This article looks at the policy landscape and processes that led to the implementation of a community case management (CCM) for child survival program in Nicaragua. The authors review both the contextual factors that facilitated CCM as well as the challenges, and conclude that continuous monitoring is essential for both sustainability and scale up. … [Read more...] about Community case management in Nicaragua: lessons in fostering adoption and expanding implementation
Latin America and the Caribbean (LAC)
On the front line of primary health care: the profile of community health workers in rural Quechua communities in Peru
This article profiles CHWs, including health promoters, traditional birth attendants and traditional healers, serving rural Quechua communities from Ayacucho, Peru. It uses both quantitative and qualitative information from questionnaires, personal interviews and group discussions conducted in 40 communities. The majority of CHWs in Ayacucho are men with limited education who … [Read more...] about On the front line of primary health care: the profile of community health workers in rural Quechua communities in Peru
From Directly Observed Therapy to Accompagnateurs: Enhancing AIDS Treatment Outcomes in Haiti and in Boston
This article examines Directly Observed Therapy (DOT-HAART) provided by CHWs or accompagnateur to HIV patients in Boston and Haiti. The CHWs provide psychosocial support and link the patients to clinical staff and available resources. The article suggests that the accompagnateur model can be applied to other poverty-stricken populations in resource-poor settings. … [Read more...] about From Directly Observed Therapy to Accompagnateurs: Enhancing AIDS Treatment Outcomes in Haiti and in Boston
How to Mobilize Communities for Health and Social Change
This field guide is designed for health program directors and managers of community-based programs who are considering using community mobilization to improve health at the individual, family, and community level. The field guide contains illustrative examples and lessons learned in community mobilization experiences from around the world, focusing on working with disadvantaged … [Read more...] about How to Mobilize Communities for Health and Social Change
Integrated HIV prevention and care strengthens primary health care: Lessons from rural Haiti
The report discusses Partners in Health (PIH) HIV work in one of Haiti's poorest areas. PIH launched a small pilot project integrating AIDS care with prevention efforts. PIH found that such projects are replicable and may enhance primary health care. CHWs played a crucial role in developing a stronger approach to HIV/AIDS as well as scaling up primary health care. … [Read more...] about Integrated HIV prevention and care strengthens primary health care: Lessons from rural Haiti
