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Community IMCI / Community Case Management: Evaluation Report of Community Health Workers Performance (2009)

This paper was published by the Rwandan Ministry of Health. The main objective of this report is to analyze CHWs’ performance in order to inform program expansion. Additional objectives include: 1. review the quality of case management by CHWs; 2. review the quality of drug management; 3. analyze the processRead more…

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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 (2009)

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 andRead more…

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Retention of Community Service Officers for an Additional Year at District Hospitals in KwaZulu-Natal and the Eastern Cape and Limpopo Provinces (2009)

This study investigates the motivations of community service (CS) officers to continue to work at the same district hospital for an additional year following their mandatory service. It aims to determine the number of CS officers who remained, the major factors that influenced them to remain, and factors that wouldRead more…

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Searching for Common Ground on Incentives Packages for Community Workers and Volunteers in Zambia (2009)

This report reflects on an appropriate incentive package for the provision of care at the community level in Zambia. Human resources shortages, international migration, and a high burden of HIV contribute to an over-stretched public health system and the informal and unplanned delegation of service delivery tasks to volunteers operatingRead more…

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Community-Based Access to Injectables: An Advocacy Guide (2010)

This advocacy guide offers a strategy to facilitate the adoption of injectable contraceptives into CHW health service delivery programs. It expands on six steps that advocates can take to push for a policy change that would allow CHWs to provide injectables.

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Creating an Enabling Environment for Task Shifting in HIV and AIDS Services: Recommendations Based on Two African Country Case Studies (2010)

This is a USAID report of case studies done in Uganda and Swaziland looking at the current policies and approaches to task shifting with regard to HIV/AIDS. The case studies involve interviews and focus group discussions with various health care providers. The report recommends: 1. creating an enabling policy environmentRead more…

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Community Health Workers: A Review of Concepts, Practice, and Policy Concerns (2007)

This literature review provides an overview of the concepts and practices among CHWs from across a range of developing and developed countries. The authors review various ways that CHWs have been used in different settings and analyze the role, management, and other factors that influence performance of CHWs. They alsoRead more…

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Task shifting to tackle health worker shortages ()

This WHO report focuses on the “train” aspect of the task-shifting idea of “treat, train, retain,” in the effort to reduce the burden on existing healthcare professionals by shifting certain tasks to others such as CHWs. This paper outlines the WHO’s approach to the training crisis.

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A Guide for Training Community Health Workers/Volunteers to Provide Maternal and Newborn Health Messages (2009)

This training guide focuses on building the capacity of CHWs and volunteers to use counseling cards to promote the health of women and newborns at home through preventive care, identification of problems, and seeking appropriate care. The guide trains CHWs to identify and interact with women of reproductive age, asRead more…

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Management of sick children by community health workers: intervention models and programme examples (2006)

This report examines approaches for the community management of sick children, specifically antimicrobial treatments by CHWs. It is based on an extensive review of literature, including peer reviewed studies, reports, program descriptions and program evaluations.

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Community-Based Health Workers Can Safely and Effectively Administer Injectable Contraceptives (2009)

In an effort to inform future policies and programs, WHO, USAID, and Family Health International (FHI) convened a consultation group on injectable contraceptives and CHWs. The report concludes that CHWs, given appropriate training, can provide contraceptive injectables effectively and that the expanded use of injectable contraceptives by CHWs will provideRead more…

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Reproductive Health Manual for Trainers of Community Health Workers (2003)

This Reproductive Health Manual for Trainers of CHWs was developed by CEDPA to help organizations that provide reproductive health services through the community-based distribution approach, to train their CHWs in reproductive health. The training manual is based on the premise that reproductive health is a fundamental human right and stressesRead more…

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Selection Tool for Health Extension Workers in Rural India ()

The ICTPH Guide presents a model for selecting CHWs in rural India, focusing on one woman in each community who reaches out to every family in her village to ensure their wellness through active screening. This paper presents the selection tools for Health Extension Workers (ICTPH Guides) in Rural India.Read more…

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Healthy Timing and Spacing of Pregnancy: A Trainer’s Reference Guide (2008)

This is a resource for trainers developing in-service training for facility-based healthcare providers and CHWs who already have some basic experience with reproductive health and family planning. It is a reference guide to be used by trainers and can be adapted depending on whether trainees are facility-based or community-based. ThisRead more…

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Country Case Study Ghana: Implementing a National Human Resources for Health Plan (2008)

This report describes key issues in the implementation of Ghana’s health workforce development plan, which aims to address morale and distribution challenges. Priority is being given to mid-level workers operating in community settings, and to incentive schemes to improve morale and retention.

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Measuring engagement of community health workers to improve productivity, retention and quality of care (2008)

This investigation looks at applying human resources (HR) concepts related to employee engagement that have been validated in developed countries to the context of volunteers in OVC programs in Ethiopia to the Strengthening Communities and Safety Nets Project. Worker engagement is defined as the extent to which people enjoy andRead more…

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Kilifi Orphans and Vulnerable Children Project – A Case Study (2007)

This case study was conducted to impart a thorough understanding of Catholic Relief Services’ (CRS) OVC program model in Kenya and to document lessons learned that could be applied to other OVC initiatives. This case study is based upon a program document review; program site visits, including discussions with localRead more…

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Women on the Front Lines of Health Care: State of the World’s Mothers 2010 (2010)

The focus of this report is on the critical shortage of health workers in the developing world and the urgent need for more female health workers to save the lives of mothers, newborn babies, and young children. This report identifies countries that have invested in training and deploying more femaleRead more…

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Community Health Worker Incentives and Disincentives: How They Affect Motivation, Retention, and Sustainability (2001)

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 understandingRead more…

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Community health workers: What do we know about them? The state of the evidence on programmes, activities, costs and impact on health outcomes of using community health workers (2007)

This is a review commissioned by the WHO which aims to assess the existing evidence regarding the feasibility and effectiveness of CHW programs. It is a broad scope paper which uses published and selected ‘grey’ literature available since the 1970s. Some of the topics reviewed are: the role of CHWs,Read more…

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