Demonstrating that a health service, such as providing contraceptive implants, can be safely task shared to less highly trained workers is crucial but is only one step toward effective implementation at scale. Providers need dedicated time, enough clients, supplies, supervision, and other system support, allowing them to maintain their competency, confidence, and … [Read more...] about Task Sharing Implant Insertion by Community Health Working: Not Just Can It Work, but How Might It Work Practically and With Impact in the Real World
Latin America and the Caribbean (LAC)
A Rough Guide to Community Engagement in Performance-Based Incentive Programs: With Lessons from Burundi, Indonesia, and Mexico
This guide aims to help policymakers and program managers assess whether engaging communities makes sense in the context of the performance-based incentive (PBI) programs they support; determine what is the best approach or mechanism for such engagement; and how to mitigate the risks. PBI, as with bottom-up social accountability mechanisms, aims to fix broken accountability … [Read more...] about A Rough Guide to Community Engagement in Performance-Based Incentive Programs: With Lessons from Burundi, Indonesia, and Mexico
One million CHWs in Sub-Saharan Africa by 2015
During the past 10 years, community health workers (CHWs) have emerged as a focal point of international discussions on primary health-care systems. Although lay community-based health workers have been active for at least 60 years, the Millennium Development Goals (MDGs) in 2000 prompted new discussion of how these workers can help to extend primary health care from facilities … [Read more...] about One million CHWs in Sub-Saharan Africa by 2015
Supervising community health workers in low-income countries: a review of impact and implementation issues
Community health workers (CHWs) are an increasingly important component of health systems and programs. This study was conducted to determine the impact of supervision strategies used in low- and middle- income countries and discuss implementation and feasibility issues with a focus on CHWs. Few supervision strategies have been rigorously tested and data on … [Read more...] about Supervising community health workers in low-income countries: a review of impact and implementation issues
Which intervention design factors influence performance of community health workers in low- and middle-income countries? A systematic review.
Community health workers (CHWs) are increasingly recognized as an integral component of the health workforce needed to achieve public health goals in low- and middle-income countries (LMICs). Many factors influence CHW performance. A systematic review was conducted to identify intervention design related factors influencing performance of CHWs. A mix of financial and … [Read more...] about Which intervention design factors influence performance of community health workers in low- and middle-income countries? A systematic review.