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July 19, 2026BMC Health Services ResearchOpen Access

Barriers to and facilitators of the implementation of Community Health Worker programmes in high-income countries: a systematic review

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Authors

ARAndrew RileyHDHannah DoughtyJHJames Hill

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Overview

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.

Cite This Study

Riley et al. (2026) studied this question.

synapsesocial.com/papers/6a5c69fb118b92953e3ee1b4https://doi.org/10.1186/s12913-026-15114-9
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Also Consider

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