The authors in this article assess the extent to which community health worker programs improve access to maternity services. They use the integration of contextual factors into a logic model to frame the assessment and argue that the logic model can serve as an analytical tool rather than an end in itself.
Mentor mothers (MMs) are HIV positive women who provide support to other women living with HIV, particularly in the prevention of mother to child transmission of HIV (PMTCT). This qualitative study explores the experiences, working conditions, and relationships between MMs and health workers in Nigeria.
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.
Tremendous challenges remain to ensure that the most vulnerable populations, including women, children, and adolescents, are able to enjoy the healthy lives and well-being promised in the Sustainable Development Goals. Much of their poor health is caused by poverty, gender, lack of education, and social marginalization as well as inaccessible healthcare services. Strong, equitable, and well-governed health systems can contribute to sustainably improving their lives.
Pre-eclampsia is a leading cause of maternal and fetal morbidity and mortality worldwide. Early detection and treatment have been instrumental in reducing case fatality in high-income countries. This study was part of a multi-country evaluation of community treatment of pre-eclampsia to determine community health workers' knowledge and practice in the identification and treatment of pre-eclampsia, as they are essential providers of maternal care services in Nigeria.
Task-sharing expands the responsibilities of low-cadre health workers and allows them to share these responsibilities with highly qualified healthcare providers in an effort to best utilize available human resources. This study is part of a larger community-based trial evaluating the acceptability of community treatment for severe pre-eclampsia and examines the prospect for task-sharing among community health extension workers (CHEW) for the detection of early signs of pre-eclampsia in Ogun State, Nigeria.
In the past 36 months, Nigeria has suffered several healthcare workers’ strikes, resulting in decreased access to quality healthcare for Nigerians. The researchers in this study aimed to identify the root cause(s) for these strikes and determine potential solutions. 150 Nigerian healthcare workers participated in a cross-sectional survey and questionnaire to reveal reasons for the strikes. Findings concluded that increased salaries and wages were among the most common reasons for strikes, though other issues were discussed as well.
Community health workers can increase access to, and coverage of, health services – particularly maternal and child health (MCH) outcomes in Nigeria and other sub-Saharan African countries. This 5 year study aimed to evaluate the Nigerian CHW scheme using a mixed-methods realist approach will make an important contribution to health systems strengthening in Nigeria.
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.