Video Spotlight

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

The CHW Hub is a product of the partnership between CHW Central and the Health Systems Global Thematic Working Group (TWG) on Supporting and Strengthening the Role of Community Health Workers in Health System Development.

Thematic Working Group Goal:
To support the generation, synthesis and communication of evidence on the roll out and functioning of community health worker programs and to enable learning across geographical and political contexts

Bringing together diverse individuals and networks to share knowledge 

Deepthi Wickremasinghe, IDEAS, London School of Hygiene & Tropical Medicine

Photo credit: © Dahiru Ribadu for IDEAS

Community involvement is vital for making progress towards universal coverage of health services for mothers and newborns. Yet communities cannot work in a vacuum if universal coverage is to be achieved. In the Nigerian context, state government engagement is also important to ensure community health services are embedded in the health system and in the state’s health budget. This engagement creates an enabling environment for scale-up and sustainability. These are the interim conclusions of two studies conducted under the IDEAS project[ii], one quantitative and one qualitative, that evaluated a Village Health Worker scheme in Gombe State, northeast Nigeria.

Over the last 10 years, there has been little change in the maternal mortality ratio in Nigeria, and it remains high at 814 per 100,000 live births in 2015[iii]. In largely rural Gombe State, contributing factors include limited uptake of and access to health services, which hamper universal coverage. Moreover, low adult literacy rates (63.9 in any language and 34.5 in English[iv]) restrict community participation for health, particularly among women.

Kingsley Chikaphupha, Reach Trust (Malawi) and co-chair of the TWG on CHWs, and Maryse Kok, KIT Royal Tropical Institute (The Netherlands)


Forty years after Alma Ata, 2018 was a remarkable year regarding the promotion of health for all. The Global Conference on Primary Health Care, co-hosted by the government of Kazakhstan, WHO and UNICEF, was held in Astana, Kazakhstan on October 25 and 26. A new declaration on primary health care, aligned with the sustainable developments goals, was made. During the same conference, WHO launched a new guideline on health policy and system support to optimize community health workers programmes.  Health Systems Global (HSG) also held its 5th Global Symposium on Health Systems Research in Liverpool, UK in October 2018. Common across all these events was the call that the provision of universal primary health care should be at the heart of sustainable health systems.

During the 5th HSG symposium, the network’s thematic working group on supporting and strengthening the role of community health workers in health system development (in short, the HSG CHW TWG) organized a participatory session to share experiences from CHW research and practice, to strengthen leadership and management of CHW programmes across the globe. 

Multi-sectoral action, quality and fragility in CHW programming

CHW Hub Resources

Announcing a special collection of articles on community health workers

Thematic Working Group Partners

TWG Partners.jpg

CHW Central is managed by Initiatives Inc. Site start-up was supported by the USAID Health Care Improvement Project in 2011.

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