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.
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.
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.
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.
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.
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.
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.