This paper urges scaling up the communityhealth workforce in the United States to improve health outcomes, reduce health care costs, and create jobs. The most crucial lesson from global CHW programs is that the community rootedness of CHWs should be retained through careful, representative selection and by ensuring that CHWs spend most of their time in the community. In the United States, certain structural advantages, such as the strong network of community health centers, could facilitate CHW integration into the health system.
The notion of “reverse innovation”–that some insights from low-income countries might offer transferable lessons for wealthier contexts--is increasingly common in the global health and business strategy literature. Yet the perspectives of researchers and policymakers in settings where these innovations are developed have been largely absent from the discussion to date.
Developing countries can generate effective solutions for today’s global health challenges. This paper reviews relevant literature to construct the case for international cooperation, and in particular, developed-developing country partnerships. Standard database and web-based searches were conducted for publications in English between 1990 and 2010. Studies containing full or partial data relating to international cooperation between developed and developing countries were retained for further analysis.
The Principles of Practice outlined in this document are intended as a framework for advocacy, programming and partnership between implementing NGOs, government and donor agencies working with key CHW cadres in countries for which rapid and urgent scale-up of CHW programs is a priority.
Prabhjot Singh and Jeffrey Sachs' Viewpoint (July 27, p 363) describes well the rationale for scaling-up a subsystem of community health workers (CHWs) in sub-Saharan Africa and the progress to date.
It is well recognised that CHWs can bring multiple benefits to individuals and populations, and improve efficiency and equity within health systems. WHO now recommends an expanded CHW role. What is less well recognised is that such a system is applicable to all WHO member states.
A key element of USAID’s strategic approach to maternal and child health (MCH) is to increase the number of functional community health workers serving in USAID priority countries by at least 100,000 by 2013. At the request of the USAID MCH team, the Health Care Improvement Project (HCI) developed a tool that defines a set of key elements needed for community health worker programs to function effectively and that evaluate programs on specific criteria, which were defined by recent literature reviews on CHW programs (see link below) and by suggestions from experts.
Newborns die at alarming rates in the developing world, more than 3 million every year. Most can be saved with low-cost, low-tech interventions. Our newborn care series brings alive these lifesaving interventions in a memorable and engaging way to help health workers learn and save newborn lives.
With increasing age, physical capacity decreases and the time needed for recovery increases, while the demands of work do not change with age. The aim of this study was to evaluate the association between physical activity and work ability of health workers using both cross sectional and prospective analyses.
Poor knowledge among health care providers (including health workers and citizens) leads to poor health outcomes. This article discusses current linear research-to-practice paradigms and argues that these approaches are not meeting the needs of health care providers in low- and middle-income countries. It suggests a broader, needs-led approach. This approach must look beyond perceived needs and identify actual needs in relation to knowledge and practice, including learning needs and point-of-use needs.