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Documenting Community Health Worker Compensation Schemes and Their Perceived Effectiveness in Seven sub-Saharan African Countries: A Qualitative Study

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Authors: Alyssa L Davis, Lola Flomen, Jehan Ahmed, Djibrilla Maiga Arouna, Amos Asiedu, Maman Bacharou Badamassi, Ousmane Badolo, Moumouni Bonkoungou, Ciro Franco, Zachariah Jezman, Victoria Kalota, Beh Kamate, Daniel Koko, John Munthali, Raphael Ntumy, Patrick Sichalwe, Oumar Yattara

This study examines the effectiveness of financial compensation schemes for community health workers (CHWs) in seven sub-Saharan African countries: Benin, Burkina Faso, Ghana, Malawi, Mali, Niger, and Zambia. The study found that compensation is seen as effective when payments are regular, consistent, and sufficient. CHW schemes linked to government payrolls were generally perceived as more effective than those for volunteers, which varied widely in delivery methods. Effective schemes require government leadership, coordination, community engagement, partner harmonization, and realistic financing plans. Policymakers should use these insights to design better CHW compensation schemes, ensuring they align with national health service models and adequately recognize the contributions of volunteer CHWs.

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Resource Topic: CHW Payment

Resource Type: Qualitative

Year: 2024

Region: Sub-Saharan Africa (SSA)

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Publisher May Restrict Access: No

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