Video Spotlight

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

Means, Motives and Opportunity: determinants of community health worker performance

The Means, Motives and Opportunity (MMO) framework can be used to identify determinants of CHW performance. This article uses the case study of Anganwadi Workers (village nutrition workers) in Bihar, India to demonstrate how the framework is applied. 

Salaried and voluntary community health workers: exploring how incentives and expectation gaps influence motivation

There has been a renewed attention for the need to strengthen CHWs performance, which partly depends on motivation. This paper analyzes the use of incentives and their influence on improving CHW motivation.

Optimising the performance of frontline implementers engaged in the NTD programme in Nigeria: lessons for strengthening community health systems for universal health coverage

Successful attainment of Neglected Tropical Disease goals and other health interventions depends on maximizing frontline implementers’ performance. This study aimed to capture and translate knowledge, problems and solutions, identified by implementers, to enhance NTD program delivery at the community level in Nigeria.

The Governance of National Community Health Worker Programmes in Low- and Middle-Income Countries: An Empirically Based Framework of Governance Principles, Purposes and Tasks

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.

Community Health Worker Assessment and Improvement Matrix (CHW AIM): Updated Program Functionality Matrix for Optimizing Community Health Programs

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.

The Community Health Systems (CHS) Catalog

The Community Health Systems (CHS) Catalog is a one-stop ‘shop’ for information on community health policies and programs across 25 countries, including extensive information on CHWs. Developed in 2014 and updated in 2017, it provides policymakers, program managers, researchers and donors with policy data to advance community health research, programming, and advocacy efforts. The CHS Catalog includes 25 country profiles, a set of infographics, and a summary of cross-country policy and program trends.

Factors enabling community health workers and volunteers to overcome sociocultural barriers to behaviour change: meta-synthesis using the concept of social capital

A meta-synthesis of the existing literature, this article examines 33 publications to identify the factors that enable community health workers to bring about behavior change. It explicitly recognizes the difference between full-time trained and salaried community health workers and part-time community volunteers and proposes an approach to better coordinating the community health workforce to serve health, behavior change and empowerment needs. 

Role of Monetary Incentives on Motivation and Retention of Community Health Workers: An Experience in a Kenyan Community

Retaining trained CHWs is a challenge faced by many  countries. This study assesses the role of monetary incentives on motivation and retention of CHWs in Kibwezi Sub-county, Kenya. 

The contribution of female community health volunteers (FCHVs) to maternity care in Nepal: a qualitative study

This study looks at a group of community health workers know as Female Community Health Volunteers (FCHVs) and their role in reducing the maternal mortality ratio in Nepal. 

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