Maryse Kok's thesis aims to gain insight into how performance of CHWs in low-middle income countries (LMIC) can be improved, in order to contribute to the realization of better informed, more effective and sustainable CHW programmes and ultimately improved health status of poor and rural communities.
Despite the well-known benefits of community-based practitioners, there is lack of evidence regarding the cost effectiveness of their work. This study aims to address this lack of information on the cost effectiveness to meet health systems goals using literature review, mapping, and case studies. The researchers concluded that community-based practitioners are, indeed, cost effective in some settings, depending on a number of different variables. From this data they also developed an economic model reflecting their findings.
Due to deficiencies in low- and middle-income countries, policy makers are suggesting different methods to achieving universal health coverage. One strategy is the expansion of cadres of close-to-community providers, which plays an important role for connecting communities with the formal health sector. This poster from the Reachout Consortium identifies some of the challenges with this strategy and how to address quality-related issues for universal health coverage.
Using the popular mobile application WhatsApp, a mobile learning intervention was developed and designed to strengthen supervisory support for CHWs in Kenya. 6 months of conversations were analyzed and CHWs and supervisors interviewed to determine how WhatsApp was used in these settings. This preliminary data suggests that CHWs and their supervisors can be effectively trained to tailor their communication in ways that will improve supervisory support, however further research should be conducted.
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.
A randomized trial evaluates the effectiveness of a CHW program in Kenya which implements home visits or calls to new mothers three days after delivery. Surveys were utilized to measure compliance, self-reported health problems, care-seeking behaviors, and postnatal knowledge and practices among new mothers who received one of three randomly assigned postnatal care practices. Results showed that mothers who received CHW home visits were more likely to recognize postnatal problems and seek care for those problems than mothers who received a phone call or standard care.
World Vision’s Access – Infant and Maternal health (AIM Health) Program met its five-year goal of reducing infant and maternal mortality in most of the ten Area Development Program (ADP) sites in which it was implemented.
Case studies in eleven countries including Zambia, Armenia, and Senegal, utilized World Vision’s social accountability approach, Citizen Voice and Action (CVA), to address public service improvement. This approach aims to link community members and organizations with each other and also to link these communities with service providers, local governments, and national policies. CVA empowers communities to influence and improve access to quality public services such as health, education, and child protection.
Globally, 2.5 billion people are “unbanked,” lacking access to formal financial services. As a result, roughly one third of the world’s population is forced to rely on cash transactions or informal financial systems, which can often be unsafe, inconvenient, and expensive. Among the unbanked, however, a billion have access to a mobile phone, and mobile-based financial services are quickly closing the financial access gap.