CHW Central

A global resource for and about Community Health Workers

Recognition/remuneration

‘Our village is dependent on us. That’s why we can’t leave our work’. Characterizing mechanisms of motivation to perform among Accredited Social Health Activists (ASHA) in Bihar

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This study aimed to identify factors that inspire Accredited Social Health Activists (ASHAs) in India. The results highlight the importance of self-empowerment, adequate financial compensation, and connection to the community’s health system as a few motivating factors for ASHAs. Conversely, implementation and management challenges are sources of ASHA discontent. … [Read more...] about ‘Our village is dependent on us. That’s why we can’t leave our work’. Characterizing mechanisms of motivation to perform among Accredited Social Health Activists (ASHA) in Bihar

Remuneration systems of community health workers in India and promoted maternal health outcomes: a cross-sectional study

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This cross-sectional study compared the performance of “paid-for-performance” Accredited Social Health Activists (ASHAs) and salaried Anganwadi workers (AWWs) in various Indian states. While results varied among them, the study found that AWWs’ visits had a stronger connection with positive health behaviors compared to ASHAs. ASHA visits had weaker impacts on nutrition and … [Read more...] about Remuneration systems of community health workers in India and promoted maternal health outcomes: a cross-sectional study

The relative importance of material and non-material incentives for community health workers: Evidence from a discrete choice experiment in Western Kenya

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Bolstering CHW motivation can be vital to the sustainability and success of CHW programs, especially given the growing importance of CHW roles in community health. To identify factors that influence CHW motivation, the researchers of this study conducted a discrete choice experiment with 199 CHWs in Kenya. Results indicated that CHWs most favored high levels of appreciation … [Read more...] about The relative importance of material and non-material incentives for community health workers: Evidence from a discrete choice experiment in Western Kenya

Community Health Workers as Influential Health System Actors and not “Just Another Pair Of Hands”

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This article captures results from a qualitative study conducted in India to explore CHWs' evolving roles and experiences. Through in-depth interviews with 32 CHWs, the study showed CHWs are discontent with treatment by professional health workers. CHWs want the health system to recognize them as individuals dedicated to and working for the development of health and social … [Read more...] about Community Health Workers as Influential Health System Actors and not “Just Another Pair Of Hands”

Optimising the performance of frontline implementers engaged in the NTD programme in Nigeria: lessons for strengthening community health systems for universal health coverage

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Successful attainment of Neglected Tropical Disease goals and other health interventions depends on maximizing frontline implementers’ performance. This study aimed to capture and translate knowledge, problems and solutions, identified by implementers, to enhance NTD program delivery at the community level in Nigeria. … [Read more...] about Optimising the performance of frontline implementers engaged in the NTD programme in Nigeria: lessons for strengthening community health systems for universal health coverage