Halimatou Alaofè|Ibitola O. Asaolu|Jennifer Chinomso Ehiri|Hayley Moretz|Chisom Asuzu|Mobolanle Balogun|Olayinka A. Abosede|John E. Ehiri
Community Health Workers in Diabetes Prevention and Management in Developing Countries
University of Arizona|University of Arizona|University of Arizona|University of Arizona|University of Arizona|University of Lagos|University of Lagos|University of Arizona
limited evidence regarding effect community health worker chw interventions prevention management burgeoning epidemic noncommunicable diseases ncds low middleincome countries lmics objective review critically appraise evidence regarding effectiveness chw interventions prevention management type 2 diabetes mellitus t2dm lmicsto identify studies reported effect chw interventions prevention management t2dm lmics medlinepubmed embase web science science social science citation indices ebsco psycinfo cinahl popline cochrane metabolic endocrine disorders groups specialized register cochrane central register controlled trials grey literature google google scholar reference lists identified articles searched inception may 31 2017ten studies included 4 pre poststudies 2 randomized controlled trials 2 cohort studies 1 crosssectional study 1 casecontrol study role chws consisted patient education identification referral highrisk individuals physicians provision social support home visits positive outcomes reported 7 10 studies outcomes included increased knowledge t2dm symptoms prevention measures increased adoption treatmentseeking prevention measures increased medication adherence improved fasting blood sugar glycated hemoglobin body mass index three studies showed significant outcomeschws potential improve knowledge health behavior health outcomes related prevention management t2dm lmics given limited number studies included review robust conclusions cannot drawn present time