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.
This review article explores the various definitions and descriptions of CHWs in the literature. It also identifies common themes in these definitions to better understand the essential characteristics of health workers classified as CHWs and to distinguish them from other healthcare providers. By describing the various categories of CHWs, this resource helps to clarify the use of the term to ultimately aid key stakeholders in community health program planning, policy, and research.
To achieve universal health coverage, health systems will have to reach into every community, including the poorest and hardest to access. Since Alma-Ata, inconsistent support of community health workers (CHWs) and failure to integrate them into the health system have impeded full realization of their potential contribution in the context of primary health care.
The integration of community health workers (CHWs) into primary and secondary prevention functions in health programs and services delivery in Mexico and South Africa has been demonstrated to be effective. This paper aims to identify barriers and challenges to these types of CHW programs by comparing the experiences of earlier studies with successful programs. Barriers reviewed include scale up issues, training and certification issues, integration issues, and funding gaps. The authors use this information to make policy recommendations about task-sharing CHW programs.
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.
In order to achieve health for all by 2020, the government of Trinidad and Tobago emphasizes the promotion, protection, and improvement of its citizen’s health status by involving the community. For small island countries, community participation is key to capacity building and empowers people to take part in community development. This paper discusses community participation’s role and scope in implementation of primary health care in Trinidad and Tobago.
Tuberculosis is one of the leading causes of death throughout the globe, though treatment exists and is effective. In order to combat drug resistant tuberculosis, community-based directly observed treatment (DOT) is recommended by the World Health Organization, in which a supervisor observes the patient swallow their anti-tuberculosis medication. While highly praised, this method has been inconsistent in the past. This study looked at the effectiveness of community-based DOT for tuberculosis treatment.
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.
Case studies in eleven countries including Zambia, Armenia, and Senegal, utilized World Vision’s social accountability approach, Citizen Voice and Action (CVA), to address public service improvement. This approach aims to link community members and organizations with each other and also to link these communities with service providers, local governments, and national policies. CVA empowers communities to influence and improve access to quality public services such as health, education, and child protection.