The question of remuneration for community health workers (CHWs) in low--‐income countries remains contentious. Programs use a variety of monetary and non--‐monetary incentives to motivate CHWs. The most successful programs, however, pay their workers, and there is little evidence to suggest that volunteerism in low--‐income countries is sustainable over the long term. Adequate compensation improves health worker motivation, retention and performance. Additionally, fair and consistent wages ensure a stable income and livelihood for CHWs. Although paying workers requires a modest invest
This guide may be helpful to members, or prospective members, of the CHW workforce in a variety of ways. It summarizes evidence-based best practices that CHWs should seek to adopt or reinforce in their work with patients and families. It delineates possible quality indicators for high-quality CHW programs. This guide also provides background on key state policy matters related to the training and certification of CHWs that members of the CHW workforce may wish to influence.
Welcome to Developing and Strengthening Community Health Worker Programs at Scale: A Reference Guide and Case Studies for Program Managers and Policymakers (the CHW Reference Guide). This guide is a long and detailed volume that is not intended to be read from cover to cover but rather to be used as a document that can be referred to as specific issues or questions arise. In this sense, you will find some repetition. We have also tried to refer the reader to other chapters where appropriate because many topics and issues are covered in various ways in different chapters.
The Integrated Community Case Management (iCCM) Task Force (TF) has proposed a list of 48 indicators to guide governments and partners in monitoring and evaluating national iCCM programs. These indicators are compiled in the document entitled Indicator Guide for Monitoring and Evaluating Integrated Community Case Management. Recently, the iCCM TF began a review process to determine the number of indicators being reported by country programs, and opportunities and challenges related to measuring indicators not being reported.
This series of 18 training modules can be used in a five- or six-day workshop to deliver technical content on case management and prevention of common health problems through a community-directed delivery mechanism. These modules build on field experience in delivering malaria services through community effort as well as on the 16+ years of effort by the African Program for Onchocerciasis Control and the Special Program for Research and Training in Tropical Diseases of the World Health Organization and its partners.
This guide aims to encourage integrated Community Case Management (iCCM) programs to more effectively monitor and evaluate iCCM implementation and results across all of the iCCM benchmark components. Aimed at program managers, M&E officers, researchers, and organizations supporting/implementing iCCM, specific objectives of this guide are to:
Motor vehicle crashes injuries, the leading cause of death for Latino children in the United States, can be reduced by the correct use of child safety seats. This study evaluated the ability of a community health worker education program to improve proper child safety seat usage in urban low income Latino families. At a series of check events, proper child safety seat usage in families who had received an education intervention was compared with similar families who had not.
Community health workers (CHWs) are increasingly being incorporated into health programs because they are assumed to effectively deliver health messages in a culturally relevant manner to disenfranchised communities. Nevertheless, the role of CHWs-who they are, what they do, and how they do it-is tremendously varied. This variability presents a number of challenges for conducting research to determine the effectiveness of CHW programs, and translating research into practice. We discuss some of these challenges and provide examples from our experience working with CHWs.
Community Health Workers (CHWs) play a unique and valuable role in their communities, particularly in reducing health disparities by reaching underserved populations. To support efforts to build CHWs into a sustainable component of the health care system, the American Cancer Society - Midwest Division sought to increase understanding of and document the work of the CHW workforce specifically in the four states they serve – Iowa, Minnesota, South Dakota, and Wisconsin.
Though a wealth of knowledge and evidence is available on key aspects of CHW programs, critical knowledge gaps remain. To enable the environment for increased evidence-based decision making at the country level, adequate emphasis must be placed on continuing to strengthen the evidence base for CHWs. This paper attempts to identify all CHW knowledge gaps and outlines recommendations for the way in which research should be conducted to enable greater benefit and utilization of results.