Video Spotlight

"'I'm a Health Worker' - Abduaraman Gidi" made by IntraHealth International.

A Commitment to Community Health Workers: Improving Data for Decision Making

In a new policy report, the Frontline Health Workers Coalition and partners call for human resources for health (HRH) stakeholders to create a common definition for the “community health worker” along with an agreed-upon set of core tasks and competencies, using the International Labour Organization definition as a guiding framework.

National Community Health Worker Advocacy Survey Report

The 2014 National Community Health Worker Advocacy Survey (NCHWAS) is the largest on-line survey of Community Health Workers ever conducted. NCHWAS aims to describe (1) the state of CHWs as a professional field and (2) the impact of CHW community advocacy on community engagement to address health disparities.

Community Health Worker Credentialing: State Approaches

Community health workers (CHWs) have shown, time and again, that they can improve health 
outcomes while reducing healthcare costs. Reductions in chronic illness, improved medication 
adherence, more patient involvement, and better community health have been accompanied by a 
return on investment of more than $2 for every dollar invested. Yet several barriers are keeping 
CHWs from being full participants in the healthcare system. According to a 2002 Institute of 

Community case management of malaria: exploring support, capacity and motivation of community medicine distributors in Uganda

Abstract Background In Uganda, community services for febrile children are expanding from presumptive treatment of fever with anti-malarials through the home-based management of fever (HBMF) programme, to include treatment for malaria, diarrhoea and pneumonia through Integrated Community Case Management (ICCM).

Working with Community Health Workers as 'volunteers' in a vaccine trial: Practical and ethical experiences and implications

Community engagement is increasingly emphasized in biomedical research, as a right in itself, and to strengthen ethical practice. We draw on interviews and observations to consider the practical and ethical implications of involving Community Health Workers (CHWs) as part of a community engagement strategy for a vaccine trial on the Kenyan Coast. CHWs were initially engaged as an important network to be informed about the trial.

Recognizing the diverse roles of community health workers in the elimination of health disparities: from paid staff to volunteers.

The community health worker (CHW) model has been successfully used to promote health and reduce adverse health outcomes in underserved communities. Although there is a general consensus that involvement of natural helpers from the targeted communities is a promising approach in the elimination of health disparities, there is less agreement on their responsibilities, scope of work, and reimbursement for their services (ranging from paid staff to unpaid volunteers). These differences in pay structure stem from philosophical differences, programmatic needs, and financial realities.

Engaging People Living With HIV as Lay Counsellors in HIV Care and Treatment Services: Experiences in Kilimanjaro, Tanzania

This document summarises the key components of the lay counsellors programme that have contributed to its success, such as careful recruitment practices and recognition of lay counsellors as valued members of health-care teams.

Community Health Worker Assessment and Improvement Matrix (CHW AIM): A Toolkit for Improving CHW Programs and Services

A key element of USAID’s strategic approach to maternal and child health (MCH) is to increase the number of functional community health workers serving in USAID priority countries by at least 100,000 by 2013. At the request of the USAID MCH team, the Health Care Improvement Project (HCI) developed a tool that defines a set of key elements needed for community health worker programs to function effectively and that evaluate programs on specific criteria, which were defined by recent literature reviews on CHW programs (see link below) and by suggestions from experts.

Improving Performance of Community-Level Health and Nutrition Functionaries: A Review of Evidence in India

This review of the National Rural Health Mission (NRHM) and the Integrated Child Development Scheme (ICDS) III which highlights lack of supervision, poor worker motivation, and related issues as critical challenges. It shows that programs often focus on training but other performance factors such as supportive supervision, clear performance expectations and motivation and recognition are often neglected. These factors may be constraints against improving health and nutrition programs in India.

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