Demonstrating that a health service, such as providing contraceptive implants, can be safely task shared to less highly trained workers is crucial but is only one step toward effective implementation at scale. Providers need dedicated time, enough clients, supplies, supervision, and other system support, allowing them to maintain their competency, confidence, and productivity.
During the past 10 years, community health workers (CHWs) have emerged as a focal point of international discussions on primary health-care systems. Although lay community-based health workers have been active for at least 60 years, the Millennium Development Goals (MDGs) in 2000 prompted new discussion of how these workers can help to extend primary health care from facilities to communities. CHWs have since been part of an international attempt to revise primary health-care delivery in low-income settings, and CHW programmes have been changed accordingly.
CHWs provide critical health services to populations that lack access to services at health facilities. Well-trained and supplied CHWs can have positive impacts on health, but little is known about the adequacy, cost, or effectiveness of training models to prepare CHWs. This report analyzes key pieces of literature on CHW training and provides recommendations and next steps on how to improve CHW training.
This article takes up the relatively neglected issue of gender in human resources policy and planning (HRPP), with particular reference to the health sector in developing countries. Current approaches to human resources lack any reference to gender issues. Meeting the health needs of women as major users and potential beneficiaries of health services is a key international concern.
This publication aimed to conduct a thematic review of how mHealth projects have approached the intersection of cellular technology and public health in low- and middle-income countries and identify the promising practices and experiences learned, as well as novel and innovative approaches of how mHealth can support community health workers.
Community health workers (CHWs) are an increasingly important component of health systems and programs. This study was conducted to determine the impact of supervision strategies used in low- and middle- income countries and discuss implementation and feasibility issues with a focus on CHWs.
Community health workers in Mozambique, locally known as Agentes Polivalentes Elementares (APEs), are an integral part of the national health system, intended to improve access to quality health care in remote areas of the country. APEs are conducting extensive health promotion and education activities as well as case management of malaria in patients of all ages, pneumonia and diarrhoea in children under five and referring pregnant women, newborns and children with danger signs to the nearest health facility.
Community health workers (CHWs) are increasingly recognized as an integral component of the health workforce needed to achieve public health goals in low- and middle-income countries (LMICs). Many factors influence CHW performance. A systematic review was conducted to identify intervention design related factors influencing performance of CHWs.
This website is a database of community health interventions designed for people who lead or participate in CHI work within hospitals and health systems, public health agencies, and other community organizations. It includes infographics for improving community health, as well as guidelines for establishing and maintaining effective collaborations, finding interventions that work for the greatest impact, and more!
The community health framework is intended to support Ministries of Health in developing and strengthening programs for improved community health outcomes. The intention is for USAID missions and other advisors to use the framework to structure a dialogue, develop recommendations, and foster continuous learning with Ministries of Health. This presentation is a fantastic resource for understanding and supporting community health programs and networks.