CHW Central

A global resource for and about Community Health Workers

Policy

Extending Kingdon’s Multiple Streams Policy Framework Through an Analysis of How Community Health Workers in India Are Driving Policy Changes

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This paper explores how India’s Accredited Social Health Activists (ASHAs), despite being at the lowest level of the health system, have successfully advocated for better wages and working conditions. Through protests, strikes, and strategic engagement with policymakers, ASHAs have secured incremental wage increases, with significant progress during the COVID-19 pandemic. The … [Read more...] about Extending Kingdon’s Multiple Streams Policy Framework Through an Analysis of How Community Health Workers in India Are Driving Policy Changes

Opportunities to Enhance Health Equity by Integrating Community Health Workers into Payment and Care Delivery Reforms

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This policy brief evaluated the Rapid Acceleration of Diagnostics - Underserved Populations (RADx-UP) initiative to investigate the payment model reforms and policy changes that support CHWs to advance health equity. The RADx-UP initiative utilized CHWs during the COVID-19 pandemic, highlighting the many roles CHWs can do and the importance of trust building and relationships … [Read more...] about Opportunities to Enhance Health Equity by Integrating Community Health Workers into Payment and Care Delivery Reforms

Community participation in the health system: analyzing the implementation of community health committee policies in Kenya

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This study aimed to analyze the factors influencing the implementation of community health committee (CHC)-related policies in Kenya. A qualitative study design was utilized to extract data from policy documents, and key informant interviews were conducted with health workers and health managers in two counties (rural and urban) and with the national Ministry of Health. Results … [Read more...] about Community participation in the health system: analyzing the implementation of community health committee policies in Kenya

Promising careers? A critical analysis of a randomised control trial in community health worker recruitment in Zambia

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This article analyzes a randomized control trial that aimed to identify the best community health workers in Zambia. The RCT compared CHW recruits from two different poster campaigns: the “go-getters,” who were recruited from a poster emphasizing the potential career path of CHWs, and the “do-gooders,” who were recruited from posters that highlighted the ability of CHWs to help … [Read more...] about Promising careers? A critical analysis of a randomised control trial in community health worker recruitment in Zambia

Tharaka Nithi Community Health Strategy 2021-2025

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Tharaka Nithi county, Kenya, partnered with the Financing Alliance for Health to develop the county’s first-ever community health strategy. Following a 2021 situational analysis, county officials recognized several key challenges with the existing community health program, including inadequate training, inequitable health service coverage, and limited partner … [Read more...] about Tharaka Nithi Community Health Strategy 2021-2025