Systematic review reveals factors impacting Community Health Worker programme integration in high-income countries, suggesting pathways for improvement.
Key Points
The central aim is to identify barriers and facilitators affecting the implementation of Community Health Worker programs in high-income countries.
Systematic review conducted using MEDLINE, Scopus, PsycINFO, and CINAHL.
Inclusions included qualitative, quantitative, and mixed-methods studies on CHW implementation.
Data synthesis applied 'Best Fit' Framework Synthesis, with confidence assessed via GRADE-CERQual.
Seventy-two papers reviewed, highlighting key facilitators like leadership buy-in and community partnerships.
Identified barriers include precarious funding models and hierarchical dynamics impacting CHW roles.
COVID-19 highlighted CHW importance while revealing structural vulnerabilities in health systems.