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Characteristics and outcomes of community health worker training to improve the prevention and control of cardiometabolic diseases in low and middle-income countries: A systematic review

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dc.contributor.author Seneviratne, S.
dc.contributor.author Desloge, A.
dc.contributor.author Haregu, T.
dc.contributor.author Kwasnicka, D.
dc.contributor.author Kasturiratne, A.
dc.contributor.author Mandla, A.
dc.contributor.author Chambers, J.
dc.contributor.author Oldenburg, B.
dc.date.accessioned 2022-08-16T06:52:14Z
dc.date.available 2022-08-16T06:52:14Z
dc.date.issued 2022
dc.identifier.citation INQUIRY:a Journal of Medical Care Organization, Provision, and Financing.2022;59:469580221112834.[Epub 2022 August 2] en_US
dc.identifier.issn 0046-9580
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/25076
dc.description Indexed in MEDLINE. en_US
dc.description.abstract Community health workers (CHWs) play an important role in controlling non-communicable diseases in low- and middle-income countries. The aim of this review was to describe the characteristics and outcomes of CHW training programs that focused on the prevention and control of cardiometabolic diseases in low- and middle-income countries (LMICs). Medline, CINAHL Complete, Academic Search Complete, Directory of Open Access Journal, ScienceDirect, ERIC, Gale Academic, and OneFile). Studies that described the training programs used to train CHWs for prevention and control of cardiovascular diseases and type2 diabetes mellitus in LMICs. Only studies that evaluated the outcomes of training programs in at least one of the 4 levels of Kirkpatrick's training evaluation model were included in the review. CHWs who underwent training focused on the prevention and control of cardiovascular disease and type 2 diabetes mellitus. We summarized the resulting evidence using qualitative synthesis through a narrative review. Training outcomes were assessed in relation to (1) CHW reactions to training, their degree of learning, and their behaviors following training, and (2) changes in biochemical and anthropometric indicators in target populations following the CHW program implementation. PROSPERO (CRD42020162116). Thirty-two studies were included. Methods used to train CHWs included: face-to-face lectures, interactive group activities, and blended teaching with online support. Training focused on identifying people with elevated risk of cardiometabolic diseases and their risk factors as well as supporting people to adopt healthy lifestyles. Many studies that utilized trained CHWs did not publish CHW training methods and evaluations, and therefore could not be included in this study. Training programs resulted in an increase in knowledge and skills among CHWs demonstrating that there are certain activities that can be shifted to CHWs following training. en_US
dc.language.iso en en_US
dc.publisher Sage en_US
dc.subject Type 2 diabetes mellitus en_US
dc.subject Cardiovascular diseases en_US
dc.subject Community health workers en_US
dc.title Characteristics and outcomes of community health worker training to improve the prevention and control of cardiometabolic diseases in low and middle-income countries: A systematic review en_US
dc.type Article en_US


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