This article proposes a framework for the design and scale up of CHW program governance. Drawing from factual observations of South Africa’s community health system and theoretical insights on governance, the article frames key governance principles and outputs.
This paper investigates the effect of expanding the population coverage of evidence-based interventions that community health workers provide outside of facilities. Using the Lives Saved Tool, the authors examined 73 countries and estimated that, if population coverage was expanded to 90%, 6.9 million lives of mothers and their children under the age of 5 could be saved during the period from 2016 to 2020.
This report is the first National Community Health Strategy Malawi has produced, spanning from 2017 to 2022. This strategy is intended to work towards achieving Millennium Development Goal number three: universal health care. The main focus of this strategy include: integration of health services, community engagement, and sufficient and equitable distribution of well-trained community health workforce. Efforts will also support maintaining sufficient supplies, transportation, and infrastructure. This strategy provides a guide and framework to introduce community health into the pre-exi
To achieve universal health coverage, health systems will have to reach into every community, including the poorest and hardest to access. Since Alma-Ata, inconsistent support of community health workers (CHWs) and failure to integrate them into the health system have impeded full realization of their potential contribution in the context of primary health care.
This paper briefly summarizes definitions, approaches, and challenges to achieving “scale” in community-focused health programs as discussed at the 2005 CORE spring meeting and the USAID child survival and health grants program mini-university. This paper is meant to harmonize a vocabulary for use by NGOs and their partners as they further discuss, debate, and analyze how NGOs and their partners can reach more people with high quality maternal, child and neonatal health interventions.