Video Spotlight

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

Leadership and governance of community health worker programmes at scale: a cross case analysis of provincial implementation in South Africa

This cross case analysis of leadership and governance roles involved in implementing large-scale community health worker programs at sub-national level. The authors identified four key roles for leaders and governments in implementing these programs. 

Performance of community health workers: situating their intermediary position within complex adaptive health systems

This review provides a conceptual framework on CHW performance in low- and middle-income counties. The paper outlines several key factors that should be focused on to improve CHW performance.

The global pendulum swing towards community health workers in low- and middle-income countries: a scoping review of trends, geographical distribution and programmatic orientations, 2005 to 2014

This review incorporated publications on CHWs that were published from 2005 to 2014. Specifically, the paper investigates the development, placement, and orientations of programs in low- and middle-income countries. Most programs were disease or program specific, rather than using an integrated approach. 

Practitioner Expertise to Optimise Community Health Systems: Harnessing Operational Insight

This newly released report, titled ‘Practitioner Expertise to Optimise Community Health Systems: Harnessing Operational Insight’ examines how CHWs can successfully be integrated into national health systems, subsequently contributing towards efforts to achieve Universal Health Coverage.

Innovation in health service delivery: integrating community health assistants into the health system at district level in Zambia

This paper explores the factors that shaped the acceptability and adoption of community health assistants (CHAs) into the health system at the district level in Zambia. Using thematic analysis, data was collected through a review of documents, 6 focus group discussions with community leaders, and 12 key informant interviews with CHA trainers, supervisors and members of the District Health Management Team. Results found a perceived relative advantage of CHAs over existing community-based health workers in terms of their quality of training and scope of responsibilities.

Community Health Committees (CHCs) and Health Facility Management Committees (HFMCs) Program Functionality Assessment

This document provides tools for assessing the functionality of two types of representative health groups: the Community Health Committee (CHC) and the Health Facility Management Committee (HFMC). Tools are available to assess program functionality through documents such as a roles and responsibilities checklist, assessment and improvement matrices, a validation questionnaire, and an action plan template. Specific resources are available to assess the support provided to CHW Programs including recruitment, training, supervision, and incentives. 

Case Studies of Large-Scale Community Health Worker Programs

This resource from USAID and MCHIP provides an overview of large-scale CHW programs from 13 countries: Afghanistan, Bangladesh, Brazil, Ethiopia, India, Indonesia, Iran, Nepal, Niger, Pakistan, Rwanda, Zambia and Zimbabwe. Case studies address the historical context of CHWs, the health needs of the country, the scope of work of the CHWs, CHW training, support and supervision, and financing of CHW programs. The demonstrated impact and continuing challenges of the different programs are also addressed.

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