As part of an assessment of quality of community case management services in Malawi, this report examines the bias associated with measuring community health worker performance by using register reviews, case scenarios, and direct observation only methods compared with direct observation with re-examination by a higher-level clinician, and discusses the relative strengths and weaknesses of the four assessment methods in the Malawi context.
This paper was published by the Rwandan Ministry of Health. The main objective of this report is to analyze CHWs' performance in order to inform program expansion. Additional objectives include: 1. review the quality of case management by CHWs; 2. review the quality of drug management; 3. analyze the process and quality of technical supervision received by the CHWs; 4. analyze parents’ satisfaction after using CHWs services; and 5. make recommendations to improve program implementation.
This report aims to identify CHW programs with positive impacts on Millennium Development Goals (MDGs), related to health or otherwise, through a global systematic review undertaken of such interventions, as well as eight in-depth country case studies in SubSaharan Africa (Ethiopia Mozambique and Uganda), South East Asia (Bangladesh, Pakistan and Thailand) and Latin America (Brazil and Haiti).
This report describes key issues in the implementation of Ghana's health workforce development plan, which aims to address morale and distribution challenges. Priority is being given to mid-level workers operating in community settings, and to incentive schemes to improve morale and retention.
From the World Health Organization: A global consultation of programme managers, policy makers and experts was convened by the Alliance in April 2010 in Montreux, Switzerland, to review the recommendations of a systematic review on Community Health Workers (CHWs), share experiences, and develop broad agreement on key messages for countries to use to integrate CHWs into their national health workforce. Key messages were identified around the following three areas: the planning, production and deployment; attraction and retention; and performance management of CHW.
This article presents a model for the development of sustainable primary health care in village communities in Honduras through the training and support of CHWs. The model, piloted in Comayagua, follows a "bottom-up" approach. A training curriculum for CHWs was developed that addressed the area's predominant health problems and made use of "Where there is no doctor" Training, a medical kit and quarterly support visits were provided to CHWs. After 15 months of practice, CHWs had attended to 2,347 patients.
This paper reviews recently published literature on community health worker programs, primarily focusing on maternal and newborn child health. Eighteen CHW programs and eleven relevant articles were included. It identifies key components of successful CHWs programs, reviews past successes and failures of CHW program implementation and summarizes important lessons learned.
This toolkit provides a variety of resources that form a platform for strengthening organizations’ capacity to promote community-based access to injectable contraceptives and to advocate for national policy and service delivery guidelines. The components of the toolkit address program planning, implementation, evaluation and scale-up. It provides evidence and background material to support community delivery of injectable contraception, shares country experiences and advocacy strategies and provides information on organizations that are global leaders in this area.
This comprehensive toolkit from Save the Children presents more than 20 integrated tools that can be used to implement integrated Community Case Management (iCCM) strategies to deliver life-saving treatments for common serious childhood infections: pneumonia, newborn sepsis, malaria and diarrhea. The tools offer proven frameworks for training, equipping and supervising CHWs and planning and monitoring their work. The tools are each presented in a one-page format, followed by one or more examples. Additional examples are available on an accompanying CD.
This document is the report from a workshop that brought together public health and mobile technology experts. The group examined how the use of mobile phones and other related technology can improve health care delivery by supporting CHWs and integrated Community Case Management (iCCM) programs. The report presents scenarios that demonstrate how mobile technology can be used to: bridge gaps between suppliers and health providers; give voice to community demands; and, promote recognition of high-performing CHWs.