This case study describes the rationale, implementation strategies, achievements and challenges of a programme that created a new cadre of female health workers in the Pakistan health system to address unmet health needs of rural populations and slum dwellers.
This presentation was delivered at the 4th Health Conference on Primary Health Care and Family Health in Brazil.
Building on an overview of the global health workforce challenges, Dr Sheikh outlined short-, medium - and long-term strategies to address health personnel shortages, and analysed the links between the HRH agenda and the revitalisation of primary health care. The potential contribution of community health workers was highlighted. Case studies from Brazil, Ethiopia and Pakistan were also presented.
The report describes how the Government of Ethiopia is attempting to tackle the shortage of health workers, particularly acute in rural areas.
30,000 health extension workers are being trained to be deployed at the community level to deliver essential health services. 5,000 additional health officers will be trained to supervise and support health extension workers.
A challenge faced by many countries is to provide adequate human resources for delivery of essential mental health interventions. The overwhelming worldwide shortage of human resources for mental health, particularly in low-income and middle-income countries, is well established.
The global shortage of skilled, motivated, and supported health workers is universally acknowledged as a key development challenge because it is a critical barrier to strengthening health systems, achieving the Millennium Development Goals (MDGs), improving the prospects for universal health coverage, and addressing inequity and poverty. The World Health Report 2006, Working Together for Health, estimated a worldwide shortage of 4.3 million health workers.
The global shortage of skilled, motivated, and supported health workers is universally acknowledged as a barrier to achieving the Millennium Development Goals. The World Health Report 2006, “Working Together for Health,” estimated that there is a shortage of 4.3 million health workers in the world.
From the early years of primary health care, community-based health workers and volunteers (CHWs) have played a key role in satisfying the need and demand for essential health services. This article proposes that CHWs need to be supported and recognized as a pivotal part of health care. CHW programmes need be comprehensive rather than vertical and they should rely on both the community and the formal health system for supplies, communications and referrals.
In Senegal, an HMM pilot study in 2008 demonstrated the feasibility of integrated use of RDTs and ACT in remote villages by volunteer Home Care Providers (HCP). This paper reports the results of the scale-up in the targeted communities and the impact of the strategy on malaria in the formal health sector. Results show home-based management of malaria including diagnosis with RDT and treatment based on test results is a promising strategy to improve the access of remote populations to prompt and effective management of uncomplicated malaria and to decrease mortality due to malaria.
This report provides a systematic review of the literature to document evidence on characteristics of community health workers (CHWs) and CHW interventions, outcomes of such interventions, costs and cost-effectiveness of CHW interventions, and characteristics of CHW training. CHWs can serve as a means of improving outcomes for underserved populations for some health conditions. The effectiveness of CHWs in numerous areas requires further research that addresses the methodological limitations of prior studies and that contributes to translating research into practice.