread recognition, little research has been conducted to describe VHV activities, the settings in which VHVs provide help, how the program is administered, and how changing politics and health problems in Thailand have influenced the program. In order to understand the roles and practices of the VHVs, we conducted in-depth semi-structured interviews and focus groups with VHVs, community leaders and members, and public health officials in three semi-urban communities in central Thailand. Using the Social Ecological Framework, we mapped factors that influenced how the VHVs provided support, including governmental oversight, collaboration with…
Community-Based Peer Support Significantly Improves Metabolic Control of Type 2 Diabetes in Cameroon
Diabet Med. 2015 Feb 7. [Pubmed Abstract]
Community-based peer support significantly improves metabolic control in people with Type 2 diabetes in Yaoundé, Cameroon
Assah FK, Atanga EN, Enoru S, Sobngwi E, Mbanya JC
To examine the effectiveness of a community-based multilevel peer support intervention in addition to usual diabetes care on improving glycaemic levels, blood pressure and lipids in patients with Type 2 diabetes in Yaoundé, Cameroon.
A total of 96 subjects with poorly controlled Type 2 diabetes (intervention group) and 96 age- and sex-matched controls were recruited and followed up over 6 months. The intervention subjects underwent a peer support intervention through peer-led group meetings, personal encounters and telephone calls. Both intervention subjects and controls continued their usual clinical care. HbA1c , blood pressure, blood lipids and self-care behaviours were measured at 0 and 6 months.
There was significant…
J Affect Disord. 2014 Oct 15;168:452-8. [Pubmed Abstract]
“Someone Like Us”: Delivering Maternal Mental Health Through Peers in Two South Asian Contexts
Singla D, Lazarus A, Atif N, Sikander S, Bhatia U, Ahmad I, Nisar A, Khan S, Fuhr D, Patel V, Rahman A
Peer-led psychosocial interventions are one solution to address the great paucity of skilled mental health human resources in South Asia. The aim of this study was to explore peer-delivered care for maternal depression in two diverse contexts in South Asia.
The study was carried out in the urban setting of Goa, India and rural setting in Rawalpindi, Pakistan. In total, 61 in-depth interviews (IDIs) and 3 focus group discussions (FGDs), and 38 IDIs and 10 FGDs, were conducted with multiple stakeholders in urban Goa and rural Rawalpindi respectively. We used the framework approach to analyze data.
Peers from the same community were the most preferred delivery agents of a community-based…