Video Spotlight

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

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.

Who is a community health worker? — a systematic review of definitions

This review article explores the various definitions and descriptions of CHWs in the literature. It also identifies common themes in these definitions to better understand the essential characteristics of health workers classified as CHWs and to distinguish them from other healthcare providers. By describing the various categories of CHWs, this resource helps to clarify the use of the term to ultimately aid key stakeholders in community health program planning, policy, and research.

 

Management challenges in mHealth: failures of a mobile community health worker surveillance programme in rural Nepal

The emerging field of mobile health (mHealth) consists of interventions that apply cellular phones and other mobile devices for healthcare purpose such as data collection, clinical decision support, self-care, and CHW management. This rapid expansion of mobile communications systems represents an opportunity to improve the productivity of community health workers in rural areas.

Community Health Worker Data for Decision-Making

In 2015, the One Million Community Health Workers (1mCHW) Campaign and mPowering Frontline Health Workers (mPowering) conducted a series of interviews and held an online discussion, hosted on the Healthcare Information for All forum, on the need of improved data on community health workers (CHWs) to help achieve the Sustainable Development Goals.
 

Task Sharing Implant Insertion by Community Health Working: Not Just Can It Work, but How Might It Work Practically and With Impact in the Real World

Demonstrating that a health service, such as providing contraceptive implants, can be safely task shared to less highly trained workers is crucial but is only one step toward effective implementation at scale. Providers need dedicated time, enough clients, supplies, supervision, and other system support, allowing them to maintain their competency, confidence, and productivity. 

 

Gender- a Missing Dimension in Human Resource Policy and Planning for Health Reforms

This article takes up the relatively neglected issue of gender in human resources policy and planning (HRPP), with particular reference to the health sector in developing countries. Current approaches to human resources lack any reference to gender issues. Meeting the health needs of women as major users and potential beneficiaries of health services is a key international concern.

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