This report, from 2015, presents the recommendations from a distinguished group of global health and government leaders making the case for investment in CHWs as a component of primary health care and options for financing. … [Read more...] about Investment Case
A 2018 literature review conducted by the World Health Organization (WHO) indicated that CHWs are effective at improving population health across countries in sub-Saharan Africa, South Asia, and the Americas. Based on their results, the WHO developed guidelines to ensure CHWs perform their roles effectively. Stephanie Watson-Grant and co-authors reported on a comparative … [Read more...] about A monitoring and evaluation gap for WHO’s community health worker guidelines, Botswana
CHWs sometimes charge for health products like those used to treat child diarrhea, but limited research has examined whether or not a fee-for-service model improves CHW performance. Zachary Wagner and his team compared the performance of Uganda-based CHWs who charged for their services against those who did not. Those who charged for their services conducted fewer household … [Read more...] about When financial incentives backfire: A community health worker experiment in Uganda
Decisions about whether and how to finance and support close-to-community community health programming are best driven by evidence about what “works,” but a recent study by Meghan Bruce Kumar and her team suggests that the evidence base is limited. The researchers took a look at financing decisions in Ethiopia, Kenya, Malawai, and Mozambique to model their decision making … [Read more...] about How do decision-makers use evidence in community health policy and financing decisions? A qualitative study and conceptual framework in four African countries.
The Means, Motives and Opportunity (MMO) framework can be used to identify determinants of CHW performance. This article uses the case study of Anganwadi Workers (village nutrition workers) in Bihar, India to demonstrate how the framework is applied. … [Read more...] about Means, Motives and Opportunity: determinants of community health worker performance