There has been a renewed attention for the need to strengthen CHWs performance, which partly depends on motivation. This paper analyzes the use of incentives and their influence on improving CHW motivation.
Community health workers (CHWs) play a vital role in provision of maternal and newborn health (MNH) services in low- and middle-income settings. However, a better understanding of the roles CHWs play in each setting: services, responsibilities, training duration and type of renumeration. This study presents information on CHWs providing MNH services in Bangladesh, India, Kenya, Malawi and Nigeria. Data from 23 policy documents, 36 focus group discussions and 131 key information interviews are analyzed and interpreted.
Globally, home visits by community health workers (CHWs) during pregnancy and soon after delivery are recommended to contribute to newborn survival. With the ever-expanding roles of CHWs can health systems ensure sufficient home visit coverage? This study looks at the results of a population-based survey conducted in the Ntcheu district of Malawi. It focuses primarily on understanding the feasibility and coverage of home visits post the implantation of the Malawi Ministry of Health’s Community-Based Maternal and Newborn Care (CBMNC) package.
The authors assess community health workers’ visibility within a technological space. They argue that mHealth makes CHW’s work more visible by showing their use of mHealth and data systems in different locations and making their data accessible beyond their direct supervisors.
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.
This paper examines the feasibility of incorporating distance mLearning (mobile learning) as part of a blended learning program in Malawi. Through questionnaires, CHWs’ knowledge and attitudes towards computers and mobile technology was assessed. The ‘Introduction to Information and Communication Technology and eHealth’ (ICT and eHealth) course was created to compare the effectiveness of traditional and blended learning courses in improving CHW knowledge and attitudes towards computers and mobile technology. CHW satisfaction and experience with the courses was also assessed.
Based on qualitative research from six countries (Bangladesh, Indonesia, Ethiopia, Kenya, Malawi, Mozambique) that were part of the REACHOUT consortium, this study explores how gender roles and relations affect close-to-community (CTC) health service provider experience at the individual, community, and health system levels.