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Comprehensive review of the evidence regarding the effectiveness of community–based primary health care in improving maternal, neonatal and child health: 4. child health findings (2017)

This is chapter 4 of Engaging Communities for Improving Mothers’ and Children’s Health: Reviewing the Evidence of Effectiveness in Resource-Constrained Settings. This chapter is a review of community–based primary health care programs, projects, and research studies that aimed to improve child health after the neonatal period.  

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Comprehensive review of the evidence regarding the effectiveness of community–based primary health care in improving maternal, neonatal and child health: 3. neonatal health findings (2017)

This is chapter 3 of Engaging Communities for Improving Mothers’ and Children’s Health: Reviewing the Evidence of Effectiveness in Resource-Constrained Settings. This chapter is a review of community–based primary health care programs, projects, and research studies that aimed to improve health of newborns during their first 28 days of life.

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A comprehensive review of the evidence regarding the effectiveness of community–based primary health care in improving maternal, neonatal and child health: 2. maternal health findings (2017)

This is chapter 2 of Engaging Communities for Improving Mothers’ and Children’s Health: Reviewing the Evidence of Effectiveness in Resource-Constrained Settings. This chapter is a review of community–based primary health care programs, projects, and research studies that aimed to improve maternal, neonatal, and child health. Specifically, this chapter covers maternal healthRead more…

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Comprehensive review of the evidence regarding the effectiveness of community–based primary health care in improving maternal, neonatal and child health: 1. rationale, methods and database description (2017)

This is chapter 1 of Engaging Communities for Improving Mothers’ and Children’s Health: Reviewing the Evidence of Effectiveness in Resource-Constrained Settings. This chapter covers the rationale, methods, and database used for the review presented in future chapters.

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Linking communities to formal health care providers through village health teams in rural Uganda: lessons from linking social capital (2017)

Global literature has shown that community health workers connect communities to formal health care services. This article investigates whether or not this holds true in Uganda by examining village health teams (VHTs). The paper suggests several factors that limit VHTs ability to effectively link communities to form health care services.

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Unit cost analysis of training and deploying paid community health workers in three rural districts of Tanzania (2016)

This paper estimates the cost of training and deploying paid community health workers in Tanzania. The authors found the estimated cost to be sustainable on a large scale. 

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A time-use study of community health worker service activities in three rural districts of Tanzania (Rufiji, Ulanga and Kilombero) (2016)

This research article examines how community health workers allocate their time during the work day.

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The Mixed Nature of Incentives for Community Health Workers: Lessons from a Qualitative Study in Two Districts in India (2016)

This article uses qualitative research to understand the role of incentives in motivating community health workers in India.

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Expanding the population coverage of evidence–based interventions with community health workers to save the lives of mothers and children: an analysis of potential global impact using the Lives Saved Tool (LiST) (2017)

This paper investigates the effect of expanding the population coverage of evidence-based interventions that community health workers provide outside of facilities. Using the Lives Saved Tool, the authors examined 73 countries and estimated that, if population coverage was expanded to 90%, 6.9 million lives of mothers and their children under theRead more…

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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 (2018)

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.

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Improving local health through community health workers in Cambodia: challenges and solutions (2018)

Volunteer community health workers (CHWs) in Cambodia promote local health and act as a bridge between the public health system and the community. This article examines the obstacles CHWs face in Cambodia through qualitative research, which includes two focus groups and ten semi-structured interviews.

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Book: Healthy Lives for Vulnerable Women and Children: Applying Health Systems Research (2017)

Tremendous challenges remain to ensure that the most vulnerable populations, including women, children, and adolescents, are able to enjoy the healthy lives and well-being promised in the Sustainable Development Goals. Much of their poor health is caused by poverty, gender, lack of education, and social marginalization as well as inaccessibleRead more…

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Practitioner Expertise to Optimise Community Health Systems: Harnessing Operational Insight (2018)

This newly released report, titled ‘Practitioner Expertise to Optimise Community Health Systems: Harnessing Operational Insight’ examines how CHWs can successfully be integrated into national health systems, subsequently contributing towards efforts to achieve Universal Health Coverage. By using a number of case studies from six organisations (Hope Through Health, Last MileRead more…

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Podcast: How can evidence optimize CHW programs? (2017)

 The Community Health Impact Coalition (chwimpact.org) harnesses the potential of CHWs to extend health services to poor and marginalized populations; there is an urgent need to better understand how CHW programs can be optimized. Rigorous evidence that CHW care delivery can improve access to care and reduce mortality continues toRead more…

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Podcast: Interview with Ash Rogers, Executive Director of the Lwala Community Alliance (Kenya) (2017)

YouTube Link: Interview with Ash Rogers, Executive Director of the Lwala Community Alliance (Kenya)  In this PIH interview, Dan Palazuelos continues his vibrant roundtable series.  He sat down with Ash Rogers, Executive Director of the Lwala Community Alliance in Kenya. Lwala is known for its excellence in service delivery, andRead more…

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Using Data to Improve Programs: Assessment of a Data Quality and Use Intervention Package for Integrated Community Case Management in Malawi (2017)

Health Surveillance Assistants (HSAs) have been providing integrated community case management (iCCM) for sick children in Malawi since 2008. HSAs report monthly iCCM program data but, at the time of this study, little of it was being used for service improvement. Additionally, HSAs and facility health workers did not haveRead more…

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Zambia’s Community Health Assistants (CHAs) (2017)

This brief is an outline of Zambia’s community health assistant (CHA) program detailing the impact of a nationwide salaried cadre of CHWs.  The report includes how CHAs are recruited, trained, and deployed in rural areas of Zambia.  The impact of CHA programs was found to include: task shifting and uptakeRead more…

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Task-shifting impact of introducing a pilot community health worker cadre into Zambia’s public sector health workforce (2017)

In 2012, a new cadre of Community Health Assistants (CHAs) were deployed as part of Zambia’s National Community Health Strategy.  This study aims to evaluate the impact CHAs have on the volume and type of health services provided.  Results show that the addition of CHAs in rural areas increased health service provisionRead more…

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Implementation of the Community Health Assistant (CHA) Cadre in Zambia: A Process Evaluation to Guide Future Scale-Up Decisions (2015)

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 presentsRead more…

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An exploration of facilitators and challenges in the scale-up of a national, public sector community health worker cadre in Zambia: a qualitative study (2017)

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 thatRead more…

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