CHW Central

A global resource for and about Community Health Workers

Case studies

Lay Health Worker Attrition: Important but often ignored

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This case study examines lay health worker attrition by examining three questions: What is the magnitude of attrition in programs? What are the determinants of attrition? What are the most successful ways of reducing attrition? Several important factors have been identified including: supportive supervision, defined roles with specific tasks, locally relevant incentives, … [Read more...] about Lay Health Worker Attrition: Important but often ignored

Community-Directed Interventions for Priority Health Problems in Africa: Results of a Multicultural Study

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This three-year mulitcountry study was undertaken with the objective of determining the extent to which the community directed approach could effectively provide integrated delivery of other health interventions. CDI achieved significantly higher coverage than currently used delivery  approaches for all interventions except DOTS. The study concludes that CDI is an … [Read more...] about Community-Directed Interventions for Priority Health Problems in Africa: Results of a Multicultural Study

Building contexts that support effective community responses to HIV/AIDS: A South African Case Study

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Building contexts that support effective community responses to HIV/AIDS: a South African Case Study discusses a health-enabling social environment, and some of the strategies currently being used to build social contexts to support effective HIV/AIDS management in southern Africa. The authors aim to illustrate and share contextual changes that will enable more effective … [Read more...] about Building contexts that support effective community responses to HIV/AIDS: A South African Case Study

Community Directed Intervention for Onchocerciasis Control and Public Health Interventions

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This presentation summarizes a study performed in 4 Africa countries: Guinea, Burkina Faso, Cote d'Ivoire and Togo. The study examines the effect of training community health workers on Onchoceriacis control. The study concludes that utilizing CHWs can empower communities and citizens to work towards healthier lifestyles. Utilizing CHWs as a strategy has tremendous scope and … [Read more...] about Community Directed Intervention for Onchocerciasis Control and Public Health Interventions

Community-directed Delivery of Doxycycline for the Treatment of Onchocerciasis in Areas of Co-endemicity with Ioiasis in Cameroon

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This study was carried out in 5 health areas co-endemic for Onchocerca volvulus and Loa loa which had no prior experience of the Community Directed Treatment with Ivermectin (CDTI). The community-directed delivery process was introduced using a cascade mechanism from the central health system that passed through the regional health delegation, health district and the health … [Read more...] about Community-directed Delivery of Doxycycline for the Treatment of Onchocerciasis in Areas of Co-endemicity with Ioiasis in Cameroon