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CHW Central

A global resource for and about Community Health Workers

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Evaluation

Implementation of the Community Health Assistant (CHA) Cadre in Zambia: A Process Evaluation to Guide Future Scale-Up Decisions

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To improve healthcare access in rural areas, in 2010 the Government of Zambia implemented a national CHW strategy that introduced a new cadre of healthcare workers called community health assistants (CHAs). After 1 year of training the pilot class of 307 CHAs were deployed in September 2012. This paper presents findings from a process evaluation of the barriers and facilitators … [Read more...] about Implementation of the Community Health Assistant (CHA) Cadre in Zambia: A Process Evaluation to Guide Future Scale-Up Decisions

An exploration of facilitators and challenges in the scale-up of a national, public sector community health worker cadre in Zambia: a qualitative study

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In 2010, Zambia created a cadre of community health workers called Community Health Assistants (CHAs).  This program continues to be scaled up to meet the needs of Zambia’s rural population.  This study summarizes the factors that have aided the scale-up of the CHA program as well as the challenges.  The study determined that CHAs play a critical … [Read more...] about An exploration of facilitators and challenges in the scale-up of a national, public sector community health worker cadre in Zambia: a qualitative study

The Path to 2020: Delivering transformative, rights-based family planning

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In July of 2012, CARE partnered with other organizations to provide 120 million women and girls with family planning information and services by the year 2020.  This report reflects on the first half of the initiative, evaluating what has been accomplished thus far.  The evaluation shows that many barriers to providing women and girls with more family planning support … [Read more...] about The Path to 2020: Delivering transformative, rights-based family planning

How to Support Community Health Workers? Reflections on a year of global learning

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In this article, mPowering reflects on learning from pre-existing CHW programs.  First, they recognize CHWs who have support are more likely to make an impact on the communities they serve.  In addition, the introduction of technology into many programs has presented opportunities to improve communication and data collection.  The reflection … [Read more...] about How to Support Community Health Workers? Reflections on a year of global learning

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?

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