Using a cross-sectional survey methodology, this study assessed the maternal health priorities for frontline primary health nurses in three South American countries and found that the identification of danger signs was a priority for CHWs.
To support quality CHW program design and implementation, USAID, UNICEF, the Community Health Impact Coalition, and Initiatives Inc. have updated and adapted the Community Health Worker Assessment and Improvement Matrix (CHW AIM) Program Functionality Matrix tool. This tool can be applied at district, regional, and national levels to identify and close gaps in design and implementation and, ultimately, enhance program performance.
In developing countries, where the density of trained physicians and nurses is low, community health workers (CHWs) are typically the primary and sometimes sole providers of healthcare to millions. However, studies have shown that even well motivated CHWs using paper-based job aids demonstrate less-than-desirable rates of treatment and diagnosis errors, and low protocol compliance.