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Table 1 Activities carried out by CHWs in the Brazilian family health strategy

From: Learning from the Brazilian Community Health Worker Model in North Wales

  Area Specific activities
Primary Care Chronic Disease Management Supporting adherence to medications for diabetes and hypertension. Early identification of symptoms and signs of chronic disease and referral into the family health unit. Design, organize and deliver group education meetings for individuals with chronic disease e.g. diabetes and hypertension
Triage Low level referral support to ensure appropriate use of primary care services. Early identification of clinical problems and referral into the family health unit. Support with appointment booking, call/recall.
Clinical Care Use of Integrated Management of Childhood Illness decision support tool to identify children at risk of serious illness
Social Determinants Identification of household determinants of ill health and health seeking behaviour
Vertical Disease Programmes TB DOTS service support providing daily home visits
Healthy Pregnancy /Child development Ensure early booking and healthy lifestyle during pregnancy. Antenatal consultation support. Design, organize and deliver low-risk pregnancy health education groups. Monthly or bimonthly weight measurement in all children less than 2 years of age
Public Health Screening Improve uptake in cervical and breast screening through identification of target groups and signposting
Immunizations Identification of children with incomplete vaccine schedules and referral into the GP practice
Breastfeeding support Peer support for breastfeeding providing one-to-one advice in the household. Design, organize and deliver group education meetings for breast-feeding mothers
Health Promotion Delivery directly into the household of healthy lifestyle messages such as stop smoking, hand hygiene, weight loss, healthy diet and physical exercise with referral and signposting where appropriate
Health Protection Contact tracing for common infectious diseases e.g. typhoid fever. Household risk assessment and advice for vector-transmitted disease e.g. dengue fever
Household data collection Monthly collection and update of basic household data on occupancy, socio-demographic data, education levels, occupation, deprivation and predominant health issue including smoking and alcohol use of every member in each household
Community Health education groups Includes but not limited to breastfeeding support, diabetes, hypertension, low-risk pregnancy and immunizations health education groups
Planning and performance Engaging with the community to ensure health services are satisfactory and appropriate in their design and delivery
Community Liaison Acting as a liaison between the health service and community leaders. Acting as a community leader