This article proposes a framework for the design and scale up of CHW program governance. Drawing from factual observations of South Africa’s community health system and theoretical insights on governance, the article frames key governance principles and outputs.
This abridged version of the WHO CHW guideline, provides a snapshot for policy makers, planners and managers on the evidence and recommendations for improving community health worker program optimization
To support quality CHW program design and implementation, USAID, UNICEF, the Community Health Impact Coalition, and Initiatives Inc. have updated and adapted the Community Health Worker Assessment and Improvement Matrix (CHW AIM) Program Functionality Matrix tool. This tool can be applied at district, regional, and national levels to identify and close gaps in design and implementation and, ultimately, enhance program performance.
This cross case analysis of leadership and governance roles involved in implementing large-scale community health worker programs at sub-national level. The authors identified four key roles for leaders and governments in implementing these programs.
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.
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
Kenya does not have a strong health infrastructure to support its people causing concern with current universal healthcare goals. Kenya worries it will not be able to deliver care without a strong CHW program such as Rwanda’s. Although Kenya already has CHWs working in certain areas, they are overwhelmed with large numbers of families per CHW and are not able to provide adequate care to everyone. This article cites Rwanda’s success with a larger CHW program and results of significantly better health, pushing for Kenya to do the same.
To achieve universal health coverage, health systems will have to reach into every community, including the poorest and hardest to access. Since Alma-Ata, inconsistent support of community health workers (CHWs) and failure to integrate them into the health system have impeded full realization of their potential contribution in the context of primary health care.