Health systems in wealthy countries are under strain from ageing populations, staff shortages, and rising costs. Community health workers can help by improving access to care, supporting people with social needs, and keeping care connected in the community. While interest in these roles is growing, most programs are small, short-term, and poorly funded. This paper argues that … [Read more...] about The case for community health workers in high-income countries
health systems
Beyond Core Duties: A Framework for Reimagining Community Health Worker Contributions to Health Systems
This study looked at the everyday work of ASHAs in urban India and found that their jobs stretch far beyond their official duties. Alongside core health tasks, they are pulled into government activities like election work and often take on extra paid or unpaid projects with NGOs and private groups. These overlapping roles leave them overworked and limit their ability to focus … [Read more...] about Beyond Core Duties: A Framework for Reimagining Community Health Worker Contributions to Health Systems
It’s Time to Prioritize CHWs: A Decade of Economic Evaluation Evidence Suggests CHWs are More Cost-Effective Than Alternatives
This study reviewed 130 papers to see if community health workers (CHWs) provide good value for money in health programs. It found that CHW programs are cost-effective in most cases, especially when they are well-trained, supported, and linked to health facilities. Programs that combine CHWs with digital tools or cover several health areas work better than those focused on one … [Read more...] about It’s Time to Prioritize CHWs: A Decade of Economic Evaluation Evidence Suggests CHWs are More Cost-Effective Than Alternatives
Transforming Health in Post-Conflict Somalia: Priorities from a Multi-Stakeholder Roundtable on the 2025-2029 National Plan
Somalia’s health system faces severe challenges, with very low service coverage and a major shortage of health workers. A roundtable in Mogadishu brought together government, private sector, and civil society leaders to set priorities for the National Transformation Plan (2025–2029). Participants highlighted four key needs: expanding primary care through community health … [Read more...] about Transforming Health in Post-Conflict Somalia: Priorities from a Multi-Stakeholder Roundtable on the 2025-2029 National Plan
Health Systems Governance in Somalia: An Examination of Validity, Digital Accountability, and Community Health Workforce through Mixed Methods Research
Somalia’s health system faces major challenges due to weak governance and conflict. To improve services, two new efforts were introduced: the Marwo Caafimaad community health worker program and a digital reporting system using DHIS2. This study reviewed health data from 2018–2024 and gathered insights from interviews and focus groups. The results showed clear progress; … [Read more...] about Health Systems Governance in Somalia: An Examination of Validity, Digital Accountability, and Community Health Workforce through Mixed Methods Research