ZAMBIA’S COMMUNITY HEALTH ASSISTANT PROGRAM
Case Studies of Large-Scale Community Health Worker Programs was derived from the Developing and Strengthening Community Health Worker Programs at Scale: A Reference Guide and Case Studies for Program Managers and Policymakers, edited by Henry Perry, Lauren Crigler, and Steve Hodgins.
Originally published in May 2014 by USAID’s flagship Maternal and Child Health Integrated Program (MCHIP), it was created in response to the rapid increase in and expansion of CHW programs in low- and middle-income countries over the past decade. In January 2017, a companion document was prepared to provide guidance on 13 case studies, including Afghanistan, Bangladesh, Brazil, Ethiopia, Niger, India, Indonesia, Iran, Nepal, Pakistan, Rwanda, Zambia, and Zimbabwe. CHW Central is serializing the case studies over time.
Summary
Background
The community Health Assistant (HA) Program is an emerging national initiative to bring PHC as close to the home as possible. The first community HAs were trained during 2011–12 and deployed in late 2012. The Government of the Republic of Zambia (GRZ) aims to scale the program nationally to over 5,000 community HAs using a phased approach.1

KAPIRI MPOSHI DISTRICT COMMUNITY HEALTH ASSISTANT MENTORSHIP REPORT-FEBRUARY 2018
The following feature is an excerpt of a report written by the Clinton Health Access Initiative in Zambia. The full report can be found in our Resources section. The Community Health Assistants (CHA) Program was established in Zambia through the 2010 National Community Health Worker Strategy1. The CHA program is…
PAKISTAN’S LADY HEALTH WORKER PROGRAM
Case Studies of Large-Scale Community Health Worker Programs was derived from the Developing and Strengthening Community Health Worker Programs at Scale: A Reference Guide and Case Studies for Program Managers and Policymakers, edited by Henry Perry, Lauren Crigler, and Steve Hodgins.
Originally published in May 2014 by USAID’s flagship Maternal and Child Health Integrated Program (MCHIP), it was created in response to the rapid increase in and expansion of CHW programs in low- and middle-income countries over the past decade. In January 2017, a companion document was prepared to provide guidance on 13 case studies, including Afghanistan, Bangladesh, Brazil, Ethiopia, Niger, India, Indonesia, Iran, Nepal, Pakistan, Rwanda, Zambia, and Zimbabwe. CHW Central is serializing the case studies over time.
Summary
Background
The Lady Health Worker Program (LHWP) was established in 1994, with the goal of providing primary care services to underserved populations in rural and urban areas. In 2003, the national strategic plan set two goals: (1) improving quality of services and (2) expanding coverage of the LHWP through the deployment of 100,000 Lady Health Workers (LHWs) by 2005.

NIGER’S PROGRAM OF AGENTS DE SANTÉ COMMUNAUTAIRE AND RELAIS VOLUNTEERSº
Case Studies of Large-Scale Community Health Worker Programs was derived from the Developing and Strengthening Community Health Worker Programs at Scale: A Reference Guide and Case Studies for Program Managers and Policymakers, edited by Henry Perry, Lauren Crigler, and Steve Hodgins.
Originally published in May 2014 by USAID’s flagship Maternal and Child Health Integrated Program (MCHIP), it was created in response to the rapid increase in and expansion of CHW programs in low- and middle-income countries over the past decade. In January 2017, a companion document was prepared to provide guidance on 13 case studies, including Afghanistan, Bangladesh, Brazil, Ethiopia, Niger, India, Indonesia, Iran, Nepal, Pakistan, Rwanda, Zambia, and Zimbabwe. CHW Central is serializing the case studies over time.
Summary
Background
Niger’s current CHW program originates from a village health worker program founded in the mid 1960’s, which primarily served the rural Maradi region1. Health initiatives in the early 21st century began the development of a two-tiered CHW program (comprised of both paid workers and volunteers) and the construction of health posts out of which Niger’s CHWs operate, of which there are now roughly 2,000.2, 3 This case study examines the roles of both paid Agents de Santé Communautaire (ASCs) and Relais volunteers.

NEPAL’S FRONTLINE HEALTH WORKERS
Case Studies of Large-Scale Community Health Worker Programs was derived from the Developing and Strengthening Community Health Worker Programs at Scale: A Reference Guide and Case Studies for Program Managers and Policymakers, edited by Henry Perry, Lauren Crigler, and Steve Hodgins.
Originally published in May 2014 by USAID’s flagship Maternal and Child Health Integrated Program (MCHIP), it was created in response to the rapid increase in and expansion of CHW programs in low- and middle-income countries over the past decade. In January 2017, a companion document was prepared to provide guidance on 13 case studies, including Afghanistan, Bangladesh, Brazil, Ethiopia, Niger, India, Indonesia, Iran, Nepal, Pakistan, Rwanda, Zambia, and Zimbabwe. CHW Central is serializing the case studies over time.
Summary
Background
The first Nepal Health Sector Program (NHSP) was implemented in 2004 to 2009. It worked to provide equitable access to free basic health services.
