Video Spotlight

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

Community-Based Tuberculosis Prevention and Care: Why—and How—to Get Involved. An International Handbook for Nongovernmental Organizations and Civil Society Organizations

This document is designed to serve as a handbook, or primer, for NGO s and civil society organizations (CSOs) that are considering joining the fight against tuberculosis (TB). It provides information on TB and how it is prevented, diagnosed, and treated, how TB programs work on the ground, how communities and CSOs can get involved, and special populations that need extra attention. Step-by-step guidance on getting started in addressing TB , pitfalls to avoid, and a list of useful resources are included.

Sustainability of community-capacity to promote safer motherhood in northwestern Tanzania: what remains?

The objective of this article is to examine the remains of the Community-Based Reproductive Health Project (CBRHP) implemented by CARE-Tanzania to address high maternal mortality in two rural districts. The two components of CBRHP, work of VHWs and community-financing for emergency transport systems in six villages, have continued. Both of these promote maternal health and linkages with the health delivery systems. Surveillance data show changes in maternal health indicators that were targeted by the district-wide CBRHP interventions.

Community-Based Care and Support within the APHIA II Nyanza project

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.

Women on the Front Lines of Health Care: State of the World's Mothers 2010

The focus of this report is on the critical shortage of health workers in the developing world and the urgent need for more female health workers to save the lives of mothers, newborn babies, and young children. This report identifies countries that have invested in training and deploying more female health workers, shows how these women are delivering lifesaving health care to some of the poorest and hardest-to-reach mothers and babies, and identifies strategies and approaches that are succeeding in the fight to save lives.

Community Health Worker Incentives and Disincentives: How They Affect Motivation, Retention, and Sustainability

This paper examines various incentives used to motivate and retain community health workers, particularly those working in child health and nutrition programs in developing countries. Drawing from case studies in Afghanistan, El Salvador, Honduras and Madagascar, the authors recommend a more systematic use of multiple incentives based on an understanding of the different functions of the various incentives. It also emphasizes the importance of the CHW-community relationship.

Community health workers: What do we know about them? The state of the evidence on programmes, activities, costs and impact on health outcomes of using community health workers

This is a review commissioned by the WHO which aims to assess the existing evidence regarding the feasibility and effectiveness of CHW programs. It is a broad scope paper which uses published and selected ‘grey’ literature available since the 1970s. Some of the topics reviewed are: the role of CHWs, their use, performance, retention, impact effectiveness, and cost effectiveness.

Retrospective comparative evaluation of the lasting impact of a community-based primary health programme on under-5 mortality in villages around Jamkhed, India

The Comprehensive Rural Health Project (CRHP) is a community-based program that provides primary care services utilizing village health workers and mobile health teams. The researchers conducted an impact evaluation of CRHP on childhood mortality over the period of September 1992 and December 2007. They concluded that community-based programs such as CRHP can have a lasting impact on child mortality.

Tuberculosis Control in Developing Countries: A Generalized Community Health Worker Based Model

This report analyzes the BRAC model in Bangladesh for Tuberculosis (TB) control and offers an alternate model, a community-based model that relies heavily on community health workers. The importance of utilizing community health workers to reduce the burden of TB is discussed throughout the report. It also speaks to the financial management of TB control programs and the implementation experiences of other developing countries such as India.

Implementing a Community Strategy within the Aphia II Nyanza Project

This document describes Aphia II Nyanza's 2006-10 strategy to support Kenya's Ministry of Health as well as FBOs and CBOs to: improve and expand facility based services, civil society activities to increase healthy behaviors and care, and support for people and families affected by HIV and AIDS.

Community-directed interventions for major health problems in Africa

In 2005, a three-year multi-country study was launched to examine how the Community Directed Intervention (CDI) approach, which had been remarkably successful in distributing ivermectin for treatment of onchocerciasis, could be used alongside ivermectin for integrated delivery (or co-implementation) of four other health interventions: Vitamin A supplementation, distribution of insecticide-treated nets, directly observed treatment, short course (DOTS) for tuberculosis and home-management of malaria. The study covered a total of 2.35 million people.

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