This study explored how community health workers in India view their pay. It found that they see payment in three main ways: as fair compensation for their work, as a way to motivate better performance, and as a sign of how much their work is valued. Most workers felt that being paid through small incentives instead of a regular salary lowers their status and respect compared … [Read more...] about Fair pay, performance optimizer, or status marker? The social meaning of remuneration for India’s women community health workers
CHW Payment
Altruism or Exploitation? Rethinking the Ethics of Unpaid Lay Community Health Workers in Sub- Saharan Africa. The Case of Zambia
This study looked at whether community health workers in Zambia are being treated fairly when they are not paid. It found that many continue to work out of a strong desire to help their communities, even with little or irregular pay and limited resources. However, the study argues that this situation can still be unfair and that these workers should be properly paid to … [Read more...] about Altruism or Exploitation? Rethinking the Ethics of Unpaid Lay Community Health Workers in Sub- Saharan Africa. The Case of Zambia
Medicaid Reimbursement for Community Health Worker Services: Model State Plan Amendment & Other Guidance, November 2025 Update
Community health workers help people deal with everyday challenges that affect their health by connecting them to services, offering support, and helping them make healthy choices. Research shows that strong CHW programs improve long-term health, support mental wellbeing, reduce hospital visits, and help more people access basic care. While these programs have often depended on … [Read more...] about Medicaid Reimbursement for Community Health Worker Services: Model State Plan Amendment & Other Guidance, November 2025 Update
Enhancing Efficiency and User Experience of Digital Community Health Worker Payments in Zanzibar: Implementation Report
This report describes how the Jamii ni Afya project in Zanzibar improved its digital payment system for community health workers by involving them in the design process. The new system made payments more accurate, efficient, and easier to understand. Health workers felt more informed and in control, and staff found it easier to manage payments. The changes are expected to … [Read more...] about Enhancing Efficiency and User Experience of Digital Community Health Worker Payments in Zanzibar: Implementation Report
Community health worker payment processes: a qualitative assessment of experiences in two Indian states
This study looked at how community health workers (CHWs) in India are paid and the challenges they face. Researchers interviewed CHWs, supervisors, and health leaders in two states and found that the payment process is complicated and often causes delays, extra work, and frustration. Even with digital tools, problems remained, but areas with good local leadership and … [Read more...] about Community health worker payment processes: a qualitative assessment of experiences in two Indian states