To improve healthcare access in rural areas, in 2010 the Government of Zambia implemented a national CHW strategy that introduced a new cadre of healthcare workers called community health assistants (CHAs). After 1 year of training the pilot class of 307 CHAs were deployed in September 2012. This paper presents findings from a process evaluation of the barriers and facilitators … [Read more...] about Implementation of the Community Health Assistant (CHA) Cadre in Zambia: A Process Evaluation to Guide Future Scale-Up Decisions
Zambia
An exploration of facilitators and challenges in the scale-up of a national, public sector community health worker cadre in Zambia: a qualitative study
In 2010, Zambia created a cadre of community health workers called Community Health Assistants (CHAs). This program continues to be scaled up to meet the needs of Zambia’s rural population. This study summarizes the factors that have aided the scale-up of the CHA program as well as the challenges. The study determined that CHAs play a critical … [Read more...] about An exploration of facilitators and challenges in the scale-up of a national, public sector community health worker cadre in Zambia: a qualitative study
An exploration of facilitators and challenges in the scale-up of a national, public sector community health worker cadre in Zambia: a qualitative study
In Zambia, the 2010 National Community Health Worker Strategy (NCHWS) created a cadre of salaried Community Health Assistants (CHAs) to work in rural and underserved areas providing access to health care and developing prevention measures. The Ministry of Health (MOH) is currently in the process of creating a workforce of 5,000 CHAs. After the first class of CHAs … [Read more...] about An exploration of facilitators and challenges in the scale-up of a national, public sector community health worker cadre in Zambia: a qualitative study
Improving access to child health services at the community level in Zambia: a country case study on progress in child survival, 2000–2013
This study on child survival, presents indicators, national document, and qualitative data from key informants and community women describing the factors that have enabled Zambia to successfully reduce under-five mortality over the last 15 years and achieve Millennial Development Goal (MDG) #4. Study results found a Zambian national commitment to ongoing reform of national … [Read more...] about Improving access to child health services at the community level in Zambia: a country case study on progress in child survival, 2000–2013
Hope and despair: community health assistants’ experiences of working in a rural district in Zambia.
This paper explores the motivation to become a community health assistant (CHA) in Zambia, the experiences of working in a rural district, and how these experiences affected CHAs’ motivation to work. To examine CHAs’ experiences, data was collected through in-depth interviews with 12 CHAs and observations were analyzed using a thematic analysis approach. Personal … [Read more...] about Hope and despair: community health assistants’ experiences of working in a rural district in Zambia.