Video Spotlight

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

A conceptual framework for measuring community health workforce performance within primary health care systems

Management of CHW programs requires better data collection approaches at the community level. This paper describes a framework and proposes a list of metrics to monitor CHW performance in low- and middle-income countries. 

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.

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.

Extension for Community Healthcare Outcomes (ECHO): a new model for community health worker training and support

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. 

Measuring productivity and its relationship to community health worker performance in Uganda: a cross-sectional study

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. 

Facilitators and barriers to birth preparedness and complication readiness in rural Rwanda among community health workers and community members: a qualitative study

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. 

Evaluation of malaria rapid diagnostic test (RDT) use by community health workers: a longitudinal study in western Kenya

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. 

The role of community health workers in improving HIV treatment outcomes in children: lessons learned from the ZENITH trial in Zimbabwe

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.

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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CHW Central is managed by Initiatives Inc. Site start-up was supported by the USAID Health Care Improvement Project in 2011.

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