This is a resource for trainers developing in-service training for facility-based healthcare providers and CHWs who already have some basic experience with reproductive health and family planning. It is a reference guide to be used by trainers and can be adapted depending on whether trainees are facility-based or community-based.
WHO puts forward a set of 22 recommendations to provide guidance to countries considering adopting or extending a task-shifting approach. These recommendations were developed through a one-year process of country consultation, extensive data-gathering, and broad consultation among a wide range of experts and stakeholders.
Task shifting is one approach to address the shortage of health staff by rational redistribution of tasks among health workforce teams. This document contains 22 recommendations and guidelines developed through a process of country consultation, extensive evidence gathering, and broad consultation among a wide range of experts and stakeholders. The recommendations provide the basis for a formal framework for a national strategy on task shifting along with guidance on ensuring the strategy is safe, efficient, effective, equitable and sustainable.
This document describes Aphia II Nyanza's 2006-10 strategy to support Kenya's Ministry of Health as well as FBOs and CBOs to: improve and expand facility based services, civil society activities to increase healthy behaviors and care, and support for people and families affected by HIV and AIDS.
This systematic review is helpful for people who need to make decisions about the use of lay health workers in primary and community care delivery. The authors reviewed 82 studies to assess the effects of lay health worker interventions on improving MCH and TB outcomes. Key findings and considerations of relevance for low and middle income countries are included outcomes.
This article presents the findings of a project to promote exclusive breastfeeding in rural communities through the training of community health extension workers in rural Nigeria. The authors found that the training of extension health workers in rural communities is feasible, can have a beneficial impact on breastfeeding promotion, and that such training should be continued and incorporated into the primary health care system.
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 short commentary discusses the Lady Health Worker (LHW) program in Pakistan. LHWs serve as an important link between community and health facilities, providing both preventative and curative care. However, additional improvements are suggested that could further facilitate a thriving program. These include: incentives for LHWs (improving salaries, timely contract renewals and providing transport), periodic reevaluation of program goals, integrating the LHW program into the main government system and improving supervision.
This study examined: (i) whether Zambian CHWs could prepare and interpret RDTs accurately and safely using manufacturer's instructions alone; (ii) whether mostly pictorial instructions (a "job aid") could raise performance; and (iii) whether a brief training program would produce further improvement. The authors found that manufacturers' instructions, like those provided with the RDTs used in this study, are insufficient to ensure safe and accurate use by CHWs. However, well-designed instructions plus training can ensure high performance.
This guide outlines the type of information and approaches that Healthy Villages managers could provide to their communities; it can be used as the basis for developing material that is specific to regions or to entire countries. Healthy Villages deals with achieving good health through: water, excreta disposal, drainage, solid waste management, housing quality, hygiene, providing health care, and establishing committees for implementing Healthy Villages Initiatives.