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A17044 Community health workers for non-communicable disease interventions in the digital age
Mishra, Shiva Raj; LYGIDAKIS, Charilaos; Neupane, Dinesh et al.
2018In Journal of Hypertension
Peer Reviewed verified by ORBi


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Keywords :
community health workers; non-communicable diseases; low income countries; community health programs
Abstract :
[en] Objectives: In this study, we review the evidence and discuss how the digitalization affects the CHWs programs for tackling non-communicable diseases (NCDs) in low-and-middle income countries (LMICs). Methods: We conducted a review of literature covering two databases: PubMED and Embase. A total of 97 articles were abstracted for full text review of which 21 are included in the analysis. Existing theories were used to construct a conceptual framework for understanding how digitalization affects the prospects of CHW programs for NCDs. Results: We identified three benefits and three challenges of digitalization. Firstly, it will help improve the access and quality of services, notwithstanding its higher establishment and maintenance costs. Secondly, it will add efficiency in training and personnel management. Thirdly, it will leverage the use of data generated across grass-roots platforms to further research and evaluation. The challenges posed are related to funding, health literacy of CHWs, and systemic challenges related to motivating CHWs. More than 60 digital platforms were identified, including mobile based networking devices (used for behavioral change communication), Web-applications (used for contact tracking, reminder system, adherence tracing, data collection, and decision support), videoconference (used for decision support) and mobile applications (used for reminder system, supervision, patients’ management, hearing screening, and tele-consultation). Conclusion: The digitalization efforts of CHW programs are afflicted by many challenges, yet the rapid technological penetration and acceptability coupled with the gradual fall in costs constitute encouraging signals for the LMICs. Both CHWs interventions and digital technologies are not inexpensive, but they may provide better value for the money.
Disciplines :
Engineering, computing & technology: Multidisciplinary, general & others
Public health, health care sciences & services
General & internal medicine
Human health sciences: Multidisciplinary, general & others
Author, co-author :
Mishra, Shiva Raj;  Nepal Development Society Nepal > Research and Communication
LYGIDAKIS, Charilaos ;  University of Luxembourg > Faculty of Language and Literature, Humanities, Arts and Education (FLSHASE) > Integrative Research Unit: Social and Individual Development (INSIDE)
Neupane, Dinesh;  Duke Kunshan University China > Department of Global Health
Gyawali, Bishal;  Aarhus Universitet - AU > Department of Public Health
Virani, Salim S
Kallestrup, Per;  Aarhus Universitet - AU > Department of Public Health
Miranda, J. Jaime;  Universidad Peruana Cayetano Heredia > CRONICAS Centre of Excellence in Chronic Diseases
External co-authors :
Language :
Title :
A17044 Community health workers for non-communicable disease interventions in the digital age
Publication date :
October 2018
Event name :
27th Scientific Meeting of the International Society of Hypertension
Event place :
Beijing, China
Event date :
September 20 – 23, 2018
Audience :
Journal title :
Journal of Hypertension
Publisher :
Lippincott Williams & Wilkins, London, United States
Peer reviewed :
Peer Reviewed verified by ORBi
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since 24 January 2019


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