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.
A meta-synthesis of the existing literature, this article examines 33 publications to identify the factors that enable community health workers to bring about behavior change. It explicitly recognizes the difference between full-time trained and salaried community health workers and part-time community volunteers and proposes an approach to better coordinating the community health workforce to serve health, behavior change and empowerment needs.
APC’s Community Health Policy Matters video tells the story of fictional characters Winnie and Mary, and how a fragmented health system affects each woman’s ability to access family planning services in her respective community. This animated video highlights how policy can improve the health system for women.
This retrospective observational study examined the quality of integrated community case management (iCCM) care given by village health workers in five villages in Bugoye subcounty in Uganda. For malaria, pneumonia, and diarrhoea the quality of care was high, though the overall quality of care was lower. There is an increase in quality of care after the implementation of iCCM services.
This research article examined the best way to deliver seasonal malaria chemoprevention (SMC) treatment. The authors found that door-to-door delivery provided better coverage than fixed-point delivery, while directly observed therapy (which uses more resources) did not improve coverage. Community health workers deliver SMC treatment through door-to-door and fixed-point delivery.
While community health workers (CHWs) often identify and screen for severe acute malnutrition (SAM), this study looks at incorporating SAM treatment into the work of CHWs. The results from a randomized intervention study in Kita, Southwest Mali, indicated that with minimal training CHWs can treat SAM appropriately, which could result in lower defaulter ratios and improve access to treatment.