Community engagement is considered to be a valuable strategy to improving health systems. However, there is limited evidence regarding the effectiveness of this approach. This study focused on operations research of a community-based health information system (PCBHIS). The development and implementation of the PCBHIS was assessed in slum communities.
As part of the One Health Project, community health workers are trained in joint animal and human disease surveillance as a way for early detection of the zoonotic disease Ebola. This master’s thesis explores whether CHWs in the One Health Project submit more surveillance reports vs their non-One Health Project counterparts and finds that they do, in fact, significantly.
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.
In light of the health worker shortage due to the post-conflict period and Ebola crisis in Sierra Leone, it is crucially important to understand different motivation factors for rural health workers, including doctors, nurses, midwives and Community Health Workers. Researchers conducted 23 participatory life histories with health workers, revealing that the context of the rural healthcare setting makes it difficult for health workers to conduct their work. These findings could be used to influence policy and help build a more robust rural healthcare workforce.
This full version of a previous feature goes into detail about CHWs and mental health. CHWs encounter psychosocial issues on a daily basis, but their training does not cover this area. This paper discusses the role CHWs can potentially fill in regards to mental health care, the evidence showing the effectiveness of such care, and World Vision’s approach to training CHWs in mental health care issues.
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.
Coherent human resource for health (HRH) policies should be designed to address the challenges faced in recruitment and retention of health workers, particularly in developing countries. In Sierra Leone, there are challenges in providing equitable healthcare for all due in part to the current HRH situation, which includes an unequal distribution of the health workforce between urban and rural areas.
Health systems in Sierra Leone are undergoing considerable change, often in a context of ongoing health sector reforms. In Sierra Leone, decentralization of health services is very central to these changes, and consequently there is a need to prepare and empower those working at the district level for their new responsibilities and tasks.