Results: 3069
Expanding the population coverage of evidence–based interventions with community health workers to save the lives of mothers and children: an analysis of potential global impact using the Lives Saved Tool (LiST) (2017)
This paper investigates the effect of expanding the population coverage of evidence-based interventions that community health workers provide outside of facilities. Using the Lives Saved Tool, the authors examined 73 countries and estimated that, if population coverage was expanded to 90%, 6.9 million lives of mothers and their children under theRead more…
Cost-effectiveness of the treatment of uncomplicated severe acute malnutrition by community health workers compared to treatment provided at an outpatient facility in rural Mali (2018)
This study examines the feasibility of incorporating treatment of severe acute malnutrition (SAM) into an existing community care framework operated by community health workers (CHWs). The study shows that delivering treatment of SAM through CHWs is cost-effective, assuming good coverage.
Improving local health through community health workers in Cambodia: challenges and solutions (2018)
Volunteer community health workers (CHWs) in Cambodia promote local health and act as a bridge between the public health system and the community. This article examines the obstacles CHWs face in Cambodia through qualitative research, which includes two focus groups and ten semi-structured interviews.
Book: Healthy Lives for Vulnerable Women and Children: Applying Health Systems Research (2017)
Tremendous challenges remain to ensure that the most vulnerable populations, including women, children, and adolescents, are able to enjoy the healthy lives and well-being promised in the Sustainable Development Goals. Much of their poor health is caused by poverty, gender, lack of education, and social marginalization as well as inaccessibleRead more…
Practitioner Expertise to Optimise Community Health Systems: Harnessing Operational Insight (2018)
This newly released report, titled ‘Practitioner Expertise to Optimise Community Health Systems: Harnessing Operational Insight’ examines how CHWs can successfully be integrated into national health systems, subsequently contributing towards efforts to achieve Universal Health Coverage. By using a number of case studies from six organisations (Hope Through Health, Last MileRead more…
Podcast: How can evidence optimize CHW programs? (2017)
The Community Health Impact Coalition (chwimpact.org) harnesses the potential of CHWs to extend health services to poor and marginalized populations; there is an urgent need to better understand how CHW programs can be optimized. Rigorous evidence that CHW care delivery can improve access to care and reduce mortality continues toRead more…
Podcast: Interview with Ash Rogers, Executive Director of the Lwala Community Alliance (Kenya) (2017)
YouTube Link: Interview with Ash Rogers, Executive Director of the Lwala Community Alliance (Kenya) In this PIH interview, Dan Palazuelos continues his vibrant roundtable series. He sat down with Ash Rogers, Executive Director of the Lwala Community Alliance in Kenya. Lwala is known for its excellence in service delivery, andRead more…
Using Data to Improve Programs: Assessment of a Data Quality and Use Intervention Package for Integrated Community Case Management in Malawi (2017)
Health Surveillance Assistants (HSAs) have been providing integrated community case management (iCCM) for sick children in Malawi since 2008. HSAs report monthly iCCM program data but, at the time of this study, little of it was being used for service improvement. Additionally, HSAs and facility health workers did not haveRead more…
Zambia’s Community Health Assistants (CHAs) (2017)
This brief is an outline of Zambia’s community health assistant (CHA) program detailing the impact of a nationwide salaried cadre of CHWs. The report includes how CHAs are recruited, trained, and deployed in rural areas of Zambia. The impact of CHA programs was found to include: task shifting and uptakeRead more…
Task-shifting impact of introducing a pilot community health worker cadre into Zambia’s public sector health workforce (2017)
In 2012, a new cadre of Community Health Assistants (CHAs) were deployed as part of Zambia’s National Community Health Strategy. This study aims to evaluate the impact CHAs have on the volume and type of health services provided. Results show that the addition of CHAs in rural areas increased health service provisionRead more…
Implementation of the Community Health Assistant (CHA) Cadre in Zambia: A Process Evaluation to Guide Future Scale-Up Decisions (2015)
To improve healthcare access in rural areas, in 2010 the Government of Zambia implemented a national CHW strategy that introduced a new cadre of healthcare workers called community health assistants (CHAs). After 1 year of training the pilot class of 307 CHAs were deployed in September 2012. This paper presentsRead more…
An exploration of facilitators and challenges in the scale-up of a national, public sector community health worker cadre in Zambia: a qualitative study (2017)
In 2010, Zambia created a cadre of community health workers called Community Health Assistants (CHAs). This program continues to be scaled up to meet the needs of Zambia’s rural population. This study summarizes the factors that have aided the scale-up of the CHA program as well as the challenges. The study determined thatRead more…
“How do you exchange learning?” with Last Mile Health and Possible health (2017)
For the organizations who have dedicated themselves to building good CHW programs, where can they go to learn how to make programs that are built to thrive? The Center for Health Market Innovation awarded two like-minded health delivery organizations, Last Mile Health in Liberia and Possible in Nepal, a learning exchange grant. This funded a small team from each group toRead more…
National Community Health Strategy – Malawi (2017)
This report is the first National Community Health Strategy Malawi has produced, spanning from 2017 to 2022. This strategy is intended to work towards achieving Millennium Development Goal number three: universal health care. The main focus of this strategy include: integration of health services, community engagement, and sufficient and equitableRead more…
Can formalizing links among community health workers, accredited drug dispensing outlet dispensers, and health facility staff increase their collaboration to improve prompt access to maternal and child care? A qualitative study in Tanzania (2017)
An intervention brought together community health workers, health facility staff, and accredited drug dispensing outlet (ADDO) dispensers to improve maternal and newborn health through a mechanism of collaboration and referral. This study explored barriers, successes, and promising approaches to increasing timely access to care by linking the three levels ofRead more…
Cholera Module (2017)
CORE Group has developed a module about cholera to address gaps in preparedness and response in at risk countries and communities. The complete guide features four different lesson plans, and is complemented by flip charts that are intended to be used by community health workers. These lessons aim to reachRead more…
The Path to 2020: Delivering transformative, rights-based family planning (2017)
In July of 2012, CARE partnered with other organizations to provide 120 million women and girls with family planning information and services by the year 2020. This report reflects on the first half of the initiative, evaluating what has been accomplished thus far. The evaluation shows that many barriers toRead more…
African Union endorses major new initiatives to end AIDS (2017)
During the 29th African Union Summit in Addis Ababa, Ethiopia, heads of state endorsed two new initiatives to end AIDS by 2030. The first is the community health workers initiative which aims to train and deploy 2 million CHWs to work towards increasing the number of people who know theirRead more…
ProCCM with Dr. Ari Johnson (2017)
Dr. Palazuelos, Partners in Health, and Dr. Ari Johnson, co-founder and director of Muso, discuss a ProCCM approach that builds on ideas of iCCM in Mali, while considering the multiple barriers patients face to care. Muso, an organization in Mali, was initially run by volunteers; over the past decade MusoRead more…
Facing a suicide crisis in his country, this African psychiatrist enlisted grandmothers to step in (2017)
In Zimbabwe Dixon Chibanda, a psychiatrist, created a space called “Friendship Benches” that sets aside medical and technical elements of mental healthcare and engages the community through “grandmothers” or local lay health workers. The grandmothers are trained in a form of cognitive behavioral therapy, but engage their patients in localRead more…
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