Video Spotlight

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

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.

Supervision of community peer counsellors for infant feeding in South Africa: an exploratory qualitative study

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.

Community health workers and the response to HIV/AIDS in South Africa: tensions and prospects

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.

Shifting tasks to save lives: the example of AMREF-trained clinical officers in Southern Sudan

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.

Community Health Worker Training Manual

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.

From Directly Observed Therapy to Accompagnateurs: Enhancing AIDS Treatment Outcomes in Haiti and in Boston

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.

AIDS Councils as Catalysts for Unlocking Citizen Power

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.

Building contexts that support effective community responses to HIV/AIDS: A South African Case Study

Building contexts that support effective community responses to HIV/AIDS: a South African Case Study discusses a health-enabling social environment, and some of the strategies currently being used to build social contexts to support effective HIV/AIDS management in southern Africa.

Community-Based Approaches to HIV Treatment in Resource-Poor Settings

This study assesses an HIV treatment program in a rural community in Haiti. Utilizing a community based approach with community health workers, the study found that increasing accessibility to HAART drugs in conjunction with community support, the health of a community can improve. The study concludes that utilizing a more-developed world approach can and should be done in order to reach and treat all citizens of the world infected by HIV/AIDS.

Community-Based treatment of advanced HIV disease: introducing DOT-HAART (directly observed therapy with highly active antiretroviral therapy)

Antiretroviral agents are not yet considered essential medications by international public health experts and are not widely used in the poor countries with high HIV prevalence.  With the collaboration of Haitian CHWs experienced in the delivery of home-based and directly observed treatment for TB, an AIDS-prevention project was expanded to deliver HAART to a subset of HIV patients deemed most likely to benefit. The study concludes that directly observed therapy (DOT) with HAART can be delivered effectively in poor settings if there is an uninterrupted supply of high-quality drugs.

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