Some research provided robust analyses of the affected population s ’ health inequities and demonstrated how a task shifting intervention redressed those concerns .
Introduction Task shifting interventions have been implemented to improve health and address health inequities .
Little is known about how inequity and vulnerability are defined and measured in research on task shifting .
We conducted a systematic review to identify how inequity and vulnerability are identified , defined and measured in  task shifting research from high-income countries .
Results from a community-based trial testing a community health worker asthma intervention in Puerto Rican youth in Chicago
Abstract Objective : Puerto Rican children suffer disproportionately from asthma . Project CURA tested the efficacy of a community health worker ( CHW ) intervention to improve use of inhaled corticosteroids ( ICS ) and reduce home asthma triggers in Puerto Rican youth in Chicago . Methods : This study employed a behavioral r and omized controlled trial design with a community-based participatory research approach . Medications and technique were visually assessed ; adherence was determined using dose counters . Home triggers were assessed via self-report , visual inspection and salivary cotinine . All participants received education on core asthma topics and self-management skills . Participants in the CHW arm were offered home education by the CHW in four visits over four months . The attention control arm received four newsletters covering the same topics . Results : While most of the participants had uncontrolled persistent asthma , < 50 % had ICS at baseline . In the CHW arms , 67 % of participants received the full four-visit intervention . In the Elementary school cohort ( n = 51 ) , the CHW arm had lower odds of having an ICS ( OR = 0.2 ; p = 0.02 ) at 12-months ; no differences were seen in other outcomes between arms at any time point . The only significant treatment arm difference in the high school cohort ( n = 50 ) was in inhaler technique where the CHW arm performed 18.0 % more steps correct at five months ( p < 0.01 ) and 14.2 % more steps correct at 12 months ( p < 0.01 ) . Conclusions : While this CHW intervention did not increase the number of participants with ICS or reduce home asthma triggers , important lessons were learned including challenges to CHW intervention fidelity and the need for CHWs to partner with clinical providers
Some research provided robust analyses of the affected population s ’ health inequities and demonstrated how a task shifting intervention redressed those concerns .
Introduction Task shifting interventions have been implemented to improve health and address health inequities .
Little is known about how inequity and vulnerability are defined and measured in research on task shifting .
We conducted a systematic review to identify how inequity and vulnerability are identified , defined and measured in  task shifting research from high-income countries .