Video Spotlight

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

It Takes Community Health Workers to End Violence Against Children

Global interest in strengthening the health sector’s role in ending violence against children (VAC) has been increasing. While CHWs have been widely recognized for their contributions towards many types of community-based interventions, there is little global research on perceptions and practices of CHWs in preventing or reducing VAC. This study describes opportunities in developing strategies to end violence against children that draw on the role of CHWs.

'He usually has what we call normal fevers': Cultural perspectives on healthy child growth in rural Southeastern Tanzania: An ethnographic enquiry.

The general model used for child growth monitoring (CGM) has been largely focused on indicators grounded in the biomedical model. However, for CGW to be effective, it is crucial to include other socio-cultural constructs. This study looks to develop a cultural conceptualization of healthy growth in rural Tanzania. The process through which this is carried out is through collecting ethnographic data from caregivers, community health workers and, parents and elderly women in the Kilosa district.

“Because Even the Person Living With HIV/AIDS Might Need to Make Babies” – Perspectives on the Drivers of Feasibility and Acceptability of an Integrated Community Health Worker Model in Iringa, Tanzania

Countries with health workforce shortages are rely on community health workers (CHWs) to extend a diverse set of services to the community. However, there may be a limit to the number of tasks a CHW can perform without causing a severe decline in quality or productivity. This study assessed the viability of an existing program in Iringa, Tanzania in which HIV-focused CHWs working as volunteers received additional training on maternal, newborn and child health promotion; thereby, establishing a new dual CHW model.

Integrating Community Health Worker Roles to Improve Facility Delivery Utilization in Tanzania: Evidence from an Interrupted Time Series Analysis

There has been a renewed interest in the diverse role Community Health Workers (CHWs) play in the community. This study looks at the impact of an integrated HIV and maternal health program in Tanzania. The objective was to see how the program improved facility promotion and utilization of maternal health services.

The impact of paid community health worker deployment on child survival: the connect randomized cluster trial in rural Tanzania

This paper presents the results of a non-masked cluster randomized trail conducted in three districts in rural Tanzania. The study  looked at the impact of deploying paid community health workers (CHWs) to provide door-to-door services on child survival. The services provided included preventive, promotional and curative antenatal, newborn child and reproductive health care.  

The effect of a community health worker intervention on public satisfaction: evidence from an unregistered outcome in a cluster-randomized controlled trial in Dar es Salaam, Tanzania

The effect of different care delivery approaches on health system satisfaction has not been monitored extensively. This article focuses on public satisfaction with regards to a community health worker (CHW) program targeted at maternal care among pregnant women or women who have recently delivered.

Improving Access to Antenatal Care in Ngara, Tanzania Through Implementation of the Lady Health Worker Programme

Combatting maternal mortality is a major public health challenge in Tanzania. This problem persists due to lack of providers, poor quality of care and inaccessibility to care. This analysis looks at the effectiveness of implementing the Lady Health Worker Program (LHWP) across three healthcare facilities in the Ngara district of Tanzania. The analysis involves a comparison of outcomes before and after program implementation.

Community health workers to improve uptake of maternal healthcare services: A cluster-randomized pragmatic trial in Dar es Salaam, Tanzania

In addition to quality of care of maternal health services, increased uptake of antenatal care (ANC) and facility- based delivery are key contributors to improved maternal and neonatal health in resource limited settings. This cluster randomized trial attempted to assess the impact of a community health worker (CHW) intervention on the proportion of women who visit ANC less than 4 times during pregnancy and deliver at home.

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.

The Community Health Systems (CHS) Catalog

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.

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