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Latin America and the Caribbean (LAC)

​Care Groups II: A Summary of the Child Survival Outcomes Achieved using Volunteer Community Health Workers in Resource- Contstrained Settings

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Care Group projects resulted in high levels of healthy behavior, including use of oral rehydration therapy, bed nets, and health care services. Accordingly, under-5 mortality in Care Groups areas declined by an estimated 32% compared with 11% in areas with child survival projects not using Core Groups.   … [Read more...] about ​Care Groups II: A Summary of the Child Survival Outcomes Achieved using Volunteer Community Health Workers in Resource- Contstrained Settings

Care Groups I: An Innovative Community-Based Strategy for Improving Maternal, Neonatal, and Child Health in Resource-Constrained Settings

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Care Groups use volunteers to motivate mothers to adopt key MCH behaviors. The volunteers meet as a group every 2-4 weeks with a paid facilitator to learn new health promotion messages. Key ingredients of the approach include: peer-to-peer health promotion, selection of volunteers by the mothers, a manageable workload for the volunteers (no more than 15 households per … [Read more...] about Care Groups I: An Innovative Community-Based Strategy for Improving Maternal, Neonatal, and Child Health in Resource-Constrained Settings

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

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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

A Rough Guide to Community Engagement in Performance-Based Incentive Programs: With Lessons from Burundi, Indonesia, and Mexico

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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

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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

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