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.
This article describes a distance learning approach for CHWs using the Extension for Community Healthcare Outcomes (ECHO) model™, which is a video-conferencing-based mentorship model. The authors describe the ECHO model for CHW training and mentoring using case examples and pre/post-surveys from an obesity prevention and addiction recovery program. They conclude that the ECHO model has advantages over traditional training methods for CHWs and can be adapted to other countries.
How are CHW productivity and performance related and what factors influence them? This study assesses the correlation between productivity and performance and the factors associated with them among the community health volunteer (CHV) from Village Health Teams (VHT) in Busia, District, Uganda.
This qualitative study examines the facilitating factors and barriers to birth preparedness and complication readiness in rural Rwanda. Participants perceived CHWs, attending antenatal care, and medical insurance as facilitating factors while disrespectful care and inconsistent health policies were seen as barriers.
This study assessed whether or not community health workers maintain competency in malaria rapid diagnostic tests (RDTs) administration over a twelve-month period as well as the CHW characteristics, such as age or level of experience, that influence competencies. The results indicate that a majority of CHWs maintain RDT competency over at least a twelve-month period and that younger age and prior experience with RDT are associated with better RDT performance.
This study examines Community Health Workers’ perceptions of how the Zimbabwe study for Enhancing Testing and Improving Treatment of HIV in Children (ZENITH) randomized controlled trial’s structure and management affected their performance. The results of the study showed that CHWs saw the intervention as acceptable, feasible, and expressed overall strong job satisfaction. Long term sustainability of the programme is highlighted as an issue and the future improvement and adoption of the approach in other settings are discussed.
This retrospective observational study examined the quality of integrated community case management (iCCM) care given by village health workers in five villages in Bugoye subcounty in Uganda. For malaria, pneumonia, and diarrhoea the quality of care was high, though the overall quality of care was lower. There is an increase in quality of care after the implementation of iCCM services.
This study examines the effectiveness of a community health worker (CHW) program, which aims to address client objectives for frequent emergency department users. 43% of total objectives were achieved and objective achievement was linked with increased client engagement. The authors offer several suggestions as to why the objective achievement was low and how to better engage clients in CHW services.
This article examines the performance of South Indian frontline health workers by analyzing their time management and identifying factors that affect their work. Around 6 or 7 hours were spent on any working day, rather than the expected 8 hours.