A systematic review of published research was conducted in order to understand factors that may influence the integration of national community-based health worker (CBHW) programs into low- and middle –income countries. Four programs – Brazil, Ethiopia, India, and Pakistan – met the inclusion criteria and were integrated into their specific health systems. Several factors were included that facilitated the integration process, as well as other factors that inhibited the integration process.
Remarkable gains have been made in global health in the past 25 years, but progress has not been uniform. Mortality and morbidity from common conditions needing surgery have grown in the world's poorest regions, both in real terms and relative to other health gains. At the same time, development of safe, essential, life-saving surgical and anaesthesia care in low-income and middle-income countries (LMICs) has stagnated or regressed.
This report outlines a series of workshops convened by mPowering Frontline Health Workers and partners to consider whether the global health community is following the most beneficial route to provide relevant and effective health training for FLHWs.
The question of remuneration for community health workers (CHWs) in low--‐income countries remains contentious. Programs use a variety of monetary and non--‐monetary incentives to motivate CHWs. The most successful programs, however, pay their workers, and there is little evidence to suggest that volunteerism in low--‐income countries is sustainable over the long term. Adequate compensation improves health worker motivation, retention and performance. Additionally, fair and consistent wages ensure a stable income and livelihood for CHWs. Although paying workers requires a modest invest
The 2014 Ebola outbreak in West Africa demonstrates key deficiencies in investment in health systems. Despite some modest investment in health systems, our field has instead largely chosen to pursue shorter-term, vertical efforts to more rapidly address key global health issues such as smallpox, polio, malaria, and HIV/AIDS. While those efforts have yielded substantial benefits, we have paid a price for the lack of investments in general systems strengthening. The Ebola deaths we have seen represent a small portion of deaths from many other causes resulting from weak systems.
In a new policy report, the Frontline Health Workers Coalition and partners call for human resources for health (HRH) stakeholders to create a common definition for the “community health worker” along with an agreed-upon set of core tasks and competencies, using the International Labour Organization definition as a guiding framework.
Welcome to Developing and Strengthening Community Health Worker Programs at Scale: A Reference Guide and Case Studies for Program Managers and Policymakers (the CHW Reference Guide). This guide is a long and detailed volume that is not intended to be read from cover to cover but rather to be used as a document that can be referred to as specific issues or questions arise. In this sense, you will find some repetition. We have also tried to refer the reader to other chapters where appropriate because many topics and issues are covered in various ways in different chapters.
Diabetes is reaching epidemic proportions on the U.S.-Mexico Border, and culturally competent diabetes education is not available in many communities. People with diabetes often do not have access to regular medical care, cannot afford medication, and lack the community infrastructure that supports self-management practices.
The objective of this study was to compare the costs and outcomes associated with guardian-supervised directly observed treatment relative to the standard of care Directly Observed Therapy, Short Course (DOTS) provided by community health workers (CHW). New cases of culture-positive pulmonary tuberculosis (TB) treated in Vitória, Espírito Santo State, Brazil were interviewed and chose their preferred treatment strategy. Costs incurred by providers and patients (and patients' families) were estimated, and cost-effectiveness was assessed by comparing costs per successfully treated patient.
In 1978, the Alma-Ata declaration on primary health care (PHC) recognized that the world’s health issues required more than just hospital-based and physician-centered policies. The figure of the community health worker (CHW) remains a central feature of participation within the PHC approach, and being a CHW is still considered to be an important way of participation within the health system.