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.
Built on the national women’s Family Welfare Movement (PKK) movement of the 1970s, volunteers called kaders were trained to conduct health and nutrition promotion activities in each village. In the mid-1980s, the Posyandu Program was formally recognized by the MOH. The program’s goal was to decrease infant and child mortality, improve FP acceptance, improve nutrition, and empower the community through community health activities.1