This study examined how Community Health Workers (CHWs) in rural Madagascar were involved in different health programmes, with a focus on HIV/AIDS and tuberculosis (TB). Among 408 CHWs surveyed, nearly all were involved in maternal and child health and malaria activities, but only about one in four were involved in TB and about one in five in HIV/AIDS, mainly through community … [Read more...] about Community health worker involvement across domains and national infectious disease programmes in rural Madagascar: evidence of fragmentation and determinants of engagement
Sub-Saharan Africa (SSA)
Digital Training for Lay Health Care Workers’ Knowledge and Skills in HIV Index Case Testing: Cluster Randomized Trial
This study examined whether digital training could improve the ability of lay health workers in Malawi to provide HIV testing to the partners and family members of people living with HIV. Among 306 health workers from 34 health facilities, those who received tablet-based training in addition to regular training showed greater improvements in knowledge and attitudes and … [Read more...] about Digital Training for Lay Health Care Workers’ Knowledge and Skills in HIV Index Case Testing: Cluster Randomized Trial
Why embedded technical assistance builds stronger health systems: Lessons from Senegal
This article examined how technical advisors working within Senegal’s Ministry of Health supported the implementation of health reforms over two years. It found that working closely with government teams helped improve coordination, maintain progress, and address problems as they arose. The article argues that technical support should go beyond producing reports and plans to … [Read more...] about Why embedded technical assistance builds stronger health systems: Lessons from Senegal
Political economy as strategy: Lessons from Rwanda’s community-based health insurance reforms
This study examined how Rwanda reformed its community-based health insurance scheme in 2020–2021 after facing ongoing financial difficulties despite covering a large share of the population. The reforms aimed to make the scheme more financially sustainable while improving the benefits available to members. The government placed greater responsibility for funding decisions … [Read more...] about Political economy as strategy: Lessons from Rwanda’s community-based health insurance reforms
Mapping multilevel barriers impacting the performance of Ethiopia’s Community-Based Health Extension Program: A scoping review
This review looked at the main challenges affecting Ethiopia’s Health Extension Program and its health extension workers. It found that workers face heavy workloads, limited training, poor working and living conditions, lack of resources, weak supervision, and difficulties using digital tools. The program also struggles because communities often expect more treatment services, … [Read more...] about Mapping multilevel barriers impacting the performance of Ethiopia’s Community-Based Health Extension Program: A scoping review