Video Spotlight

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

Clinical evaluation of the use of an mhealth intervention on quality of care provided by Community Health Workers in southwest Niger

As part of the World Health Organization’s (WHO) integrated community case management (iCCM) Rapid Access Expansion Program (RAcE), World Vision Niger and Canada worked with the Niger Ministry of Health to enable implementation of iCCM in four districts of Niger in 2013. This paper presents a two-arm cluster randomized trial which looked at the impact of an mhealth approach focused on improving quality of care (QoC) deployed by community health works.

Can community health workers increase modern contraceptive use among young married women? A cross-sectional study in rural Niger

The Republic of Niger reports the highest rates of early marriage and adolescent fertility in the world. This study assesses cross-sectional data from household surveys to determine if the deployment of volunteer community health workers in rural settings has improved family planning services in adolescents and youth.

Community Health Worker Assessment and Improvement Matrix (CHW AIM): Updated Program Functionality Matrix for Optimizing Community Health Programs

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.

Case Studies of Large-Scale Community Health Worker Programs

This resource from USAID and MCHIP provides an overview of large-scale CHW programs from 13 countries: Afghanistan, Bangladesh, Brazil, Ethiopia, India, Indonesia, Iran, Nepal, Niger, Pakistan, Rwanda, Zambia and Zimbabwe. Case studies address the historical context of CHWs, the health needs of the country, the scope of work of the CHWs, CHW training, support and supervision, and financing of CHW programs. The demonstrated impact and continuing challenges of the different programs are also addressed.

Review of Community- based Management of Acute Malnutrition (CMAM) in the Post-emergency Context: Synthesis of Lessons on Integration of CMAM into National Health Systems

Humanitarian crises are often marked by large-scale, externally funded, and vertically managed responses. National health systems, already weak, are often bypassed by international organizations in the interest of rapid response to save lives. There is growing recognition, however, of the importance of employing more sustainable approaches through existing health system infrastructure to ensure services continue as the emergency subsides and organizations and their resource flows end.

Monitoring iCCM: a feasibility study of the indicator guide for monitoring and evaluating integrated community case management

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.

Report on the Feasibility of Measuring the iCCM Task Force Indicators through Existing Monitoring Systems in DRC, Niger, Madagascar, Senegal, South Sudan and Zambia

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.


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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