The Means, Motives and Opportunity (MMO) framework can be used to identify determinants of CHW performance. This article uses the case study of Anganwadi Workers (village nutrition workers) in Bihar, India to demonstrate how the framework is applied.
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.
National CHW schemes are an increasingly important tool for achieving universal health coverage and ending maternal and child deaths by 2030. This article focuses on critical issues that face the effectiveness of large-scale CHW programs drawing on the experiences of India’s CHW scheme –the Village Health Guides.
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.
The Indian National Program for Cardiovascular Disease, Diabetes, Cancer and Stroke (NPCDCS) aims to deliver non- communicable disease (NCD) care via primary healthcare teams which include Indian CHWs know as Accredited Social Health Activists (ASHAs).This study sought to understand the current capacity and challenges faced by ASHAs hrough a desktop review of NPCDCS and ASHA policy documents combined with group discussions with community members from the Guntur region of Andhra Pradesh in India.
Task sharing as an approach to target mental health through community health workers is slowly gaining attention and support in LMICs. This multi-site study aimed to determine key factors that could drive task sharing in different contexts along with providing insight regarding challenges associated with the approach.
Several previous studies have evaluated the ability of community health workers (CHWs) to target individual cardiovascular risk factors. This study presents findings from a randomized control trial aimed at integrating CHW lead efforts for hypertension, diabetes and smoking control. It revealed that CHWs have a significant effort on hypertension and promotes the use of home-based care for cardiovascular risk factors through CHWs in LMICs.
The uptake of cervical cancer screening services is low among South Asian women. Multimedia interventions facilitated by community health workers (CHW) offer an approach to improve screening service utilization rates. This randomized controlled pilot study evaluated the feasibility and preliminary effects of a CHW-led intervention on improving cervical cancer screening uptake in an underprivileged group.
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.
The rising incidence of stroke is growing into a major public health concern. Yet, there is limited awareness about its risk factors and treatment procedures. This study involved a focus group discussion with Accredited Social Health Activists (ASHAs) in India to understand their level of awareness regarding stroke, its causes, and related treatment procedures.