There is limited evidence of the cost-effectiveness of community health workers (CHWs) with regards to delivering treatment for severe acute malnutrition (SAM). This two -arm randomized trial looked at the costs and cost-effectiveness of treatment of uncomplicated SAM cases carried out by lady health workers (LHWs).
In this article, a cost effectiveness analysis is used to compare outpatient facility–based treatment of severe acute malnutrition with one delivered by community health workers in rural Pakistan. The study found that facility based treatment was only slightly more cost-effective than the alternative.
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.
The Community Health Systems (CHS) Catalog is a one-stop ‘shop’ for information on community health policies and programs across 25 countries, including extensive information on CHWs. Developed in 2014 and updated in 2017, it provides policymakers, program managers, researchers and donors with policy data to advance community health research, programming, and advocacy efforts. The CHS Catalog includes 25 country profiles, a set of infographics, and a summary of cross-country policy and program trends.
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.
SPRING, in collaboration with USAID, has created a new CHW Nutrition Advocacy Tool, which consists of a series of PowerPoint slides with important data regarding key nutrition responsibilities for CHWs. Information in these slides identify current gaps in nutrition service delivery and advocates for increased commitment to nutrition in community health programs. Stakeholders can use these materials to identify which nutrition-related services CHWs can provide, prioritizes CHW responsibilities, and builds a stronger foundation of policies, tools, and systems for CHWs to conduct their work.
An estimated 276 Pakistani women die for every 100,000 live births; with eclampsia accounting for about 10% of these deaths. Community health workers contribute to the existing health system in Pakistan under the banner of the Lady Health Worker (LHW) Programme and are responsible for providing a comprehensive package of antenatal services. However, there is a need to increase focus on early identification and promote diagnosis of pre-eclampsia in community settings, since women with mild pre-eclampsia often present without symptoms.
Results from the United States Agency for International Development (USAID)-funded Family Advancement for Life and Health project (FALAH), implemented from 2008-2012, show that the inclusion of men in family planning (FP) efforts is a feasible and effective intervention to help shift attitudes and behaviours in Pakistan and perhaps in other countries in the region and globally as well. This brief presents findings of a case study of FALAH's male engagement component and its contributions to these results.
USAID's 2016 Acting on the Call Report provides updates from the program that aims to end preventable maternal and child deaths in 25 priority countries, which together accounted for more than two-thirds of child and maternal deaths worldwide.