CHW-led antiretroviral therapy (ART) represents an opportunity to reduce the number of patients within healthcare facilities and expand universal coverage to remote areas. Pascal Geldsetzer and colleagues interviewed HIV patients in Tanzania to assess willingness to pay for CHW-led ART. Half of community members reported willingness to pay for CHW-led ART in amounts up to $3.61 … [Read more...] about Willingness to pay for community delivery of antiretroviral treatment in urban Tanzania: a cross-sectional survey
Sub-Saharan Africa (SSA)
Understanding the importance of nonmaterial factors in retaining community health workers in low-income settings: a qualitative case-study in Ethiopia
Low- and middle-income countries sometimes experience challenges motivating and retaining CHWs. Nikita Arora and colleagues interviewed Ethiopian Health Extension Workers (HEW) to identify opportunities to improve retention policies. In addition to financial incentives, the researchers identified improvements in health facility infrastructure, provision of childcare, and … [Read more...] about Understanding the importance of nonmaterial factors in retaining community health workers in low-income settings: a qualitative case-study in Ethiopia
Community health workers impact on maternal and child health outcomes in rural South Africa – a non-randomized two-group comparison study
Maternal and child health outcomes improve with the implementation of CHW home-visiting in urban areas, but less is known about their effects in rural South Africa. Karl le Roux and colleagues compared a rural area with CHW to one without CHWs to determine the effectiveness of CHW home-visits on maternal and child health. CHW home visits were associated with increased … [Read more...] about Community health workers impact on maternal and child health outcomes in rural South Africa – a non-randomized two-group comparison study
Resource requirements for community-based care in rural, deep-rural and peri-urban communities in South Africa: A comparative analysis in 2 South African provinces
Inconsistent management of South African CHW programs generally, and ward-based outreach teams WBOTS particularly, derive in part from a lack of policy regulation. Decisions about how to improve programming policy and generate best practices must quantify costs of service delivery for various types of geographical communities. Donela Beseda and colleagues evaluated differences … [Read more...] about Resource requirements for community-based care in rural, deep-rural and peri-urban communities in South Africa: A comparative analysis in 2 South African provinces
How should community health workers in fragile contexts be supported: Qualitative evidence from Sierra Leone, Liberia, and Democratic Republic of Congo
CHWs in resource-constrained settings require strong management and support to perform their roles effectively. Joanna Raven and colleagues sought to develop evidence-based support policies by looking at CHW programs in Sierra Leone, Liberia, and Democratic Republic of Congo. Results point toward a need for investing in strong Human Resources Management. … [Read more...] about How should community health workers in fragile contexts be supported: Qualitative evidence from Sierra Leone, Liberia, and Democratic Republic of Congo
