CHW Central

A global resource for and about Community Health Workers

Program Evaluation

Innovation in health service delivery: integrating community health assistants into the health system at district level in Zambia

by

This paper explores the factors that shaped the acceptability and adoption of community health assistants (CHAs) into the health system at the district level in Zambia. Using thematic analysis, data was collected through a review of documents, 6 focus group discussions with community leaders, and 12 key informant interviews with CHA trainers, supervisors and members of the … [Read more...] about Innovation in health service delivery: integrating community health assistants into the health system at district level in Zambia

Community health worker perspectives on a new primary health care initiative in the Eastern Cape of South Africa

by

This study sought to understand CHW perspectives on a new primary health initiative in South Africa called Re-engineering Primary Health Care (rPHC). This initiative aims to provide a preventive and health-promoting community-based PHC model. Focus group discussions and surveys on the knowledge and attitudes of 91 CHWs working on community-based rPHC teams in the King Sabata … [Read more...] about Community health worker perspectives on a new primary health care initiative in the Eastern Cape of South Africa

The Influence of Community Health Resources on Effectiveness and Sustainability of Community and Lay Health Worker Programs in Lower-Income Countries: A Systematic Review

by

This review explores the current evidence available to assess if increased levels of integration of community health resources in CHW programs leads to higher program effectiveness and sustainability. 32 articles were chosen for an extensive review, complemented by analysis of the results of 15 other review studies. Analysis found no quantitative data and minimal inclusion of … [Read more...] about The Influence of Community Health Resources on Effectiveness and Sustainability of Community and Lay Health Worker Programs in Lower-Income Countries: A Systematic Review

Community Health Committees (CHCs) and Health Facility Management Committees (HFMCs) Program Functionality Assessment

by

This document provides tools for assessing the functionality of two types of representative health groups: the Community Health Committee (CHC) and the Health Facility Management Committee (HFMC). Tools are available to assess program functionality through documents such as a roles and responsibilities checklist, assessment and improvement matrices, a validation questionnaire, … [Read more...] about Community Health Committees (CHCs) and Health Facility Management Committees (HFMCs) Program Functionality Assessment

Case Studies of Large-Scale Community Health Worker Programs

by

This resource from USAID and MCHIP provides an overview of large-scale CHW programs from 13 countries: Afghanistan, Bangladesh, Brazil, Ethiopia, India, Indonesia, Iran, Nepal, Niger, Pakistan, Rwanda, Zambia and Zimbabwe. Case studies address the historical context of CHWs, the health needs of the country, the scope of work of the CHWs, CHW training, support and … [Read more...] about Case Studies of Large-Scale Community Health Worker Programs