CHW Central

A global resource for and about Community Health Workers

Motivation/incentives

How female community health workers navigate work challenges and why there are still gaps in their performance: a look at female community health workers in maternal and child health in two Indian districts through a reciprocal determinism framework

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This article researched female community health workers performance in India through interviews. While their work resulted in positive community health changes, community norms and health system practices limited their effectiveness.  … [Read more...] about How female community health workers navigate work challenges and why there are still gaps in their performance: a look at female community health workers in maternal and child health in two Indian districts through a reciprocal determinism framework

A continuous quality improvement intervention to improve the effectiveness of community health workers providing care to mothers and children: a cluster randomised controlled trial in South Africa

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This paper used a cluster randomized controlled trial in South Africa to determine the effectiveness of improved training and continuous quality improvement based mentoring. The authors found that these methods improved the CHW-mother interactions. … [Read more...] about A continuous quality improvement intervention to improve the effectiveness of community health workers providing care to mothers and children: a cluster randomised controlled trial in South Africa

Cost-effectiveness of the treatment of uncomplicated severe acute malnutrition by community health workers compared to treatment provided at an outpatient facility in rural Mali

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This study examines the feasibility of incorporating treatment of severe acute malnutrition (SAM) into an existing community care framework operated by community health workers (CHWs). The study shows that delivering treatment of SAM through CHWs is cost-effective, assuming good coverage. … [Read more...] about Cost-effectiveness of the treatment of uncomplicated severe acute malnutrition by community health workers compared to treatment provided at an outpatient facility in rural Mali

Is incentive-based pay for India’s community health workers working?

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This article provides background information on the incentive system for India’s Accredited Social Health Activists (ASHAs).  India has created an outcome-based incentive system which creates a clear difference in payment per patient. ASHAs have been more likely to suggest certain procedures and leave out pertinent information to ensure a higher payout, putting patients at … [Read more...] about Is incentive-based pay for India’s community health workers working?