This qualitative study evaluated the role of CHWs in the health system in both HIV and non-HIV-related services in rural Haiti and investigated the challenges and facilitating factors for their work. CHWs contributed to a wide range of primary health services and non-HIV related activities. Recognition from the community, status, satisfaction of contributing to the well-being of others and remuneration were facilitating factors for performing their work.
This article investigates whether present CHW programmes for antiretroviral treatment are taking into account lessons learnt from past experiences with community health worker programmes in primary health care and to what extent they are seizing the new antiretroviral treatment-specific opportunities.
This report is the result of research undertaken in Ethiopia as part of a broader multi-country research project commissioned by the Caregivers Action Network (CAN) to review community and home-based care (CHBC), especially in regards to HIV prevention, treatment, care and support.
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).
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 report reflects on an appropriate incentive package for the provision of care at the community level in Zambia. Human resources shortages, international migration, and a high burden of HIV contribute to an over-stretched public health system and the informal and unplanned delegation of service delivery tasks to volunteers operating at community level. Various incentives structures are applied to motivate CHWs.
This WHO report focuses on the “train” aspect of the task-shifting idea of "treat, train, retain," in the effort to reduce the burden on existing healthcare professionals by shifting certain tasks to others such as CHWs. This paper outlines the WHO’s approach to the training crisis.
This training manual assists community leaders and CHWs to provide correct information on TB and TB/HIV co-infection, as well as on stigma and discrimination. The training prepares CHWs to share information and answer questions about TB and TB/HIV co-infection, promote TB prevention, encourage people to go for TB diagnosis and treatment, and support adherence to TB treatment. CHWs are also trained to advocate and address related issues of stigma and discrimination.
This review paper examines key opportunities and challenges presented when task shifting is used to rapidly expand human resource capacity to address HIV/AIDS. Opportunities include: increasing access to life-saving treatment; improving workforce skills mix and health system efficiency; enhancing the role of the community; cost savings; and reducing attrition and international ‘brain drain’.
This paper describes the contribution of the non-governmental organization Zanmi Lasante (ZL) to scaling up HIV prevention and treatment and improving primary health care services in the public health system in Haiti. ZL’s model utilizes CHWs to supervise antiretroviral therapy and provide community outreach, including active case finding and outreach to marginalized populations. The case study analyses key components of the CHWs work, their self-perception, and their roles in enhancing community uptake of services and targeting vulnerable groups.