Video Spotlight

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

Improving the performance of community health workers in Swaziland: findings from a qualitative study

Despite Swaziland's large CHW program, the performance of CHWs in Swaziland has not been studied. This qualitative study hopes to contribute to future program design and improvements to current programs.

Performance of community health workers: situating their intermediary position within complex adaptive health systems

This review provides a conceptual framework on CHW performance in low- and middle-income counties. The paper outlines several key factors that should be focused on to improve CHW performance.

The potential of task-shifting in scaling up services for prevention of mother-to-child transmission of HIV: a time and motion study in Dar es Salaam, Tanzania

This paper looks at the potential to shift prevention of mother-to-child transmission of HIV tasks from nurses to community health workers (CHWs). This study measures the time nurses dedicate to these activities in Dar es Salaam, Tanzania, in order to estimate the potential cost savings of having CHWs take up these tasks. The paper found that task-shifting could allow nurses to focus on more specialized tasks, while reducing the average cost per patient. 

Linking communities to formal health care providers through village health teams in rural Uganda: lessons from linking social capital

Global literature has shown that community health workers connect communities to formal health care services. This article investigates whether or not this holds true in Uganda by examining village health teams (VHTs). The paper suggests several factors that limit VHTs ability to effectively link communities to form health care services.

Unit cost analysis of training and deploying paid community health workers in three rural districts of Tanzania

This paper estimates the cost of training and deploying paid community health workers in Tanzania. The authors found the estimated cost to be sustainable on a large scale. 

Cost-effectiveness of the treatment of uncomplicated severe acute malnutrition by community health workers compared to treatment provided at an outpatient facility in rural Mali

This study examines the feasibility of incorporating treatment of severe acute malnutrition (SAM) into an existing community care framework operated by community health workers (CHWs). The study shows that delivering treatment of SAM through CHWs is cost-effective, assuming good coverage.

Book: Healthy Lives for Vulnerable Women and Children: Applying Health Systems Research

Tremendous challenges remain to ensure that the most vulnerable populations, including women, children, and adolescents, are able to enjoy the healthy lives and well-being promised in the Sustainable Development Goals. Much of their poor health is caused by poverty, gender, lack of education, and social marginalization as well as inaccessible healthcare services. Strong, equitable, and well-governed health systems can contribute to sustainably improving their lives.

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