The community health framework is intended to support Ministries of Health in developing and strengthening programs for improved community health outcomes. The intention is for USAID missions and other advisors to use the framework to structure a dialogue, develop recommendations, and foster continuous learning with Ministries of Health. This presentation is a fantastic resource for understanding and supporting community health programs and networks.
Monitoring and evaluating large-scale global health program transitions can strengthen accountability, facilitate stakeholder engagement, and promote learning about the transition process and how best to manage it. This paper proposes a conceptual framework for 4 main domains relevant to transitions— leadership, financing, programming, and service delivery—along with guiding questions and illustrative indicators to guide users through key aspects of monitoring and evaluating transition.
Community health workers (CHWs) are increasingly recognized as an integral component of the health workforce needed to achieve public health goals in low- and middle-income countries (LMICs). Many factors intersect to influence CHW performance. However, research seldom focuses on the implications of context for CHW or programme performance. Understanding the socio-cultural, economic, and political context in which CHW interventions operate is an important precondition for the design of successful interventions.
Control of cervical cancer in developing countries has been hampered by a failure to achieve high screening uptake. In Argentina, more than 60% of women with low education have not had a Papanicolaou (Pap) test in the past 2 years. HPV DNA self-collection could increase screening coverage, but implementation of this technology is difficult in countries of middle and low income. The authors investigated whether offering HPV DNA self-collection during routine home visits by community health workers could increase cervical screening.
In recent years, community health workers (CHWs) have received renewed attention in light of critical shortages in the health workforce and emphasis on strengthening primary healthcare systems for achieving global health goals. CHWs are generally assumed to be a less expensive alternative compared with other cadres of health workers, notably with regard to salary and incentives as well as training costs. In parallel, more and more evidence has accumulated in recent years on the effectiveness of CHWs in delivery of essential health services in low- and middle-income countries (LMICs).
Cardiovascular disease contributes substantially to the non-communicable disease (NCD) burden in low- income and middle-income countries, which also often have substantial health personnel shortages. In this observational study we investigated whether community health workers could do community-based screenings to predict cardiovascular disease risk as effectively as could physicians or nurses, with a simple, non-invasive risk prediction indicator in low-income and middle-income countries.
Given the large-scale adoption and deployment of mobile phones by health services and frontline health workers (FHW), we aimed to review and synthesise the evidence on the feasibility and effectiveness of mobile-based services for healthcare delivery.
The following is a Q&A between Julia Bluestone of Jhpiego and the Frontline Health Workers Coalition and Dr. Henry Perry of the Johns Hopkins Bloomberg School of Public Health on a recently released report examining community health workers’ effectiveness in saving lives and improving health. The post was originally published in the Bill & Melinda Gates Foundation’s Impatient Optimists blog.
Worldwide, there are severe shortfalls in the health workforce — not just in the quantity of doctors, nurses and other health workers, but in their management, performance and geographical distribution.
These shortfalls are particularly glaring in light of the global movement for universal health coverage, progress toward which will require a high-functioning workforce.