Explanipedia

Beyond Core Duties: A Framework for Reimagining Community Health Worker Contributions to Health Systems Open

Baldeep K. Dhaliwal, Anuradha Nadda, Svea Closser, Melissa M. Higdon, Madhu Gupta , et al. · 2025

Community Health Workers (CHWs) are essential to global health systems, yet existing research predominately focuses on their core responsibilities, such as maternal and child health, without accounting for the full scope of their labor. Th…

Supporting community health workers during extreme heat events: A CFIR-ERIC guided scoping review of implementation strategies in low- and middle-income countries Open

Md Zabir Hasan, Taran Kaur Deol, Divya S. Khurana, Emily S. Miller, Svea Closser · 2025

Background Community health workers (CHWs) are essential to healthcare delivery in low- and middle-income countries (LMICs) yet face increasing threats from extreme heat events (EHEs) due to climate change. Occupational health policies for…

Disconnected data: mHealth data systems and challenges for primary health care workers in India Open

Melari Shisha Nongrum, Baldeep K. Dhaliwal, YounJung Na, Tiameren Jamir, Surendra Singh Shekhawat , et al. · 2025

Urban community health workers in Punjab, India: A qualitative study of ASHAs’ roles in the health system Open

Baldeep K. Dhaliwal, Madhu Gupta, Anuradha Nadda, Shalini Singh, Anita Shet , et al. · 2025

The Accredited Social Health Activist (ASHA) program is the world’s largest all-female community health worker (CHW) initiative. While most CHW programs have been extensively studied in rural contexts, little is known about how ASHAs and C…

Non-communicable disease care in peri-urban Nepal: Potential for community-based interventions Open

Maryam Hameed Khan, Yoko Inagaki, Sonam Magar, Sweta Koirala, Nisha Rana , et al. · 2025

Non-communicable disease (NCD) risk factors such as hypertension, diabetes, and smoking represent an increasing burden in Nepal, where access to equitable and affordable care remains limited. Task-sharing with Female Community Health Volun…

Urban Community Health Workers in Punjab, India: A Qualitative Study of ASHAs’ Roles in the Health System Open

Baldeep K. Dhaliwal, Madhu Gupta, Anuradha Nadda, Shalini Singh, Anita Shet , et al. · 2025

Background The Accredited Social Health Activist (ASHA) program is the worlds’ largest all-female community health worker (CHW) initiative. While most CHW programs have been extensively studied in rural contexts, little is known about how …

Competency-based education and training for Community Health Workers: a scoping review Open

Marium Sultan, Emily Miller, Roosa Tikkanen, Shalini Singh, Arpana Kullu , et al. · 2025

Knowledge of Accredited Social Health Activists in India: a systematic review and meta analysis of evidence drawn from primary studies published between 2005 and 2022 Open

Shambhavi Singh, Bhaskar Tiwary, Manish Barik, H. Arora, Sruthi Susan Abraham , et al. · 2025

The systematic review and meta-analysis highlight that ASHAs have proven to be indispensable assets to India's healthcare system with their strengths lying in maternal and child health programs. To further enhance their impact, it is imper…

Community health workers and accountability: reflections from an international "think-in" Open

Marta Schaaf, Jonathan Fox, Stephanie M. Topp, Caitlin Warthin, Lynn P. Freedman , et al. · 2024

Community health workers (CHWs) are frequently put forward as a remedy for lack of health system capacity, including challenges associated with health service coverage and with low community engagement in the health system, and expected to…

Community health workers and accountability: reflections from an international "think-in" Open

Marta Schaaf, Jonathan Fox, Stephanie M. Topp, Caitlin Warthin, Lynn P. Freedman , et al. · 2024

Community health workers (CHWs) are frequently put forward as a remedy for lack of health system capacity, including challenges associated with health service coverage and with low community engagement in the health system, and expected to…

Nurturing transformative local structures of multisectoral collaboration for primary health care: qualitative insights from select states in India Open

Shalini Singh, Emily Miller, Svea Closser · 2024

From legacy to integration in the Global Polio Eradication Initiative: looking back to look forward Open

Svea Closser, Abigail H Neel, Sue Gerber, Olakunle Alonge · 2024

Introduction The Global Polio Eradication Initiative (GPEI) is a global single-disease programme with an extensive infrastructure in some of the world’s most underserved areas. It provides a key example of the opportunities and challenges …

An anthropological history of Nepal’s Female Community Health Volunteer program: gender, policy, and social change Open

Roosa Tikkanen, Svea Closser, Justine Prince, Priyankar Chand, Judith Justice · 2024

Thank you to reviewers 2023 Open

Ibukun‐Oluwa Omolade Abejirinde, Gilbert Abotisem, Abiiro Arnab, Acharya El, Houcine Akhnif , et al. · 2024

Betrayal-Based Moral Injury and Mental Health Problems Among Healthcare and Hospital Workers Serving COVID-19 Patients Open

Soim Park, Johannes Thrul, Erin E. Cooney, Kaitlyn Atkins, Luther G. Kalb , et al. · 2023

One factor potentially driving healthcare and hospital worker (HHW)'s declining mental health during the COVID-19 pandemic is feeling betrayed by institutional leaders, coworkers, and/or others' pandemic-related responses and behaviors. We…

A scoping review on integrated health campaigns for immunization in low- and middle-income countries Open

Syeda Tahmina Ahmed, Shams Shabab Haider, S Hanif, Humayra Binte Anwar, Saima Mehjabeen , et al. · 2023

Health campaign integration is a key implementation strategy outlined by the World Health Organization to achieve universal health coverage. This scoping review synthesizes the evidence on Integrated Health Campaigns (IHC) in the field of …

“A slap in the face”: Institutional betrayal, burnout, and career choice regret among frontline health care workers serving COVID‐19 patients Open

Soim Park, Svea Closser, Erin E. Cooney, Kaitlyn Atkins, Johannes Thrul , et al. · 2023

The COVID‐19 pandemic has exacted a physical and mental health toll on health care and hospital workers (HHWs). To provide COVID‐19 care, HHWs expected health care institutions to support equipment and resources, ensure safety for patients…

How to eradicate polio in Pakistan: Insights from community health workers Open

Marium Sultan, Svea Closser, Arman Majidulla, Saeed Ahmed, Farah Naz , et al. · 2023

Pakistan, along with Afghanistan, is one of two countries where wild poliovirus is still endemic. Frontline workers (FLWs) are the staff most intimately familiar with both implementation challenges and community context. Harnessing their e…

Leading from the frontlines: community-oriented approaches for strengthening vaccine delivery and acceptance Open

Baldeep K. Dhaliwal, Rajeev Seth, Betty Thankachen, Yawar Qaiyum, Svea Closser , et al. · 2023

Background Although immunization is one of the most successful public health interventions, vaccine hesitancy and the COVID-19 pandemic have strained health systems, contributing to global reductions in immunization coverage. Existing lite…

Day to Day and Environmental Risk Factors for Psychological Distress Among Healthcare Workers Open

Kaitlyn Atkins, Erin E. Cooney, Soim Park, Svea Closser, Pamela J. Surkan , et al. · 2023

Objective Despite a growing literature on mental health among clinical staff during COVID-19, factors shaping distress for nonclinical staff are understudied and may be driven by inequalities at work. We aimed to discuss the role of workpl…

Breaking the silence on gendered harassment and assault of community health workers: an analysis of ethnographic studies Open

Svea Closser, Marium Sultan, Roosa Tikkanen, Shalini Singh, Arman Majidulla , et al. · 2023

Introduction Across a variety of settings, women in tenuous financial circumstances are drawn to community health work as a way to advance themselves in the context of limited employment options. Female Community Health Workers (CHWs) are …

Editorial: The theory and pragmatics of power and relationships in implementation Open

Erin P. Finley, Svea Closser, Malabika Sarker, Alison Brown · 2023

EDITORIAL article Front. Health Serv., 23 March 2023Sec. Implementation Science Volume 3 - 2023 | https://doi.org/10.3389/frhs.2023.1168559

Everyday capabilities were a path to resilience during COVID-19: a case study of five countries Open

Rachel Neill, Abigail H Neel, Carolina Cardona, David Bishai, Shivam Gupta , et al. · 2022

COVID-19 demanded urgent responses by all countries, with wide variations in the scope and sustainability of those responses. Scholarship on resilience has increasingly emphasized relational considerations such as norms and power and how t…

Vaccine acceptance in rural India: Engaging faith leaders as vaccine ambassadors Open

Preetika Banerjee, Rajeev Seth, Baldeep K. Dhaliwal, Alexis Sullivan, Yawar Qiayum , et al. · 2022

Introduction Religious faith is a key marker of identity and shapes community perspectives and trust. Faith leader involvement in vaccine campaigns in India have been beneficial to counter misinformation regarding infectious diseases such …

A light touch intervention with a heavy lift – gender, space and risk in a global vaccination programme Open

Anna Kalbarczyk, Svea Closser, Selamawit Hirpa, Utsamani Cintyamena, Lutfhi Azizatunnisa , et al. · 2022

Frontline workers (FLWs) in the Global Polio Eradication Initiative go door-to-door delivering polio vaccine to children. They have played a pivotal role in eliminating wild polio from most countries on earth; at the same time, they face s…

Referee report. For: The impact of surveillance and other factors on detection of emergent and circulating vaccine derived polioviruses [version 1; peer review: 2 approved, 1 approved with reservations] Open

Svea Closser · 2022

Referee report. For: The impact of surveillance and other factors on detection of emergent and circulating vaccine derived polioviruses [version 2; peer review: 2 approved, 1 approved with reservations] Open

Svea Closser · 2022

Community perceptions of vaccination among influential stakeholders: qualitative research in rural India Open

Baldeep K. Dhaliwal, Riti Chandrashekhar, Ananya Rattani, Rajeev Seth, Svea Closser , et al. · 2021

Background In India and other low- and middle-income countries, multiple family and community members are influential in caregivers’ perceptions of vaccination. Existing literature indicates the primary caregiver, typically the mother, is …

The family context of ASHA and Anganwadi work in rural Rajasthan: Gender and labour in CHW programmes Open

Svea Closser, Surendra Singh Shekhawat · 2021

Across the literature on CHWs globally, the role of CHWs' families remains largely unexplored. This article focuses on ASHAs and Anganwadi Workers in a town in rural Rajasthan, India. We interviewed all twenty ASHAs and Anganwadi Workers i…

30 years of polio campaigns in Ethiopia, India and Nigeria: the impacts of campaign design on vaccine hesitancy and health worker motivation Open

Abigail H Neel, Svea Closser, Catherine Villanueva, Piyusha Majumdar, Shiv Dutt Gupta , et al. · 2021

Introduction The debate over the impact of vertical programmes, including mass vaccination, on health systems is long-standing and often polarised. Studies have assessed the effects of a given vertical health programme on a health system s…

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