Case Studies of Large-Scale Community Health Worker Programs was derived from the Developing and Strengthening Community Health Worker Programs at Scale: A Reference Guide and Case Studies for Program Managers and Policymakers, edited by Henry Perry, Lauren Crigler, and Steve Hodgins.
Originally published in May 2014 by USAID’s flagship Maternal and Child Health Integrated Program (MCHIP), it was created in response to the rapid increase in and expansion of CHW programs in low- and middle-income countries over the past decade. In January 2017, a companion document was prepared to provide guidance on 13 case studies, including Afghanistan, Bangladesh, Brazil, Ethiopia, Niger, India, Indonesia, Iran, Nepal, Pakistan, Rwanda, Zambia, and Zimbabwe. CHW Central is serializing the case studies over time.
Niger’s current CHW program originates from a village health worker program founded in the mid 1960’s, which primarily served the rural Maradi region1. Health initiatives in the early 21st century began the development of a two-tiered CHW program (comprised of both paid workers and volunteers) and the construction of health posts out of which Niger’s CHWs operate, of which there are now roughly 2,000.2, 3 This case study examines the roles of both paid Agents de Santé Communautaire (ASCs) and Relais volunteers.