CHW Central

A global resource for and about Community Health Workers

Performance-based incentives

Effects of team-based goals and non-monetary incentives on front-line health worker performance and maternal health behaviours: a cluster randomised controlled trial in Bihar, India

Conducted in India, this study assessed a ‘Team-Based Goals and Incentives’ intervention aimed to enhance frontline (community health) worker (FLW) performance and promote healthier behaviors. The results revealed a significant rise in antenatal home visits and iron-folic acid tablet ingestion, along with progress in teamwork among FLWs. Changes in other health behaviors were … [Read more...] about Effects of team-based goals and non-monetary incentives on front-line health worker performance and maternal health behaviours: a cluster randomised controlled trial in Bihar, India

‘Our village is dependent on us. That’s why we can’t leave our work’. Characterizing mechanisms of motivation to perform among Accredited Social Health Activists (ASHA) in Bihar

This study aimed to identify factors that inspire Accredited Social Health Activists (ASHAs) in India. The results highlight the importance of self-empowerment, adequate financial compensation, and connection to the community’s health system as a few motivating factors for ASHAs. Conversely, implementation and management challenges are sources of ASHA discontent. … [Read more...] about ‘Our village is dependent on us. That’s why we can’t leave our work’. Characterizing mechanisms of motivation to perform among Accredited Social Health Activists (ASHA) in Bihar

Piloting a participatory, community-based health information system for strengthening community-based health services: findings of a cluster-randomized controlled trial in the slums of Freetown, Sierra Leone

This operations research study in Sierra Leone observed the impact of a participatory community-based health information system (PCBHIS) approach to community engagement. The study showed improved results on selected CHW performance indicators at intervention sites, but more limited improvements in ward development committee and health management committee capacity. … [Read more...] about Piloting a participatory, community-based health information system for strengthening community-based health services: findings of a cluster-randomized controlled trial in the slums of Freetown, Sierra Leone

Remuneration systems of community health workers in India and promoted maternal health outcomes: a cross-sectional study

This cross-sectional study compared the performance of “paid-for-performance” Accredited Social Health Activists (ASHAs) and salaried Anganwadi workers (AWWs) in various Indian states. While results varied among them, the study found that AWWs’ visits had a stronger connection with positive health behaviors compared to ASHAs. ASHA visits had weaker impacts on nutrition and … [Read more...] about Remuneration systems of community health workers in India and promoted maternal health outcomes: a cross-sectional study