There is a renewed interest in community health workers (CHWs) in Tanzania, but also a concern that low motivation of CHWs may decrease the benefits of investments in CHW programs. This study aimed to explore sources of CHW motivation to inform programs in Tanzania and similar contexts. Sources of CHW motivation were identified at the individual, family, community, and … [Read more...] about Sources of community health worker motivation: a qualitative study in Morogoro Region, Tanzania.
Recruitment and Retention
‘It’s the sense of responsibility that keeps you going’: stories and experiences of participation from rural community health workers in Guatemala
In 1978, the Alma-Ata declaration on primary health care (PHC) recognized that the world’s health issues required more than just hospital-based and physician-centered policies. The figure of the community health worker (CHW) remains a central feature of participation within the PHC approach, and being a CHW is still considered to be an important way of participation within … [Read more...] about ‘It’s the sense of responsibility that keeps you going’: stories and experiences of participation from rural community health workers in Guatemala
Outreach services to improve access to health care in South Africa: lessons from three community health worker programmes
This article examines three South African community health worker programs, a small local non-governmental organisation, a local satellite of a national NGO, and a government-initiated service, that provide a range of services from home-based care, childcare, and health promotion to assist clients in overcoming poverty-related barriers to health care to identify factors that … [Read more...] about Outreach services to improve access to health care in South Africa: lessons from three community health worker programmes
How to make the most of village health promoters.
In a rural area of Bangladesh the methods used by village health promoters and the time available to them for their intended tasks were inadequate. Poverty and illiteracy in the community exacerbated their difficulties. Ways of tackling these problems are discussed in the article. … [Read more...] about How to make the most of village health promoters.
Community health workers: a front line for primary care?
Among the potential changes invoked in discussions on health system transformation, a need to revitalize primary care remains paramount. One way of doing this, most agree, is to move more in the direction of team-based care. Professionals such as physician assistants and nurse practitioners may be able to ease some of the physician's clinical care load, but some populations … [Read more...] about Community health workers: a front line for primary care?

