Accelerating Best Practices in Peer Support Around the World

Community Health Worker

1.8.15

Impact of Integrated Healthcare on Social Support for Patients with Co-Morbid HIV and Chronic Illness in South Africa

Jewels Rhode is a second year MPH student in the Department of Health Behavior at the Gillings School of Global Public Health at UNC Chapel Hill.

For her practicum last summer, she traveled to Cape Town, South Africa, where she worked with the South African Medical Research Council (MRC) on examining the treatment and disease experiences of people with co-morbid HIV and chronic illness.
The Issue
There are about 6.4 million people living with HIV in South Africa (Shisana et al., 2014). South Africa has the largest public sector antiretroviral (ART) program in the world, providing HIV treatment to 2.4 million children and adults living with HIV (32% of the population) (Shisana et al., 2014). As a result of their expansive ART program, South Africans are now living longer with HIV; however, the success of this program has introduced a new health concern with the rise of co-morbid HIV and chronic illnesses (Bradshaw, Steyn, Levitt, & Nojilana, 2014).

About 16.5% of South…

10.30.14

Comparing Diabetes Support in 3 Countries

Clayton Velicer, MPH

Our website has frequently promoted peer support and community health worker programs around the world including programs in Afghanistan, China, Australia, and India.

In this week’s blog, we discuss the findings from a recent article that compares the peer-led MoPoTsyo program in Cambodia with diabetes support programs in two other low- and medium- income countries (DR Congo and Philippines).
DR Congo
The program in Kinshasa, DR Congo includes 80 primary care centers (called Kin-Reseau) that deliver diabetes care as part of its basic package. The program was founded 40 years ago by a missionary doctor that trained the health center staff to decentralize care. The centers offer a weekly health center visit and bi-monthly medical consultation by a trained doctor that includes glucose and blood pressure measurements and foot care. Medicines are offered at subsidized rates and patients on insulin receive their injections at the health center with a nurse’s…

9.12.14

CHW Care for Latinos with Diabetes: The DIALBEST Study

Clayton Velicer, MPH

In our August Newsletter we highlighted the growth of community health workers (CHWs), particularly in Latino communities. We also highlighted an example of CHWs using mobile technology to boost impact in underserved Latino communities. In this blog, we’ll look at a related study that was recently covered by Medscape Medical News.

This article in Diabetes Care published results from the Diabetes Among Latinos Best Practices Trial (DIALBEST). In this study, 211 adult Latinos with diabetes were randomized to receive either 17 in-home educational sessions delivered by trained and supervised bilingual/bicultural CHWs or standard care. To help others replicate and scale up the model, the study thoroughly described the CHW training program and delivery of the intervention. In this blog, we took highlights from the article on Medscape Medical News, including commentaries from the research team.
Training and Supporting CHWs
Strong CHW training programs are…

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