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CHW Central

CHW Central

A global resource for and about Community Health Workers

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Sub-Saharan Africa (SSA)

Barriers and facilitators of rendering HIV services by community health workers in sub-Saharan Africa: a meta-synthesis.

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In sub-Saharan Africa, CHWs contribute to strengthening HIV programs, but face various country-specific barriers in providing care. Through a systematic review and meta-analysis, this study determined some of the challenges CHWs encounter with HIV-related services, and implementing these interventions.  The study found that CHWs altruism and job availability facilitated HIV … [Read more...] about Barriers and facilitators of rendering HIV services by community health workers in sub-Saharan Africa: a meta-synthesis.

Early Lessons From Launching an Innovative Community Health Household Model Across 3 Country Contexts

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Community health workers (CHWs) are an essential part of the health workforce and are integrated throughout health systems. Partners In Health (PIH), a nongovernmental organization, incorporated the “household model” (HHM) in 3 countries where larger health care system strengthening partnerships already exist. The HMM was deployed in Liberia, Mexico, and Malawi to address … [Read more...] about Early Lessons From Launching an Innovative Community Health Household Model Across 3 Country Contexts

Developing a district level supportive supervision framework for community health workers through co-production in South Africa

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In an effort to address highly chronic communicable/non communicable diseases and move towards Universal Health Coverage, South Africa relies on community health worker programs. However, CHW programs suffer from limited training and resources, low trust with other primary health care workers and inadequate supervision. This study applied the model of co-production to a … [Read more...] about Developing a district level supportive supervision framework for community health workers through co-production in South Africa

Compensation models for community health workers: Comparison of legal frameworks across five countries

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Despite the life-saving work CHWs perform, they have long been subject to global debate about their remuneration. Donors and officials in many countries believe that CHW salaries are not ‘sustainable’ or that remunerating CHWs might pollute their intrinsic motivations. However, there is now consensus that CHWs should be paid appropriately. This study examines the legal … [Read more...] about Compensation models for community health workers: Comparison of legal frameworks across five countries

How workers respond to social rewards: evidence from community health workers in Uganda

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The use of CHWs has emerged as a cost-effective approach to extend the reach of health systems. Although it is assumed that low levels of compensation contribute to high drop-out rates among CHWs, a field experiment from Uganda found that the offer of greater financial incentives attracted less socially motivated people to apply to CHW jobs and resulted in high drop-out rates. … [Read more...] about How workers respond to social rewards: evidence from community health workers in Uganda

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