"'I'm a Health Worker' - Abduaraman Gidi" made by IntraHealth International.
This article provides background information on the incentive system for India’s Accredited Social Health Activists (ASHAs). India has created an outcome-based incentive system which creates a clear difference in payment per patient. ASHAs have been more likely to suggest certain procedures and leave out pertinent information to ensure a higher payout, putting patients at risk. This article...
In Ethiopia some CHWs are now receiving smartphones that aid them in providing care for patients as well as strengthening new skills they can use in their job. This technology is powered by a solar lantern that allows CHWs to use training modules at home that can be downloaded and used without connection. In addition, the lantern provides a source of light to study CHW textbooks at night. ...
This article draws on the importance of CHWs in post conflict countries. Sidibe details personal experience in East Timor where he worked as a Peace Corps Volunteer, but emphasizes his new work in Liberia and the health improvements that have been made as a result of CHWs. Liberia and surrounding nations post Ebola were left with a lack of health resources posing a challenge to its people. ...
This article explains the current state and focus of the U.S. healthcare system and describes it’s shortcomings. The authors propose a widening of definitions in regards to product, place, and provider in an effort to allow for cheaper health interventions such as community health worker programs. This article also evaluates the different ways in which healthcare in the U.S. is funded and...
In Zambia, the 2010 National Community Health Worker Strategy (NCHWS) created a cadre of salaried Community Health Assistants (CHAs) to work in rural and underserved areas providing access to health care and developing prevention measures. The Ministry of Health (MOH) is currently in the process of creating a workforce of 5,000 CHAs. After the first class of CHAs graduated, a process...
The focus of this report is on the financial sustainability of Community Health Worker (CHW) programs in the state of Connecticut. The goal of this research is to find a way in which Connecticut can develop an effective program that utilizes CHWs to improve patient health outcomes and achieve a level of positive financial return. This report worked within the boundaries of Connecticut’s...
The objective of this study was to evaluate how the Community Outreach and Patient Empowerment (CORE) program has affected Navajo Nation Community Health Representative (CHR) teams over the past 6 years. COPE staff members surveyed CHRs in 2014 and 2015 about their perceptions of and experience working with COPE, including potential effects COPE may have had on communication among patients,...
This study on child survival, presents indicators, national document, and qualitative data from key informants and community women describing the factors that have enabled Zambia to successfully reduce under-five mortality over the last 15 years and achieve Millennial Development Goal (MDG) #4. Study results found a Zambian national commitment to ongoing reform of national health strategic...
The objective of this paper was to assess if training Health Surveillance Assistants (HSAs) in couples counseling would increase modern family planning uptake among young women in Malawi. In this cluster randomized controlled trial, 30 HSAs from Lilongwe, Malawi received training in family planning. The HSAs were then randomized 1:1 to receive or not receive additional training in couples...
This study evaluated the effects of a social accountability approach, CARE’s Community Score Card (CSC), on reproductive health outcomes in Ntcheu district, Malawi using a cluster-randomized control design. Two independent cross-sectional surveys of women who had given birth in the last 12 months, at baseline and at two years post-baseline were conducted. Using difference-in-difference (DiD)...
Advancing Partners & Communities (APC) advances and supports community programs that improve the overall health of communities and achieve other health-related impacts, especially in relationship to family planning. The project increases access to community-based health services, spanning a spectrum of health issues. Implemented by JSI Research & Training Institute, Inc., in partnership with FHI 360, APC advances global learning by providing technical assistance to local partners and governments, generating new data and evidence, managing over 100 small and medium sized grants, and building the organizational and technical capacity of organizations to strengthen community health and family planning programming. APC’s work spans a wide spectrum of technical areas, including but not limited to: expanding access to quality health and FP services, building human resource capacity, strengthening policy and health systems, and integrating youth and gender into all of our activities. The changing landscape of health systems, combined with the shortage of highly skilled health providers, has created opportunities for scaling-up task sharing in the delivery of health and FP services at the community level.
Specific APC resources that may be of particular interest to implementers that work with CHWs are the Community Health Systems Catalog, the Community Health Worker Provision of Injectable Contraceptives suite of tools, and the first in a series of Community-based Health System Model briefs, focused on Nepal. Please visit APC’s website to learn more about the project and explore our many other resources. To learn about new resources and stay up to date on APC’s activities, please sign up for the newsletter.
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