This article presents a model for the development of sustainable primary health care in village communities in Honduras through the training and support of CHWs. The model, piloted in Comayagua, follows a "bottom-up" approach. A training curriculum for CHWs was developed that addressed the area's predominant health problems and made use of "Where there is no doctor" Training, a … [Read more...] about Primary Health Care for Remote Village Communities in Honduras: A Model for Training and Support of Community Health Workers
Latin America and the Caribbean (LAC)
Community case management in Nicaragua: lessons in fostering adoption and expanding implementation
This article looks at the policy landscape and processes that led to the implementation of a community case management (CCM) for child survival program in Nicaragua. The authors review both the contextual factors that facilitated CCM as well as the challenges, and conclude that continuous monitoring is essential for both sustainability and scale up. … [Read more...] about Community case management in Nicaragua: lessons in fostering adoption and expanding implementation
On the front line of primary health care: the profile of community health workers in rural Quechua communities in Peru
This article profiles CHWs, including health promoters, traditional birth attendants and traditional healers, serving rural Quechua communities from Ayacucho, Peru. It uses both quantitative and qualitative information from questionnaires, personal interviews and group discussions conducted in 40 communities. The majority of CHWs in Ayacucho are men with limited education who … [Read more...] about On the front line of primary health care: the profile of community health workers in rural Quechua communities in Peru
From Directly Observed Therapy to Accompagnateurs: Enhancing AIDS Treatment Outcomes in Haiti and in Boston
This article examines Directly Observed Therapy (DOT-HAART) provided by CHWs or accompagnateur to HIV patients in Boston and Haiti. The CHWs provide psychosocial support and link the patients to clinical staff and available resources. The article suggests that the accompagnateur model can be applied to other poverty-stricken populations in resource-poor settings. … [Read more...] about From Directly Observed Therapy to Accompagnateurs: Enhancing AIDS Treatment Outcomes in Haiti and in Boston
How to Mobilize Communities for Health and Social Change
This field guide is designed for health program directors and managers of community-based programs who are considering using community mobilization to improve health at the individual, family, and community level. The field guide contains illustrative examples and lessons learned in community mobilization experiences from around the world, focusing on working with disadvantaged … [Read more...] about How to Mobilize Communities for Health and Social Change