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.
This training manual helps participants develop and use activities at the community level to create a supportive environment for work related male engagement. It provides guidance on discussing HIV and AIDS, gender norms, gender equity and creating community action teams.
Task shifting is one approach to address the shortage of health staff by rational redistribution of tasks among health workforce teams. This document contains 22 recommendations and guidelines developed through a process of country consultation, extensive evidence gathering, and broad consultation among a wide range of experts and stakeholders. The recommendations provide the basis for a formal framework for a national strategy on task shifting along with guidance on ensuring the strategy is safe, efficient, effective, equitable and sustainable.
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.
This paper reports on a qualitative study of the experiences of three CHW supervisors who were responsible for supporting infant feeding peer counselors in three diverse settings in South Africa. This study highlights the need to pay attention to the experiences of supervisors in order to better understand the components and complexities of supervision in the field. Such understanding can enhance future policy making, planning and implementation of peer CHW programs.
This paper summarizes the key features of the emerging national CHW program in South Africa. This includes CHWs' integration into a national public works program and the use of non-governmental organizations as intermediaries. The paper also reports on one province, the Free State investigating CHW numbers and training, specifically with regard to HIV services between 2004 and 2006.
This brief report outlines AMREF’s experiences promoting task-shifting among health workers through integrating it into training of clinical officers in southern Sudan. After summarizing the challenges addressed, the policies introduced and the outcomes of the project, AMREF concludes that providing technical support and supportive supervision to the Government of Southern Sudan was instrumental in creating an enabling environment for the promotion of human resources for health.
This is the second (2005) edition of the Community Health Worker Training Manual of Afghanistan’s Ministry of Public Health. The training manual provides an overview of the roles and responsibilities of CHWs in meeting the health needs of the population, as well as key information and skills the CHWs require. Each chapter includes sections on: background, things to know, things to do and key points.
This article examines Directly Observed Therapy (DOT-HAART) provided by CHWs or accompagnateur to HIV patients in Boston and Haiti. The CHWs provide psychosocial support and link the patients to clinical staff and available resources. The article suggests that the accompagnateur model can be applied to other poverty-stricken populations in resource-poor settings.
This manual, published by Institute for Democracy in South Africa (IDASA), aims to provide information for non-governmental organizations (NGOs) to develop and mobilize civil society¹s engagement with AIDS councils and build effective governance of the HIV/AIDS pandemic. The manual also stresses the importance of taking local context into consideration when the workshops are given. The authors aim is for this manual to not only be used by civil society but also by the AIDS councils themselves.