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Latin America and the Caribbean (LAC)

Global Experience of Community Health Workers for Delivery of Health Related Millennium Development Goals: A Systematic Review, Country Case Studies, and Recommendations for Integration into National Health Systems

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This report aims to identify CHW programs with positive impacts on Millennium Development Goals (MDGs), related to health or otherwise, through a global systematic review undertaken of such interventions, as well as eight in-depth country case studies in SubSaharan Africa (Ethiopia Mozambique and Uganda), South East Asia (Bangladesh, Pakistan and Thailand) and Latin America … [Read more...] about Global Experience of Community Health Workers for Delivery of Health Related Millennium Development Goals: A Systematic Review, Country Case Studies, and Recommendations for Integration into National Health Systems

Community Health Worker Incentives and Disincentives: How They Affect Motivation, Retention, and Sustainability

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This paper examines various incentives used to motivate and retain community health workers, particularly those working in child health and nutrition programs in developing countries. Drawing from case studies in Afghanistan, El Salvador, Honduras and Madagascar, the authors recommend a more systematic use of multiple incentives based on an understanding of the different … [Read more...] about Community Health Worker Incentives and Disincentives: How They Affect Motivation, Retention, and Sustainability

Primary Health Care for Remote Village Communities in Honduras: A Model for Training and Support of Community Health Workers

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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

Community case management in Nicaragua: lessons in fostering adoption and expanding implementation

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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

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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

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