CHW Central

A global resource for and about Community Health Workers

Community Involvement

Community Health Worker Incentives and Disincentives: How They Affect Motivation, Retention, and Sustainability

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This paper examines various incentives used to motivate and retain community health workers, particularly those working in child health and nutrition programs in developing countries. Drawing from case studies in Afghanistan, El Salvador, Honduras and Madagascar, the authors recommend a more systematic use of multiple incentives based on an understanding of the different … [Read more...] about Community Health Worker Incentives and Disincentives: How They Affect Motivation, Retention, and Sustainability

Community health workers: What do we know about them? The state of the evidence on programmes, activities, costs and impact on health outcomes of using community health workers

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This is a review commissioned by the WHO which aims to assess the existing evidence regarding the feasibility and effectiveness of CHW programs. It is a broad scope paper which uses published and selected ‘grey’ literature available since the 1970s. Some of the topics reviewed are: the role of CHWs, their use, performance, retention, impact effectiveness, and cost … [Read more...] about Community health workers: What do we know about them? The state of the evidence on programmes, activities, costs and impact on health outcomes of using community health workers

Retrospective comparative evaluation of the lasting impact of a community-based primary health programme on under-5 mortality in villages around Jamkhed, India

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The Comprehensive Rural Health Project (CRHP) is a community-based program that provides primary care services utilizing village health workers and mobile health teams. The researchers conducted an impact evaluation of CRHP on childhood mortality over the period of September 1992 and December 2007. They concluded that community-based programs such as CRHP can have a lasting … [Read more...] about Retrospective comparative evaluation of the lasting impact of a community-based primary health programme on under-5 mortality in villages around Jamkhed, India

Tuberculosis Control in Developing Countries: A Generalized Community Health Worker Based Model

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This report analyzes the BRAC model in Bangladesh for Tuberculosis (TB) control and offers an alternate model, a community-based model that relies heavily on community health workers. The importance of utilizing community health workers to reduce the burden of TB is discussed throughout the report. It also speaks to the financial management of TB control programs and the … [Read more...] about Tuberculosis Control in Developing Countries: A Generalized Community Health Worker Based Model