Authors: Sanjaya Acharya, Shiva Raj Mishra, Lorenz Seidlein, Bipin Adhikari, Daniel M Parker
This review looked at community-based care over the past decades, showing it improves access to essential services like maternal and child health, infectious disease control, and health promotion. Programs led by volunteers and community health workers strengthened health systems but faced issues like high turnover, limited funding, and weak integration. Case studies from countries like Nepal, Ethiopia, Brazil, and Rwanda showed clear health gains. Future challenges include urbanization, changing demographics, and complex health crises. Digital tools can help but need careful, equitable use. Sustaining community-based care will require strong governance, workforce support, technology, and active community involvement.
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Resource Topic: CHW programs, Primary Health Care
Resource Type: Review
Year: 2025
Region: Global
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Publisher May Restrict Access: No