CHW Central

A global resource for and about Community Health Workers

Malawi

Health Workers’ and Managers’ Perceptions of the Integrated Community Case Management Program for Childhood Illness in Malawi: The Importance of Expanding Access to Child Health Services

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Community case management (CCM) is a promising task-shifting strategy for expanding treatment of childhood illness that is increasingly adopted by low-income countries. This study uses qualitative methods to explore health workers’ and managers’ perceptions about CCM provided by health surveillance assistants during the program’s first year in Malawi. … [Read more...] about Health Workers’ and Managers’ Perceptions of the Integrated Community Case Management Program for Childhood Illness in Malawi: The Importance of Expanding Access to Child Health Services

Scaling Up Integrated Community Case Management of Childhood Illness: Update from Malawi

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This paper documents progress in the scale up of a program to train an existing cadre of community based health workers, known as health surveillance assistants, to provide integrated community case management of childhood illness between 2008 and 2011. It describes some critical challenges that affect the effectiveness and sustainability of the program, and proposes solutions. … [Read more...] about Scaling Up Integrated Community Case Management of Childhood Illness: Update from Malawi

Health Systems Supports for Community Case Management of Childhood Illness: Lessons from an Assessment of Early Implementation in Malawi

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This paper presents the results of a mixed-methods assessment of selected health systems supports for community-based health workers in a national community case management program for childhood illness in Malawi during the first year of implementation. … [Read more...] about Health Systems Supports for Community Case Management of Childhood Illness: Lessons from an Assessment of Early Implementation in Malawi

Comparison of Methods for Assessing Quality of Care for Community Case Management of Sick Children: An Application with Community Health Workers in Malawi

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As part of an assessment of quality of community case management services in Malawi, this report examines the bias associated with measuring community health worker performance by using register reviews, case scenarios, and direct observation only methods compared with direct observation with re-examination by a higher-level clinician, and discusses the relative strengths and … [Read more...] about Comparison of Methods for Assessing Quality of Care for Community Case Management of Sick Children: An Application with Community Health Workers in Malawi

Community health workers for ART in sub-Saharan Africa: learning from experience – capitalizing on new opportunities

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This article investigates whether present CHW programmes for antiretroviral treatment are taking into account lessons learnt from past experiences with community health worker programmes in primary health care and to what extent they are seizing the new antiretroviral treatment-specific opportunities. Our appraisal of six CHW programmes, identified during field work in … [Read more...] about Community health workers for ART in sub-Saharan Africa: learning from experience – capitalizing on new opportunities