There has been a renewed attention for the need to strengthen CHWs performance, which partly depends on motivation. This paper analyzes the use of incentives and their influence on improving CHW motivation.
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 the Indonesian primary health system, health promotion is often not implemented by CHWs due to a lack of knowledge and skills. This study uses “most significant change” (MSC) method to evaluate the impact of health promotion training of maternal community health workers in Cianjur district, Indonesia.
Through the perceptions of primary health care stakeholders in Surabaya, Indonesia, this qualitative study identifies the characteristics and competencies required of CHWs to identify and refer women with perinatal depression.
Based on qualitative research from six countries (Bangladesh, Indonesia, Ethiopia, Kenya, Malawi, Mozambique) that were part of the REACHOUT consortium, this study explores how gender roles and relations affect close-to-community (CTC) health service provider experience at the individual, community, and health system levels.
Based on an intervention carried out in Surabaya, Indonesia, this qualitative study examines the feasibility and acceptability of CHWs detecting and referring pregnant women and postpartum mothers who might suffer from perinatal depression.
This resource from USAID and MCHIP provides an overview of large-scale CHW programs from 13 countries: Afghanistan, Bangladesh, Brazil, Ethiopia, India, Indonesia, Iran, Nepal, Niger, Pakistan, Rwanda, Zambia and Zimbabwe. Case studies address the historical context of CHWs, the health needs of the country, the scope of work of the CHWs, CHW training, support and supervision, and financing of CHW programs. The demonstrated impact and continuing challenges of the different programs are also addressed.
Despite the well-known benefits of community-based practitioners, there is lack of evidence regarding the cost effectiveness of their work. This study aims to address this lack of information on the cost effectiveness to meet health systems goals using literature review, mapping, and case studies. The researchers concluded that community-based practitioners are, indeed, cost effective in some settings, depending on a number of different variables. From this data they also developed an economic model reflecting their findings.
Due to deficiencies in low- and middle-income countries, policy makers are suggesting different methods to achieving universal health coverage. One strategy is the expansion of cadres of close-to-community providers, which plays an important role for connecting communities with the formal health sector. This poster from the Reachout Consortium identifies some of the challenges with this strategy and how to address quality-related issues for universal health coverage.
Mobile health, or “mHealth”, seeks to address the use of mobile technology to provide health services and information. Due to the increased risk in a child’s life during those weeks after birth, mHealth technologies can be utilized through referral and tracking of mothers and infants, decision support for CHW, CHW supervision, scheduling and tracking postpartum and postnatal visits, and teaching and counseling for mothers and families, among other uses. These case studies from Afghanistan, India, Malawi, and Indonesia reflect some of these uses.