Discover and read the best of Twitter Threads about #CHWs

Most recents (7)

šŸ“£ It's time for another #CommunityHealth Research Round-Up! Welcome to Issue 095! šŸ’«
🧵 Check out this thread where we explore CHW motivation, the impact of geographical placement on CHWs SAM coverage...and so much more!
Inspired? Subscribe below! šŸ¤“
#researchroundup Image
1. Salary matters, and so do other factors according to this article. What do you think of the provocative title? gh.bmj.com/content/7/10/e… Image
2. A close look at the epidemiological burden of the big three killers of children under-five (pneumonia, diarrhea, malaria) and the important role of CHWs in saving childrens' lives in a Ugandan sub-county. malariajournal.biomedcentral.com/articles/10.11… Image
Read 8 tweets
I’ve been out for the past 6 months.

I think I want to write about it.

Deep breath: here is my #LongCovid story.
You may remember this tweet from April of 2020.

Gandalf let me down, and I ended up getting #COVID19 just 3 weeks after getting H1N1 influenza. (I am a doctor and toddler mom, pretty germy).
The night that I got #COVID19 it felt like broken glass was running through my veins. No fever but just that icy chill. Horrible, rotten smell in my nose. And strangest of all a buzzing feeling, a restlessness. It made me want to crawl out of my skin. I couldn’t sleep that night.
Read 25 tweets
I am so pleased to join a great group of leaders from @MayoClinic @PennMedicine @Flywire to discuss how innovations from #COVID19 are making us rethink the future of #health.

Virtual event by @usnews, starting now!
usnews.com/news/live-even…
Kevin Mahoney @PennMedicine on what they’ve learned: Went from how do we treat patients only in the hospital to talking care of patients no matter where they are. This is going to be a new way of providing care from now on. #HealthcareOfTomorrow
Exactly the right approach: @mayoclinic they quickly adjusted to the needs of communities and individual patients = local, specific approaches. -- Rita Khan #HealthcareOfTomorrow
Read 13 tweets
[LIVE] Are people with #HIV and #TB more likely to die of #COVID19SA? Our #BhekisisaWebinar in partnership with @Auruminstitute is on NOW. We'll be live-tweeting the event, follow on for live updates. bit.ly/2UsZbmn
First up, Mary-Ann Davies, public health medicine expert at @WesternCapeGov health department will release SA's first preliminary data on the #COVID19SA death risk for #HIV and #TB patients from the Western Cape. #BhekisisaWebinar
Until now, there hasn't been much data on #TB and #HIV and how those conditions affect your risk of dying from #COVID19SA, Davies says. Getting good data is not easy. #BhekisisaWebinar bit.ly/2UsZbmn
Read 43 tweets
Every state/local #Covid_19 initiative I’ve read about is making one of the following mistakes.

Thread.
1. Ignoring community altogether and just doing apps.

Case example: Utah.

$2.75 million to purchase an app PLUS a *monthly* maintenance fee of $300,000.

(Could’ve employed 100 FTE #CHWs with this $ but who’s counting)

And the app isn’t working.

tiny.cc/bvrfpz
2. Vaguely referencing ā€œshoe leatherā€ and community engagement but no mention of the #CHW workforce who already does that.

Case example: almost everyone.

ā€œCultural literacy is key to developing trust.ā€

(Really? Then hire someone of the same CULTURE!)

tiny.cc/80rfpz
Read 6 tweets
Feb @Health_Affairs is out!

We did a formal return on investment (ROI) analysis of the IMPaCT community health worker program using randomized controlled trial evidence.

Each dollar invested by Medicaid returns $2.47, annually.

bit.ly/2QNt4v4

@threadreaderapp unroll
This paper is important because most estimates of ROI from #SDOH programs are likely exaggerated because they are based on pre-post studies.
It’s important to note that IMPaCT is highly structured with fixed caseloads, clear hiring protocols and good supervision. I think those program elements are key to seeing this kind of financial return. So #hclrds, resist the impulse to skimp!
Read 7 tweets
1/ Ok by special request from my dear mentee @dn_charles: here’s my version of the HPI for new #primarycare patients.

Key points: welcome them and get to know them as people.

Don’t worry, it takes no longer than usual! I still see 8-10 pts in a morning.
2/ Here are some prompts I use to get a quick overview of my patients’ life stories, including trauma history.

I also try to reflect and synthesize what they’ve told me so that we are on the same page about their strengths/hopes/fears/root causes of any troubles.
3/Then, the medical part of my HPI. Here’s where I ask about what is typically called the social history: sex, drugs, alcohol and cigarettes. This is too narrow to call a social history. I call it ā€˜habits.’

I skip the Fhx and do it on the second visit.
Read 5 tweets

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