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Implementation of the national community health policy in Guinea: a decision space analysis of the roles and responsibilities of community health workers

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Authors: Alexandre Delamou, Fassou Mathias Grovogui, Facely Camara, Delphin Kolié, Tohaninzé Goumou, Lior Miller, Amy Nye, Thomas Bossert

This study examined how community health workers (CHWs) and volunteers in Guinea understood and carried out their roles in delivering health services between 2017 and 2021. Findings showed that both groups had strong knowledge of their responsibilities and were actively implementing them. The presence of CHWs was linked to greater decision-making power and stronger capacity, which was also associated with higher vaccination coverage. The study highlights that in decentralized systems, community health actors need clear understanding of their roles, along with consistent support and funding, to improve health outcomes.

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Resource Topic: CHW programs

Resource Type: Mixed Methods

Year: 2025

Region: Africa

Country: Guinea

Publisher May Restrict Access: No

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