CHW Central

A global resource for and about Community Health Workers

Increasing contraceptive use in rural Pakistan: an evaluation of the Lady Health Worker Programme

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The Lady Health Worker (LHW) Programme was initiated by the Pakistani Ministry of Health in the early 1990s to integrate family planning into doorstep provision of primary health care. This paper presents findings from the first national evaluation of the Programme. The data provides strong evidence that the Programme succeeded in increasing modern contraceptive use among rural … [Read more...] about Increasing contraceptive use in rural Pakistan: an evaluation of the Lady Health Worker Programme

Health Workforce “Innovative Approaches and Promising Practices” Study: Providing Doorstep Services to Underserved Rural Populations: Community Health Officers in Ghana

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Through its Community-Based Health Planning and Services (CHPS) initiative, Ghana has deployed over 300 auxiliary nurses in 53 of the country’s deprived districts. These nurses, who receive two years of training and the title Community Health Officer (CHO), are part of an innovative approach that shifts staff from low-impact static health centers with limited outreach to … [Read more...] about Health Workforce “Innovative Approaches and Promising Practices” Study: Providing Doorstep Services to Underserved Rural Populations: Community Health Officers in Ghana

Brief 3: Effectiveness of Community-based Distribution of DMPA

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This brief outlines how community based distribution (CBD) of injectable DMPA (Depo-Provera) can be effective. It posits key elements to ensure CBD success: workers must have consistent links to supplies, a system for follow up of clients to ensure they receive their injections every three months and training in how to counsel new DMPA users about side effects, and knowledge of … [Read more...] about Brief 3: Effectiveness of Community-based Distribution of DMPA

Improving the Quality of Care

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This tool describes a quality assurance process for ensuring that TB, HIV, and dual-infected clients are provided with quality of care. The approach relies on observation, use of scorable supervisory checklists to assess performance and instructions for addressing low-scoring tasks. Summary data informs improvement actions. Reports are submitted to the local health authorities. … [Read more...] about Improving the Quality of Care