This report summarizes the implementation and findings of the Project for Advancing the Health of Newborns and Mothers (Projahnmo) in Bangladesh. Projahnmo was conceived to test the effectiveness of two different service delivery models of a community-based maternal and newborn care intervention package provided by CHWs, traditional birth attendants and community mobilizers. The study identified an effective model to reach newborns at home after delivery; the authors conclude that it suggests a model for integrated community-based care of newborns in rural Bangladesh.
This report presents the findings and recommendations of the Global Health Workforce Alliance’s Task Force for Scaling Up and Training for Health Workers, focusing on countries with a health workforce crisis. The report uses evidence from Brazil, Ethiopia,and India on what can and has been done to expand the education and training of health workers quickly and on a national scale, by national governments as well as education and training bodies. The Task Force estimates it would require US $2.6 billion a year to educate and train 1.5 million additional health workers in Africa.
This paper is one of a series of background papers commissioned by WHO for the October, 2011, World Conference on Social Determinants of Health. It describes Rwanda's attempt to improve maternal indicators by pairing a community performance-based financing (CPBF) strategy to empower CHWs with a strategy to incentivize mothers. The pilot intervention was conducted in 31 of Rwanda's poorest health centers; three maternal and child indicators were monitored. Results from the pilot showed significant increases in the number of women accessing antenatal care and delivering at health centers.
This toolkit provides a variety of resources that form a platform for strengthening capacity to address public health priorities, specifically postpartum hemorrhage, which is the leading cause of maternal mortality worldwide. The toolkit, developed by MCHIP, includes hemorrhage-related information on: advocating, policy, preparing providers, advocating, quality of care, increase awareness, monitoring and evaluation, scale-up and sustainability.
This pre-service education toolkit outlines key programmatic steps, highlights lessons learned, and identifies key resources to assist in developing quality and relevant pre-service education interventions. The toolkit, originally developed by Jhpiego under the leadership of MCHIP, has been shaped significantly by the technical advisory group at MCHIP. Although targeted for midwives, this toolkit may be used for other cadres as well, such as CHWs.
The South African Academy of Family Practice's Rural Health Initiative journal details their delegation's visit and observation of the rural primary health care network in Iran. They examined in particular the roles of different workers in the Iranian system and the health houses that are staffed by CHWs, known locally as, Behvarz. The health houses are responsible for: maternal and child health, TB, Malaria, mental health, chronic illnesses, symptomatic treatment, environmental health and occupational health.
The main objective of this paper is to reexamine the implementation of national CHW programs and document the evidence based-knowledge or best practices in South Asia. The paper is primarily based on the internet search and a review of published literature on CHW national programs in South Asia. The topics highlighted in the paper are CHW roles, selection, training, incentives and motivation, monitoring, up scaling, and sustainability.
This field guide is designed for health program directors and managers of community-based programs who are considering using community mobilization to improve health at the individual, family, and community level. The field guide contains illustrative examples and lessons learned in community mobilization experiences from around the world, focusing on working with disadvantaged or marginalized groups in developing countries.
The report discusses Partners in Health (PIH) HIV work in one of Haiti's poorest areas. PIH launched a small pilot project integrating AIDS care with prevention efforts. PIH found that such projects are replicable and may enhance primary health care. CHWs played a crucial role in developing a stronger approach to HIV/AIDS as well as scaling up primary health care.
New MNCH Working Paper from UNICEF and the London School of Hygiene and Tropical Medicine presenting a systematic review of CCM for malaria
UNICEF, in collaboration with the London School of Hygiene and Tropical Medicine, has just released a new MNCH Working Paper titled “A systematic review of strategies to increase demand, uptake and quality of community-based diagnosis and case management of malaria” by Lucy Smith Paintain, Barbara Willey, Alyssa Sharkey, Julia Kim, Valentina Buj, David Schellenberg & Ngashi Ngongo.