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

作者信息

Sultan Marium A, Miller Emily, Tikkanen Roosa Sofia, Singh Shalini, Kullu Arpana, Cometto Giorgio, Fitzpatrick Siobhan, Ajuebor Onyema, Gillon Nicholas, Edward Anbrasi, Moleman Youri P, Pandya Shivani, Park Inyeong, Shen Jung Yu, Yu Yefei, Perry Henry, Scott Kerry, Closser Svea

机构信息

Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Center for Global Health Inequalities Research, Institute for Sociology and Political Science, Faculty of Social and Educational Sciences, Norwegian University of Science and Technology, Trondheim, Norway.

出版信息

BMC Health Serv Res. 2025 Feb 17;25(1):263. doi: 10.1186/s12913-025-12217-7.


DOI:10.1186/s12913-025-12217-7
PMID:39962470
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11834664/
Abstract

BACKGROUND: Community Health Workers (CHWs) play a critical role in supporting the delivery of health services globally. Competency-based learning programs can improve the transfer of learning to practice. This scoping review aims to characterize the published literature on competency-based education as an instructional and curricular strategy in community health worker training programs. We conducted a scoping review of the literature to identify how, by who, and in what ways CHWs are trained using competency-based education; and to characterize the extent of available evidence, as well as the gaps in that evidence. METHODS: We conducted a review of the peer-reviewed literature on CHW competency-based education and training published between January 2010 to March 2023, drawing from four databases: EMBASE, OVID Medline, Web of Science, and CINAHL. We followed the PRISMA guidelines for scoping reviews. A total of 713 articles were reviewed and 236 were included for extraction based on the inclusion and exclusion criteria. Due to methodological heterogeneity, results were analyzed and synthesized only through a descriptive approach. RESULTS: The literature on competency-based CHW education and training is most voluminous in high income contexts, primarily the USA. Overall, the included studies described very small-scale training interventions. Study types included observational (qualitative, quantitative, mixed methods, case studies) intervention or experimental studies, systematic or scoping reviews, and literature reviews. The most common practice area included was 'promotive and preventive services', whereas 'personal safety' was the rarest. Learning programs tailored to CHWs with low-literacy, content tailored to local cultural contexts, and curricula that were co-designed with CHWs were identified in the literature as effective strategies for converting learning to practice. Information on institutional support for CHWs was not provided in most of the articles reviewed. While the focus of our review was on education and training and not broader supports for CHWs, we still found it notable that training was usually discussed in isolation from other related supportive factors, including professionalization and career progression. CONCLUSIONS: We found considerable academic interest in utilizing competency-based education to support CHWs and improve their work, yet this exploration was largely limited to smaller, ad hoc programs, in high income settings. Learning programs should be tailored to the realities and practice requirements of CHWs. Further work should illuminate the extent to which the design and delivery of education and training activities lead to acquiring and maintaining the requisite competencies.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be8f/11834664/2210a718be9e/12913_2025_12217_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be8f/11834664/0a445fab596a/12913_2025_12217_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be8f/11834664/58fdb0a33545/12913_2025_12217_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be8f/11834664/29d2971901d8/12913_2025_12217_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be8f/11834664/cc1020ca184c/12913_2025_12217_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be8f/11834664/5c6367181e9e/12913_2025_12217_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be8f/11834664/2210a718be9e/12913_2025_12217_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be8f/11834664/0a445fab596a/12913_2025_12217_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be8f/11834664/58fdb0a33545/12913_2025_12217_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be8f/11834664/29d2971901d8/12913_2025_12217_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be8f/11834664/cc1020ca184c/12913_2025_12217_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be8f/11834664/5c6367181e9e/12913_2025_12217_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be8f/11834664/2210a718be9e/12913_2025_12217_Fig6_HTML.jpg

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[3]
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[4]
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[5]
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本文引用的文献

[1]
The Laro Kwo Project: A train the trainer model combined with mobile health technology for community health workers in Northern Uganda.

PLOS Glob Public Health. 2023-5-17

[2]
Applying Human-Centered Design in Global Mental Health to Improve Reach Among Underserved Populations in the United States and India.

Glob Health Sci Pract. 2023-2-28

[3]
Engagement of Lady Health Workers for COVID-19 Home-based Care in Pakistan: An Example of Task Shifting.

J Coll Physicians Surg Pak. 2023-2

[4]
A novel approach to frontline health worker support: a case study in increasing social power among private, fee-for-service birthing attendants in rural Bangladesh.

Hum Resour Health. 2023-2-7

[5]
Community Health Workers: what do international studies tell us?

Cien Saude Colet. 2023-2

[6]
Development, implementation, and evaluation of Teach Back curriculum for community health workers.

Front Med (Lausanne). 2022-11-3

[7]
Glucose 6 Phosphate Dehydrogenase (G6PD) quantitation using biosensors at the point of first contact: a mixed method study in Cambodia.

Malar J. 2022-10-4

[8]
Payment of community health workers.

Lancet Glob Health. 2022-9

[9]
The Extent of Integration of Community Health Worker Programs Into National Health Systems: Case Study of Botswana.

Inquiry. 2022

[10]
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.

Inquiry. 2022

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