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.
Researchers attempted to review community-based Integrated Care of the Child (AIN-C), a growth-monitoring program, using a recently designed logic model proposing categories of support from both health sector and communities that influence community health worker performance and program outcomes. Retrospectively reviewing AIN-C using in-depth interviews, gaps in the logic model were identified, revealing several inconsistencies in the program and challenges with the logic model.
This paper examines various incentives used to motivate and retain community health workers, particularly those working in child health and nutrition programs in developing countries. Drawing from case studies in Afghanistan, El Salvador, Honduras and Madagascar, the authors recommend a more systematic use of multiple incentives based on an understanding of the different functions of the various incentives. It also emphasizes the importance of the CHW-community relationship.
This article presents a model for the development of sustainable primary health care in village communities in Honduras through the training and support of CHWs. The model, piloted in Comayagua, follows a "bottom-up" approach. A training curriculum for CHWs was developed that addressed the area's predominant health problems and made use of "Where there is no doctor" Training, a medical kit and quarterly support visits were provided to CHWs. After 15 months of practice, CHWs had attended to 2,347 patients.