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Optimizing the role and functions of CHWs in service of a people-centred community health system in sub-Saharan Africa. A realist synthesis

by

Authors: Usangiphile E. Buthelezi, André J. van Rensburg, Mosa Moshabela, Zamasomi Luvuno, Tasneem Kathree, Arvin Bhana, Inge Petersen

This study looked at how community health workers (CHWs) in sub-Saharan Africa can better provide people-centered care. By reviewing research from 2014 to 2024, the study found that trust, motivation, and good leadership are key to CHW success. It also highlighted that CHWs work best when they are part of formal health systems, connected to community efforts, and supported by strong partnerships. The findings suggest that health frameworks should be more flexible to include leadership and feedback to improve CHW performance and care quality.

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Resource Topic: CHW Role, health systems

Resource Type: Review

Year: 2025

Region: Sub-Saharan Africa (SSA)

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Publisher May Restrict Access: No

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