Evidence map›Paper›PMID 29101131›Full record

SynthesisBMJ open2017

Effectiveness of community health worker training programmes for cardiovascular disease management in low-income and middle-income countries: a systematic review.

Marwa Abdel-All, Barbara Putica, Deversetty Praveen, Seye Abimbola, Rohina Joshi

Registry-linked trialAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05130008 (Implementing a Digitally-enabled Community Health Worker Intervention for Patients With Heart Failure), which is not on this map. Cited by 80 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05130008 nacompletednot on this mapstarted 2022, after this paper: background citation

Implementing a Digitally-enabled Community Health Worker Intervention for Patients With Heart Failure

TypeinterventionalSponsorMassachusetts General HospitalRan2022 to 2024Enrolled56ConditionsHeart Failure，CongestiveArmsDigitally-enabled CHW Care, Usual CHW Care
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  20. Preterm Infant Brain Injury: Parental Knowledge, Attitude, and Practice.Medical science monitor : international medical journal of experimental and clinical research · 2026
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20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Marwa Abdel-AllThe George Institute for Global Health, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0001-8103-1498
Barbara PuticaSydney Medical School, University of Sydney, Sydney, New South Wales, Australia.
Deversetty PraveenThe George Institute for Global Health, Hyderabad, Telangana, India.
Seye AbimbolaThe George Institute for Global Health, Sydney, New South Wales, Australia.
Rohina JoshiThe George Institute for Global Health, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCommunity health workers (CHWs) are increasingly being tasked to prevent and manage cardiovascular disease (CVD) and its risk factors in underserved populations in low-income and middle-income countries (LMICs); however, little is known about the required training necessary for them to accomplish their role. This review aimed to evaluate the training of CHWs for the prevention and management of CVD and its risk factors in LMICs.

methodsA search strategy was developed in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, and five electronic databases (Medline, Global Health, ERIC, EMBASE and CINAHL) were searched to identify peer-reviewed studies published until December 2016 on the training of CHWs for prevention or control of CVD and its risk factors in LMICs. Study characteristics were extracted using a Microsoft Excel spreadsheet and quality assessed using Effective Public Health Practice Project's Quality Assessment Tool. The search, data extraction and quality assessment were performed independently by two researchers.

resultsThe search generated 928 articles of which 8 were included in the review. One study was a randomised controlled trial, while the remaining were before-after intervention studies. The training methods included classroom lectures, interactive lessons, e-learning and online support and group discussions or a mix of two or more. All the studies showed improved knowledge level post-training, and two studies demonstrated knowledge retention 6 months after the intervention.

conclusionThe results of the eight included studies suggest that CHWs can be trained effectively for CVD prevention and management. However, the effectiveness of CHW trainings would likely vary depending on context given the differences between studies (eg, CHW demographics, settings and training programmes) and the weak quality of six of the eight studies. Well-conducted mixed-methods studies are needed to provide reliable evidence about the effectiveness and cost-effectiveness of training programmes for CHWs.

Indexed as

Cardiovascular DiseasesCommunity Health WorkersDelivery of Health CareDeveloping CountriesEducationHumansPrimary PreventionRandomized Controlled Trials as TopicRisk Factorscardiovascular diseasecommunity health workerlow-income and middle-income countriestraining

Identifiers

PMID29101131
PMCPMC5695434

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.