Mozambique launched its revitalized community health programme in 2010 in response to inequitable coverage and quality of health services. The programme is focused on health promotion and disease prevention, with 20% of community health workers’ (known in Mozambique as Agentes Polivalentes Elementares (APEs)) time spent on curative services and 80% on activities promoting health and preventing illness. We set out to conduct a health system and equity analysis, exploring experiences and expectations of APEs, community members and healthcare workers supervising APEs.
Cape Town, South Africa, September 29, 2014 – A new report finds that developing nations’ ability to deal with pressing health challenges like HIV/AIDS and ensuring maternal and newborn survival will be strengthened by creating a common definition for community health workers, as well as a core set of skills and competencies that would help ensure they are optimally trained, supported and deployed to provide care and treatment when and where it is needed most.
A systematic review of published research was conducted in order to understand factors that may influence the integration of national community-based health worker (CBHW) programs into low- and middle –income countries. Four programs – Brazil, Ethiopia, India, and Pakistan – met the inclusion criteria and were integrated into their specific health systems. Several factors were included that facilitated the integration process, as well as other factors that inhibited the integration process.
The Patient Protection and Affordable Care Act (ACA) provides a policy framework to re-imagine a system of care that emphasizes health and wellness through new models of primary care and population health interventions. These new models offer the potential to deliver care services at a lower cost, to detect and treat disease earlier, to deploy data and technology to improve population health outcomes, and to address social and environmental conditions that impede efforts to improve health.
CDC has compiled evidence-based research that supports the effectiveness of CHWs in the Community Health Worker Toolkit. The toolkit also includes information that state health departments can use to train and further build capacity for CHWs in their communities, as well as helpful resources that CHWs can use within their communities.
This guide provides information that may be helpful in various ways for organizations considering the employment of CHWs. It summarizes evidence-based best practices that organizations may wish to adopt or reinforce. It delineates possible quality indicators for high-quality CHW programs that may be used in discussions with payers. It provides background on key state policy matters related to the training and certification of CHWs that provider organizations may wish to influence. And it describes policy experts’ experiences and perspectives on options for reimbursement.
Hello, and welcome to today’s Coffee Break presented by the Evaluation and Program Effectiveness Team in the Division for Heart Disease and Stroke Prevention at the Centers for Disease Control and Prevention. We are really fortunate to have Alberta Mirambeau as today’s presenter. Alberta is from CDC’s Division for Heart Disease and Stroke Prevention and is a Health Scientist on the Evaluation and Program Effectiveness Team. My name is Jan Losby and I am also a member of the Evaluation Team. It is my pleasure to serve as today’s moderator for this 20 minute session.
The purpose of this paper is to promote early and continuous causal thinking as decision makers design, implement, scale up, and evaluate CHW and other programs that are intended to positively affect the public’s health. The methods section describes how the generic CHW logic model was constructed, drawing explicitly on research in LMICs and the informed opinion of CHW experts with experience in these countries. The results section presents a graphic display of the model
This series of 18 training modules can be used in a five- or six-day workshop to deliver technical content on case management and prevention of common health problems through a community-directed delivery mechanism. These modules build on field experience in delivering malaria services through community effort as well as on the 16+ years of effort by the African Program for Onchocerciasis Control and the Special Program for Research and Training in Tropical Diseases of the World Health Organization and its partners.
In the past decade, the community health worker (CHW) profession in the United States has increased its visibility, but its potential contributions remain underappreciated and more permanent financing is elusive. This paper describes the current state of knowledge about how and where CHWs can contribute effectively, where barriers inhibit efficient deployment of CHWs, and what business models could support change.