CHW programs

Reconceptualizing integrated people-centred health services: Towards a mechanism-sensitive model using realist evaluation

This study explored how community health workers help make health care more people-centered in South Africa. It found that trust, motivation, and feeling valued and supported are key factors that help community health workers perform well. These factors work together, and when health system strategies are aligned and supportive, community health workers can provide better care … [Read more...] about Reconceptualizing integrated people-centred health services: Towards a mechanism-sensitive model using realist evaluation

This study explored how community health workers in India view their pay. It found that they see payment in three main ways: as fair compensation for their work, as a way to motivate better performance, and as a sign of how much their work is valued. Most workers felt that being paid through small incentives instead of a regular salary lowers their status and respect compared … [Read more...] about Fair pay, performance optimizer, or status marker? The social meaning of remuneration for India’s women community health workers

This study looked at the working conditions of community health workers in India and how the health system relies on them. It found that these workers often have many responsibilities but little power, face low and unstable pay, and are closely monitored. These conditions limit their ability to make decisions or push back, even as they play a key role in keeping the health … [Read more...] about Power, surveillance, and the limits of resistance: The role of community health workers in India’s health system

This study looked at how contact with community health workers affects women’s use of family planning methods in India. It found that when women talk with community health workers, they are more likely to use both traditional and modern methods, switch between methods, and use them more consistently. The study shows that community health workers play an important role in … [Read more...] about Traditional or Modern Contraception? Association Between Health Worker Contact and Contraceptive Choice in India: Findings From NFHS 2019-2021

This study looked at a program in rural South Africa that brought communities, health workers, and decision-makers together to learn and solve health problems. Over time, it helped build trust, improve teamwork, and strengthen the role of community health workers, making health services more responsive to local needs. The approach became part of the health system and adapted to … [Read more...] about Community and health systems learning: critical realist evaluation of the VAPAR ‘learning platform’ in rural South Africa 2015-25