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Sub-Saharan Africa (SSA)

Task-shifting impact of introducing a pilot community health worker cadre into Zambia’s public sector health workforce

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In 2012, a new cadre of Community Health Assistants (CHAs) were deployed as part of Zambia’s National Community Health Strategy.  This study aims to evaluate the impact CHAs have on the volume and type of health services provided.  Results show that the addition of CHAs in rural areas increased health service provision shifting the burden of basic health … [Read more...] about Task-shifting impact of introducing a pilot community health worker cadre into Zambia’s public sector health workforce

Implementation of the Community Health Assistant (CHA) Cadre in Zambia: A Process Evaluation to Guide Future Scale-Up Decisions

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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

An exploration of facilitators and challenges in the scale-up of a national, public sector community health worker cadre in Zambia: a qualitative study

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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

“How do you exchange learning?” with Last Mile Health and Possible health

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 For the organizations who have dedicated themselves to building good CHW programs, where can they go to learn how to make programs that are built to thrive? The Center for Health Market Innovation awarded two like-minded health delivery organizations, Last Mile Health in Liberia and Possible in Nepal, a learning … [Read more...] about “How do you exchange learning?” with Last Mile Health and Possible health

National Community Health Strategy – Malawi

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This report is the first National Community Health Strategy Malawi has produced, spanning from 2017 to 2022.  This strategy is intended to work towards achieving Millennium Development Goal number three: universal health care.  The main focus of this strategy include: integration of health services, community engagement, and sufficient and equitable distribution of … [Read more...] about National Community Health Strategy – Malawi

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