From the World Health Organization: This Joint Statement was developed by the Global Health Workforce Alliance together with the WHO, IFRC, UNHCR, UNICEF and WHO. It aims at drawing attention to the vital role played by CHWs in emergency risk management; promoting the scale-up, training and involvement of CHWs; and reinforcing the community-based health workforce.
This paper describes the contribution of the non-governmental organization Zanmi Lasante (ZL) to scaling up HIV prevention and treatment and improving primary health care services in the public health system in Haiti. ZL’s model utilizes CHWs to supervise antiretroviral therapy and provide community outreach, including active case finding and outreach to marginalized populations. The case study analyses key components of the CHWs work, their self-perception, and their roles in enhancing community uptake of services and targeting vulnerable groups.
In Kenya, with USAID support, the Population Council's FRONTIERS in Reproductive Health project supported the scale up of a model that enabled women to give birth at home or to be referred to a hospital when attended by a self-employed skilled midwife living in the community. This report describes the project and provides recommendations on skills development for the community midwives in: maintaining quality of care, business skills and support to achieve financial sustainability, and strengthening linkages among midwives, the formal health sector and District Health Management Teams.
This paper reviews the development of the Community-based Heath Planning and Services (CHPS) Initiative, describes the processes of implementation and relates the initiative to the principles of scaling up organizational change which it embraces. Over a 2-year period, 104 out of 110 districts in Ghana started CHPS, employing strategies tested in the successful Navrongo experiment to guide national health reforms and mobilize volunteerism, resources and cultural institutions for supporting community-based primary health care.
This document provides guidance in the design of systems for community-based distribution (CBD) programs. The guide aims to assist program managers and other stakeholders in designing and implementing stronger and more sustainable supply chains for their CBD programs. The guide is intended to serve as a resource of tools that can be modified and adapted for use by any government or organization that implements CBD programs in any country.
This global survey documents the preliminary research and findings that the JSI team compiled to inform the final project document, Supply Chain Models and Considerations for Community‐Based Distribution Programs: A Program Manager’s Guide. It can be used as a reference to any person or organization interested in CBD programs.
In 2005, a three-year multi-country study was launched to examine how the Community Directed Intervention (CDI) approach, which had been remarkably successful in distributing ivermectin for treatment of onchocerciasis, could be used alongside ivermectin for integrated delivery (or co-implementation) of four other health interventions: Vitamin A supplementation, distribution of insecticide-treated nets, directly observed treatment, short course (DOTS) for tuberculosis and home-management of malaria. The study covered a total of 2.35 million people.
This toolkit provides a variety of resources that form a platform for strengthening organizations’ capacity to promote community-based access to injectable contraceptives and to advocate for national policy and service delivery guidelines. The components of the toolkit address program planning, implementation, evaluation and scale-up. It provides evidence and background material to support community delivery of injectable contraception, shares country experiences and advocacy strategies and provides information on organizations that are global leaders in this area.
This article looks at the policy landscape and processes that led to the implementation of a community case management (CCM) for child survival program in Nicaragua. The authors review both the contextual factors that facilitated CCM as well as the challenges, and conclude that continuous monitoring is essential for both sustainability and scale up.
This study sought to identify best practices in deployment of community health and care workers (CHWs and CCWs). Studies conducted in each of South Africa’s 9 provinces assessed the extent to which CHW deployment has addressed important health priorities; documented success stories and lessons; and developed an understanding of the range of ways that CHW programs have evolved in the country.