The USAID-sponsored Community Health Worker (CHW) Regional Meeting held in Addis Ababa, Ethiopia from June 19 to 21, 2012, was attended by over 60 government and non- governmental (NGO) representatives from six African countries (Ethiopia, Kenya, Mali, Rwanda, Uganda, and Zambia) as well as participants from international NGOs and organizations. The meeting was planned by Initiatives Inc.
This editorial piece discusses the importance of community health workers in low-income countries and proposes a CHW scale-up in sub-Saharan Africa to achieve MDGs and the overarching aim of health for all.
This is an interview guide for CHWs, PLHA Support Group Members, Village Health Committees and Community Dialogue Groups. It is written for Rwanda, but can be adapted for use in other countries affected by HIV/AIDS. It specifically addresses pediatric HIV case identification, and referral and care at the community level for orphans and vulnerable children (OVC).
This review of the National Rural Health Mission (NRHM) and the Integrated Child Development Scheme (ICDS) III which highlights lack of supervision, poor worker motivation, and related issues as critical challenges. It shows that programs often focus on training but other performance factors such as supportive supervision, clear performance expectations and motivation and recognition are often neglected. These factors may be constraints against improving health and nutrition programs in India.
APHIA (AIDS, Population and Health Integrated Assistance) is a USAID-financed program in Kenya that works with the Ministry of Health and faith-based and community-based organizations to reduce the risk of HIV transmission and the fertility rate in Nyanza. Specifically, the project focuses on improving and expanding facility-based HIV/AIDS, tuberculosis, reproductive health, malaria, maternal and child health, and male circumcision services and improving and expanding care and support for people and families affected by HIV/AIDS.
This paper was published by the Rwandan Ministry of Health. The main objective of this report is to analyze CHWs' performance in order to inform program expansion. Additional objectives include: 1. review the quality of case management by CHWs; 2. review the quality of drug management; 3. analyze the process and quality of technical supervision received by the CHWs; 4. analyze parents’ satisfaction after using CHWs services; and 5. make recommendations to improve program implementation.
This report aims to identify CHW programs with positive impacts on Millennium Development Goals (MDGs), related to health or otherwise, through a global systematic review undertaken of such interventions, as well as eight in-depth country case studies in SubSaharan Africa (Ethiopia Mozambique and Uganda), South East Asia (Bangladesh, Pakistan and Thailand) and Latin America (Brazil and Haiti).
This is a USAID report of case studies done in Uganda and Swaziland looking at the current policies and approaches to task shifting with regard to HIV/AIDS. The case studies involve interviews and focus group discussions with various health care providers. The report recommends: 1. creating an enabling policy environment for task shifting; 2. integrating task shifting as part of a sector-wide approach to strengthen the health system; 3. establishing standards to govern the recruitment and training of new and existing health workers; 4.
This report describes key issues in the implementation of Ghana's health workforce development plan, which aims to address morale and distribution challenges. Priority is being given to mid-level workers operating in community settings, and to incentive schemes to improve morale and retention.
This investigation looks at applying human resources (HR) concepts related to employee engagement that have been validated in developed countries to the context of volunteers in OVC programs in Ethiopia to the Strengthening Communities and Safety Nets Project. Worker engagement is defined as the extent to which people enjoy and believe in what they do and feel valued for doing it. Evidence has shown that engaged workers perform better and are more productive than disengaged workers.