Ethiopian primary health care usage for sick children is low, possibly due to poor perceptions about the quality of care in local settings. Dawit Wolde Daka and colleagues evaluated the quality of care among health extension workers for children under-five. Health extension workers failed to adhere to Community Case management guidelines with over 80% of sick children. … [Read more...] about Quality of clinical assessment and management of sick children by Health Extension Workers in four regions of Ethiopia: A cross-sectional survey
Program Management
The origins of Ethiopia’s primary health care expansion: The politics of state building and health system strengthening
Ethiopia received recognition as one of sub-Saharan Africa’s models of primary care, due in part to training and deploying over 30,000 Health Extension Workers since 2004. Kevin Croke discusses factors enabling the country to implement the program at scale. … [Read more...] about The origins of Ethiopia’s primary health care expansion: The politics of state building and health system strengthening
Task sharing in health workforce: An overview of community health worker programmes in Afghanistan, Egypt and Pakistan
People living in WHO Eastern Mediterranean Region countries rely on CHW programs to receive health support. Rachel Folz and Moazzam Ali examined the available evidence on three CHW programs across Egypt, Pakistan, and Afghanistan to understand how to scale up or develop CHW programs in the region. Results underscore the effectiveness of these initiatives and highlight several … [Read more...] about Task sharing in health workforce: An overview of community health worker programmes in Afghanistan, Egypt and Pakistan
Strengthening Public Health Systems : Policy Ideas from a Governance Perspective (English)
Pandemic response requires a trusted community-based workforce. Economic theory on incentives for public health workers (PHWs) informs recruitment and management of frontline health workers. The authors surveyed PHWs in India and utilized the data and economic theory to outline health worker incentives and policy responses for pandemics. … [Read more...] about Strengthening Public Health Systems : Policy Ideas from a Governance Perspective (English)
The first mile: community experience of outbreak control during an Ebola outbreak in Luwero District, Uganda
In 2012, Uganda implemented an Ebola outbreak control initiative using community health workers and social mobilization approaches to curb the outbreak. This ethnographic study assessed community perspectives of the ebola control initiative. It found skepticism and distrust among community members about biomedical explanations for Ebola and about community health workers, who … [Read more...] about The first mile: community experience of outbreak control during an Ebola outbreak in Luwero District, Uganda