This review covers studies published since 2005 that involve attrition rates of health workers. Understanding attrition from the health workforce is critical to workforce planning, especially since many places have shortages of health workers.
This is an in-depth review of the effectiveness of CHW programs in Ethiopia, Brazil, and Nepal. The main objective of this report is to provide insight and examples of successful CHW programs for other countries that are looking to build and strengthen their own CHW programs, specifically in the maternal and child health field.
In Madagascar 83% of the country’s 22.9 million people live in rural areas that can be difficult to access. CHWs play a crucial role in providing access to healthcare in those parts of the country that are underserved. Over 34,000 CHWs work to extend basic health services such as maternal and child health, family planning and reproductive health, nutrition, TB, and sanitation services. This study seeks to examine the influence both financial and non-financial incentives have on CHW program performance and retention in Madagascar.
In the past 36 months, Nigeria has suffered several healthcare workers’ strikes, resulting in decreased access to quality healthcare for Nigerians. The researchers in this study aimed to identify the root cause(s) for these strikes and determine potential solutions. 150 Nigerian healthcare workers participated in a cross-sectional survey and questionnaire to reveal reasons for the strikes. Findings concluded that increased salaries and wages were among the most common reasons for strikes, though other issues were discussed as well.
In 2015, the One Million Community Health Workers (1mCHW) Campaign and mPowering Frontline Health Workers (mPowering) conducted a series of interviews and held an online discussion, hosted on the Healthcare Information for All forum, on the need of improved data on community health workers (CHWs) to help achieve the Sustainable Development Goals.
This guide aims to help policymakers and program managers assess whether engaging communities makes sense in the context of the performance-based incentive (PBI) programs they support; determine what is the best approach or mechanism for such engagement; and how to mitigate the risks. PBI, as with bottom-up social accountability mechanisms, aims to fix broken accountability relationships by providing payers of health services tools to hold providers accountable through provision of incentives for verified increases in the quantity and quality of health services.
For India’s public health system to deliver effectively, it is imperative that policymakers place a strategic focus on tackling persistent HRH issues such as chronic shortage of health workers, unbalanced skill mix in the existing health workforce, and inequitable urban-rural distribution of health workers. Taking optimal health care to the farthest corners of the country is critical to the vision of the Ministry of Health and Family Welfare for comprehensive and integrated health services.
When trusted, Community Health Workers (CHWs) can contribute to improving maternal and newborn health outcomes in low- and middle-income countries through education. Issues of acceptability of CHWs by communities were explored through experiences gained in a qualitative study that is part of a cluster randomized trial in East Uganda.