This review looked at what helps or prevents community health worker programs from being successfully introduced and integrated into primary healthcare in high-income countries. Looking at 72 studies, mostly from the United States, it found that strong support from health leaders, community partnerships, and dedicated program champions helped CHWs succeed. However, short-term … [Read more...] about Barriers to and facilitators of the implementation of Community Health Worker programmes in high-income countries: a systematic review
health systems
Community Health Workers and Primary Health Care Strengthening in Nigeria: Challenges, Opportunities, and Implications
Community Health Workers (CHWs) play an important role in bringing primary healthcare closer to communities in Nigeria by providing health education, supporting maternal and child health, assisting with immunization, preventing diseases, and referring people for further care. However, their work is limited by inadequate training, low pay, weak supervision, limited resources, … [Read more...] about Community Health Workers and Primary Health Care Strengthening in Nigeria: Challenges, Opportunities, and Implications
A Structured Human-Centered Design Process for Integrating Community Health Worker Insights Into Program Policy in Pakistan
This study in Pakistan explored whether community health workers could help improve polio vaccination programs by sharing their ideas and experiences. More than 900 workers took part in a structured process where they identified problems and suggested possible improvements. They submitted 181 ideas, with nine selected for implementation. The workers said it was meaningful to … [Read more...] about A Structured Human-Centered Design Process for Integrating Community Health Worker Insights Into Program Policy in Pakistan
Assessment of community health workforce governance in federal Nepal
This study in Nepal looked at how the shift to local government control has affected the management and support of female community health volunteers. Interviews, group discussions, and document reviews found that local decision-making has made the system somewhat more responsive to community needs and improved accountability and participation. However, local governments still … [Read more...] about Assessment of community health workforce governance in federal Nepal
Decision-analytic models in the economic evaluation of community health worker programmes globally: a systematic review
This study reviewed 37 economic studies to assess whether Community Health Worker (CHW) programmes provide good value for money. Most studies found that CHW programmes were cost-effective, with 84% reaching this conclusion. However, many studies had weaknesses, including limited data, poor testing of their models, and not fully accounting for the wider benefits of CHWs. The … [Read more...] about Decision-analytic models in the economic evaluation of community health worker programmes globally: a systematic review