Authors: Marco Liverani, Khampheng Phongluxa, Koukeo Phommasone, Rusheng Chew, Arjun Chandna, Tiengkham Pongvongsa, Mayfong Mayxay, Sengchanh Kounnavong, Elizabeth Ashley, Yoel Lubell
Despite progress towards universal health coverage, many rural communities lack access to healthcare. In Laos, community-based health programs aim to address this issue by involving lay health workers (LHWs) as CHWs. This study explored the challenges and opportunities for expanding these programs. Interviews with stakeholders revealed barriers such as geographic inaccessibility, communication challenges, and gender discrimination, particularly among ethnic minorities. CHWs have potential to bridge these gaps by extending healthcare reach and acting as cultural brokers. However, implementation models, financing, and integration with the formal health system need careful consideration. Despite challenges, the emphasis on primary care and decentralization in Laos offers a favorable policy environment for sustaining and expanding community-based care programs.
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Resource Topic: CHW Challenges
Resource Type: Qualitative
Year: 2024
Region: Asia
Country: Laos
Publisher May Restrict Access: No