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CHW Central

CHW Central

A global resource for and about Community Health Workers

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CHW Role

Community health workers and the response to HIV/AIDS in South Africa: tensions and prospects

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This paper summarizes the key features of the emerging national CHW program in South Africa. This includes CHWs' integration into a national public works program and the use of non-governmental organizations as intermediaries. The paper also reports on one province, the Free State investigating CHW numbers and training, specifically with regard to HIV services between 2004 and … [Read more...] about Community health workers and the response to HIV/AIDS in South Africa: tensions and prospects

Are vaccination programmes delivered by lay health workers cost-effective? A systematic review

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This is a systematic review of the costs and cost-effectiveness of using community health workers in vaccination programmes. The review only identified three studies that met their inclusion criteria. Methodologically, the studies were strong but did not adequately address affordability and sustainability and were also highly heterogeneous in terms of settings and CHW outcomes, … [Read more...] about Are vaccination programmes delivered by lay health workers cost-effective? A systematic review

Increasing access to Family Planning (FP) and Reproductive Health (RH) services through task-sharing between CHWs and community mid-level professionals in large-scale public-sector programs: A Literature Review to Help Guide Case Studies

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CHW programs throughout the world vary in structure and emphasis. This literature review addresses the challenge of making connections among inputs, processes and outcomes of these diverse community programs. Completed as part of the USAID-funded project of the same name, it analyses 78 of the most useful documents on CHW programs with components of family planning and … [Read more...] about Increasing access to Family Planning (FP) and Reproductive Health (RH) services through task-sharing between CHWs and community mid-level professionals in large-scale public-sector programs: A Literature Review to Help Guide Case Studies

Community Health Worker Code of Ethics Toolkit

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This toolkit is designed to guide professional CHW organizations through the process of developing and adopting a code of ethics. Having a code of ethics can enhance CHWs’ relationships with the community, promote professionalism, legitimize CHWs as members of health care teams and provide guidance in solving ethical quandaries. The toolkit, which was developed for use by … [Read more...] about Community Health Worker Code of Ethics Toolkit

Iranian health houses open the door to primary care

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This article reviews Iran’s “Health Houses,” which were conceived and introduced during the country’s 1980-1988 war with Iraq. The health houses are run by trained CHWs, called behvarzan, who provide basic health care to most of the country's rural population. Female behvarz are typically responsible for child and maternal health, vaccinations, registration and administering … [Read more...] about Iranian health houses open the door to primary care

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CHW Central is run by a team of dedicated volunteers and paid interns, with an annual operating budget of less than $20,000. In 2026, we have bold ambitions to further strengthen CHW associations, enhance opportunities for CHW organizing and information exchange, and make the latest research more accessible across the globe.

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