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Table 7 Reported benefits and challenges of CHWs in sexual violence services

From: Should community health workers offer support healthcare services to survivors of sexual violence? a systematic review

  Benefits Challenges
Kohli, 2012 [49] Authors report that local CHWs assisted healthcare providers in targeting education sessions to community concerns; CHWs provided feedback to healthcare providers e.g. reported increased patient satisfaction Authors report “travel distance & other commitments sometimes prevented CHWs from reminding patients about appointments and thus, follow-up rates were not as high as expected.”
Tanabe, 2013 [52] Community reported that CHWs are trusted persons that survivors can approach for help CHWs reported lacking confidence in history-taking and psychosocial care; ‘Lower cadres’ of CHWs were unhappy with some aspects of medical care & referrals, complained they already had too many responsibilities, had issues with maintaining confidentiality & had some safety concerns
Barron, 2013 [47] Increased knowledge & skill; Occurrence of disclosures in the intervention group compared to no disclosures in the comparison group; satisfaction with programme; minimal cost of delivery Not documented
Merkin, 1995 [50] Increased number of victims taking action on violence in their lives & increase in number of cases of abuse going to trial Not documented
Rossman, 1999 [51] Feedback from victims report non-judgemental compassionate support by volunteers Time taken to contact the volunteer & get them to the centre to offer support was long delaying care for survivors; Failure of recognition & acceptance by both the victim & professional healthcare workers
Zraly, 2011 [53] Available care in crisis & source of support Not documented
Itzhaky, 2001 [48] Increased community awareness with change of attitude towards child sexual abuse; Reduction in stigma & therefore increased acceptance & support for survivors; Reduced incidence of cases Child abuse reportedly normative thus community workers not motivated to act initially