Kenya’s third largest city, Kisumu, serves as a trading and transportation hub for west- ern Kenya and bears the dubious distinction of having Kenya’s worst set of health indicators and one of the nation’s highest poverty levels. While much work lies ahead for Kisumu to attain the Millennium Development Goals (MDGs), the City, in coordination with major development partners … [Read more...] about Kisumu Final Report
Sub-Saharan Africa (SSA)
Policy for Community Health Workers in Sierra Leone
Health systems in Sierra Leone are undergoing considerable change, often in a context of ongoing health sector reforms. In Sierra Leone, decentralization of health services is very central to these changes, and consequently there is a need to prepare and empower those working at the district level for their new responsibilities and tasks. The development of the Community … [Read more...] about Policy for Community Health Workers in Sierra Leone
Remuneration for Community Health Workers: Recommendations to the World Health Organization
The question of remuneration for community health workers (CHWs) in low--‐income countries remains contentious. Programs use a variety of monetary and non--‐monetary incentives to motivate CHWs. The most successful programs, however, pay their workers, and there is little evidence to suggest that volunteerism in low--‐income countries is sustainable over the long … [Read more...] about Remuneration for Community Health Workers: Recommendations to the World Health Organization
It’s not Ebola…it’s the systems
The 2014 Ebola outbreak in West Africa demonstrates key deficiencies in investment in health systems. Despite some modest investment in health systems, our field has instead largely chosen to pursue shorter-term, vertical efforts to more rapidly address key global health issues such as smallpox, polio, malaria, and HIV/AIDS. While those efforts have yielded … [Read more...] about It’s not Ebola…it’s the systems
A Community Health Worker “logic model”: towards a theory of enhanced performance in low- and middle-income countries
The purpose of this paper is to promote early and continuous causal thinking as decision makers design, implement, scale up, and evaluate CHW and other programs that are intended to positively affect the public’s health. The methods section describes how the generic CHW logic model was constructed, drawing explicitly on research … [Read more...] about A Community Health Worker “logic model”: towards a theory of enhanced performance in low- and middle-income countries
