Video Spotlight

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

Practitioner Expertise to Optimise Community Health Systems: Harnessing Operational Insight

This newly released report, titled ‘Practitioner Expertise to Optimise Community Health Systems: Harnessing Operational Insight’ examines how CHWs can successfully be integrated into national health systems, subsequently contributing towards efforts to achieve Universal Health Coverage.

Podcast: How can evidence optimize CHW programs?

 The www.CHWimpact.org harnesses the potential of CHWs to extend health services to poor and marginalized populations; there is an urgent need to better understand how CHW programs can be optimized.

Podcast: Interview with Ash Rogers, Executive Director of the Lwala Community Alliance (Kenya)

 In this PIH interview, Dan Palazuelos continues his vibrant roundtable series.  He sat down with Ash Rogers, Executive Director of the Lwala Community Alliance in Kenya.   Lwala is known for its excellence in service delivery, and perhaps more importantly, its practice of listening to and elevating the voice of the community.  

Using Data to Improve Programs: Assessment of a Data Quality and Use Intervention Package for Integrated Community Case Management in Malawi

Health Surveillance Assistants (HSAs) have been providing integrated community case management (iCCM) for sick children in Malawi since 2008. HSAs report monthly iCCM program data but, at the time of this study, little of it was being used for service improvement. Additionally, HSAs and facility health workers did not have the tools to compile and visualize the data they collected to make evidence-based program decisions.

 

Zambia's Community Health Assistants (CHAs)

This brief is an outline of Zambia’s community health assistant (CHA) program detailing the impact of a nationwide salaried cadre of CHWs.  The report includes how CHAs are recruited, trained, and deployed in rural areas of Zambia.  The impact of CHA programs was found to include: task shifting and uptake of services, evidence-based strategies to recruit high performance CHAs and increased the volume of health services in rural areas by expanding basic access to health services.

Task-shifting impact of introducing a pilot community health worker cadre into Zambia's public sector health workforce

In 2012, a new cadre of Community Health Assistants (CHAs) were deployed as part of Zambia’s National Community Health Strategy.  This study aims to evaluate the impact CHAs have on the volume and type of health services provided.  Results show that the addition of CHAs in rural areas increased health service provision shifting the burden of basic health services away from more highly trained health workers.  This allows policymakers to improve access to care with constrained budgets.

Implementation of the Community Health Assistant (CHA) Cadre in Zambia: A Process Evaluation to Guide Future Scale-Up Decisions

To improve healthcare access in rural areas, in 2010 the Government of Zambia implemented a national CHW strategy that introduced a new cadre of healthcare workers called community health assistants (CHAs). After 1 year of training the pilot class of 307 CHAs were deployed in September 2012. This paper presents findings from a process evaluation of the barriers and facilitators of implementation of the CHA pilot, along with how evidence was used to guide ongoing implementation and scale-up decisions.

An exploration of facilitators and challenges in the scale-up of a national, public sector community health worker cadre in Zambia: a qualitative study

In 2010, Zambia created a cadre of community health workers called Community Health Assistants (CHAs).  This program continues to be scaled up to meet the needs of Zambia’s rural population.  This study summarizes the factors that have aided the scale-up of the CHA program as well as the challenges.  The study determined that CHAs play a critical role in providing a wide range of services to community members.  However, CHAs continue to face challenges such as infrequent supervision, lack of medical and non-medical supplies, and challenges with the mobile data reporting system.  The study c

"How do you exchange learning?" with Last Mile Health and Possible health

 For the organizations who have dedicated themselves to building good CHW programs, where can they go to learn how to make programs that are built to thrive? The Center for Health Market Innovation awarded two like-minded health delivery organizations, Last Mile Health in Liberia and Possible in Nepal, a learning exchange grant.

National Community Health Strategy - Malawi

This report is the first National Community Health Strategy Malawi has produced, spanning from 2017 to 2022.  This strategy is intended to work towards achieving Millennium Development Goal number three: universal health care.  The main focus of this strategy include: integration of health services, community engagement, and sufficient and equitable distribution of well-trained community health workforce.  Efforts will also support maintaining sufficient supplies, transportation, and infrastructure.  This strategy provides a guide and framework to introduce community health into the pre-exi

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