There has been a growing trend of task shifting in primary health care services including the use of community health workers (CHWs) in diagnosis of childhood illness. This study examines the role of traditional healers, their ability to meet the needs of families within communities and their integration into the health system in Tshopo through 127 in depth interviews with community members and health providers. It compares their performance to those of CHWs.
Dr. Palazuelos sits down with Jacques Sebisaho from Amani Global Works, an NGO based in the Democratic Republic of Congo on the island of Idjwi. Amani Global Works aims to provide healthcare for those in need and create a replicable model for care across Africa. Drawing from Jacques’s experiences as the founder of the organization, Dan and Jacques share personal stories about life, compassion, and danger working on the front lines of community health in the Democratic Republic of the Congo, and beyond.
This resource presents the results of a post-implementation survey of a 2016 community-based maternal, newborn, and child health (MNCH) surveillance activity using mobile phones in Kenge Health Zone (KHZ), Democratic Republic of Congo (DRC). The study assessed the perceptions of households, attitudes of community health volunteers, and opinions of nurses and administrative authorities towards the use of mobile phones for MNCH surveillance.
To support quality CHW program design and implementation, USAID, UNICEF, the Community Health Impact Coalition, and Initiatives Inc. have updated and adapted the Community Health Worker Assessment and Improvement Matrix (CHW AIM) Program Functionality Matrix tool. This tool can be applied at district, regional, and national levels to identify and close gaps in design and implementation and, ultimately, enhance program performance.
The Community Health Systems (CHS) Catalog is a one-stop ‘shop’ for information on community health policies and programs across 25 countries, including extensive information on CHWs. Developed in 2014 and updated in 2017, it provides policymakers, program managers, researchers and donors with policy data to advance community health research, programming, and advocacy efforts. The CHS Catalog includes 25 country profiles, a set of infographics, and a summary of cross-country policy and program trends.
USAID's 2016 Acting on the Call Report provides updates from the program that aims to end preventable maternal and child deaths in 25 priority countries, which together accounted for more than two-thirds of child and maternal deaths worldwide.
Most countries in sub-Saharan Africa have now adopted integrated community case management (iCCM) of common childhood illnesses as a strategy to improve child health. In March 2014, the iCCM Task Force published an Indicator Guide for Monitoring and Evaluating iCCM: a ‘menu’ of recommended indicators with globally agreed definitions and methodology, to guide countries in developing robust iCCM monitoring systems. The Indicator Guide was conceived as an evolving document that would incorporate collective experience and learning as iCCM programmes them- selves evolve.
Like any other health worker, community health workers (CHWs) need to be supported to ensure that they are able to contribute effectively to health programmes. Management challenges, similar to those of managing any other health worker, relate to improving attraction, retention and performance. Exploratory case studies of CHW programmes in the Democratic Republic of Congo, Ghana, Senegal, Uganda and Zimbabwe were conducted to provide an understanding of the practices for supporting and managing CHWs from a multi-actor perspective.
The Integrated Community Case Management (iCCM) Task Force (TF) has proposed a list of 48 indicators to guide governments and partners in monitoring and evaluating national iCCM programs. These indicators are compiled in the document entitled Indicator Guide for Monitoring and Evaluating Integrated Community Case Management. Recently, the iCCM TF began a review process to determine the number of indicators being reported by country programs, and opportunities and challenges related to measuring indicators not being reported.
To generate key lessons, Senegal, the Democratic Republic of Congo, and Malawi have conducted assessments of their programs related to community case management (CCM) of childhood illness programs. The CCM programs in all three countries included the treatment of three major childhood illnesses by community health workers: diarrheal disease, malaria and pneumonia.