Effectiveness of Community Health Workers in Brazil A Systematic Review

Effectiveness of Community Health Workers in Brazil A Systematic Review
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DOI:
10.1097/jac.0b013e31822cbdfd
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发表时间:
2011-10-01
影响因子:
2.3
通讯作者:
Duncan, Bruce B.
Duncan, Bruce B.
中科院分区:
其他
文献类型:
--
作者:
Giugliani, Camila;Harzheim, Erno;Duncan, Bruce B.

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本研究的目的是评估巴西社区卫生工作者(CHW)的有效性。该系统性综述包括所有试图评估涉及CHW干预措施的研究。尽管大多数结果的证据质量较低,但对23篇出版物的分析包括经常发现的CHW干预的益处,最好的记录是儿童称重的频率,母乳喂养的流行率和延迟引入奶瓶喂养。这些研究结果和目前在巴西发挥的主要作用表明,澄清CHW行动在广泛的卫生保健干预措施中的好处应该是一个主要的研究重点。
The objective of this study is to assess the effectiveness of community health workers (CHWs) in Brazil. This systematic review included all studies that sought to assess interventions involving CHWs. Despite the low quality of evidence for most outcomes, analysis of the 23 publications included often found benefit for CHW intervention, best documented for frequency of child weighing, prevalence of breast-feeding, and delayed introduction of bottle-feeding. These findings and the current major role CHWs play in Brazil suggest that clarifying the benefit of CHW actions across a broad range of health care interventions should be a major research priority.