This essay reflects on how place (territory), health, and care are connected by looking at the work of community health agents. It explores how health services are organized, how care is often medicalized, and how CHWs help manage cultural meanings in health care. The authors argue that both territory and care are dynamic and shaped by social relationships, not just medical … [Read more...] about Imagining the work of community health workers: notes for a discussion on territory, health and care
health systems
Optimizing the role and functions of CHWs in service of a people-centred community health system in sub-Saharan Africa. A realist synthesis
This study looked at how community health workers (CHWs) in sub-Saharan Africa can better provide people-centered care. By reviewing research from 2014 to 2024, the study found that trust, motivation, and good leadership are key to CHW success. It also highlighted that CHWs work best when they are part of formal health systems, connected to community efforts, and supported by … [Read more...] about Optimizing the role and functions of CHWs in service of a people-centred community health system in sub-Saharan Africa. A realist synthesis
Moving Towards a South African NHI System of Excellence: Recommendations Based on the Insider Perspectives of CHWs as Key Role-Players
South Africa’s government is improving primary health care through a new plan supported by National Health Insurance (NHI), with Community Health Workers (CHWs) playing a key role. This article shares the views of 31 CHWs from an NHI pilot district and gives suggestions to improve the program. These include having clear team leaders, providing regular training, keeping records … [Read more...] about Moving Towards a South African NHI System of Excellence: Recommendations Based on the Insider Perspectives of CHWs as Key Role-Players
Barriers to seeking and delivery of essential health services in nine provinces of Afghanistan during the COVID-19 pandemic: community health workers’ perspective
During the COVID-19 pandemic, community health workers (CHWs) in Afghanistan faced many challenges while helping people access health services. This study, based on feedback from CHWs in nine provinces, found that the biggest barriers were lack of information about services, poor transportation, long distances to health facilities, and concerns about medicine shortages. While … [Read more...] about Barriers to seeking and delivery of essential health services in nine provinces of Afghanistan during the COVID-19 pandemic: community health workers’ perspective
Learning from the strengths of health care in schools in Brazil & opportunities for contemporary global school health
Schools play a key role in children’s health and learning. This article looks at Brazil’s school health efforts and suggests ways to improve school health programs worldwide. It highlights four main opportunities: (1) clearly defining the role of community health workers in schools, (2) using proven health programs in schools more widely, (3) better coordination of care to help … [Read more...] about Learning from the strengths of health care in schools in Brazil & opportunities for contemporary global school health
