Results: 3069
Community health workers in health systems strengthening: a qualitative evaluation from rural Haiti (2010)
This qualitative study evaluated the role of CHWs in the health system in both HIV and non-HIV-related services in rural Haiti and investigated the challenges and facilitating factors for their work. CHWs contributed to a wide range of primary health services and non-HIV related activities. Recognition from the community, status,Read more…
Community health workers for ART in sub-Saharan Africa: learning from experience – capitalizing on new opportunities (2009)
This article investigates whether present CHW programmes for antiretroviral treatment are taking into account lessons learnt from past experiences with community health worker programmes in primary health care and to what extent they are seizing the new antiretroviral treatment-specific opportunities. Our appraisal of six CHW programmes, identified during field workRead more…
Community-based health programmes: role perceptions and experiences of female peer facilitators in Mumbai’s urban slums (2009)
This article presents findings from a study of female peer facilitators involved in a community-based maternal and newborn health intervention in urban slum areas of Mumbai. Using qualitative methods we explore their role perceptions and experiences. Our findings focus on how the facilitators understand and enact their role in theRead more…
Achieving child survival goals: potential contribution of community health workers (2007)
This report discusses the renewed interest in the potential contribution of community health workers to child survival. CHWs can undertake various tasks, including case management of childhood illnesses (e.g., pneumonia, malaria, and neonatal sepsis) and delivery of preventive interventions such as immunisation, promotion of healthy behaviour, and mobilisation of communities.Read more…
Sustainability of community-capacity to promote safer motherhood in northwestern Tanzania: what remains? (2009)
The objective of this article is to examine the remains of the Community-Based Reproductive Health Project (CBRHP) implemented by CARE-Tanzania to address high maternal mortality in two rural districts. The two components of CBRHP, work of VHWs and community-financing for emergency transport systems in six villages, have continued. Both ofRead more…
Community Caregivers: The Backbone for Accessible Care and Support – Multi-country Research: Ethiopia Report (2013)
This report is the result of research undertaken in Ethiopia as part of a broader multi-country research project commissioned by the Caregivers Action Network (CAN) to review community and home-based care (CHBC), especially in regards to HIV prevention, treatment, care and support.
Ethiopia’s Health Extension Program: Improving Health through Community Involvement (2011)
The Health Extension Program is one of the most innovative community-based health programs in Ethiopia. It is based on the assumption that access to and quality of primary health care in rural communities can be improved through transfer of health knowledge and skills to households. Since it became operational inRead more…
Integrated Maternal and Newborn Care: Basic Skills Course (2009)
This document is part of a series that makes up the USAID/BASICS Newborn Health tool kit. The entire toolkit is comprised of a reference manual, technical presentations, facilitator’s guide, participant’s notebook, clinical logbook and tools for monitoring and evaluation. This document is the Clinical Logbook that can help health workersRead more…
BASICS Pediatric HIV Tool-kit: Orphan and Vulnerable Children Situational Analysis Interview Guide for Community Groups (2008)
This is an interview guide for CHWs, PLHA Support Group Members, Village Health Committees and Community Dialogue Groups. It is written for Rwanda, but can be adapted for use in other countries affected by HIV/AIDS. It specifically addresses pediatric HIV case identification, and referral and care at the community levelRead more…
A review of non-financial incentives for health worker retention in east and southern Africa (2007)
The paper reviews evidence from peer reviewed and “grey” English language literature on the use of non-financial incentives for CHW retention in sixteen countries in east and southern Africa (ESA): Angola, Botswana, Democratic Republic of Congo, Kenya, Lesotho, Madagascar, Malawi, Mauritius, Mozambique, Namibia, South Africa, Swaziland, Tanzania, Uganda, Zambia, andRead more…
Improving Performance of Community-Level Health and Nutrition Functionaries: A Review of Evidence in India (2009)
This review of the National Rural Health Mission (NRHM) and the Integrated Child Development Scheme (ICDS) III which highlights lack of supervision, poor worker motivation, and related issues as critical challenges. It shows that programs often focus on training but other performance factors such as supportive supervision, clear performance expectationsRead more…
Community-Based Care and Support within the APHIA II Nyanza project (2009)
APHIA (AIDS, Population and Health Integrated Assistance) is a USAID-financed program in Kenya that works with the Ministry of Health and faith-based and community-based organizations to reduce the risk of HIV transmission and the fertility rate in Nyanza. Specifically, the project focuses on improving and expanding facility-based HIV/AIDS, tuberculosis, reproductiveRead more…
Community IMCI / Community Case Management: Evaluation Report of Community Health Workers Performance (2009)
This paper was published by the Rwandan Ministry of Health. The main objective of this report is to analyze CHWs’ performance in order to inform program expansion. Additional objectives include: 1. review the quality of case management by CHWs; 2. review the quality of drug management; 3. analyze the processRead more…
Global Experience of Community Health Workers for Delivery of Health Related Millennium Development Goals: A Systematic Review, Country Case Studies, and Recommendations for Integration into National Health Systems (2009)
This report aims to identify CHW programs with positive impacts on Millennium Development Goals (MDGs), related to health or otherwise, through a global systematic review undertaken of such interventions, as well as eight in-depth country case studies in SubSaharan Africa (Ethiopia Mozambique and Uganda), South East Asia (Bangladesh, Pakistan andRead more…
Retention of Community Service Officers for an Additional Year at District Hospitals in KwaZulu-Natal and the Eastern Cape and Limpopo Provinces (2009)
This study investigates the motivations of community service (CS) officers to continue to work at the same district hospital for an additional year following their mandatory service. It aims to determine the number of CS officers who remained, the major factors that influenced them to remain, and factors that wouldRead more…
Searching for Common Ground on Incentives Packages for Community Workers and Volunteers in Zambia (2009)
This report reflects on an appropriate incentive package for the provision of care at the community level in Zambia. Human resources shortages, international migration, and a high burden of HIV contribute to an over-stretched public health system and the informal and unplanned delegation of service delivery tasks to volunteers operatingRead more…
Community-Based Access to Injectables: An Advocacy Guide (2010)
This advocacy guide offers a strategy to facilitate the adoption of injectable contraceptives into CHW health service delivery programs. It expands on six steps that advocates can take to push for a policy change that would allow CHWs to provide injectables.
Creating an Enabling Environment for Task Shifting in HIV and AIDS Services: Recommendations Based on Two African Country Case Studies (2010)
This is a USAID report of case studies done in Uganda and Swaziland looking at the current policies and approaches to task shifting with regard to HIV/AIDS. The case studies involve interviews and focus group discussions with various health care providers. The report recommends: 1. creating an enabling policy environmentRead more…
Community Health Workers: A Review of Concepts, Practice, and Policy Concerns (2007)
This literature review provides an overview of the concepts and practices among CHWs from across a range of developing and developed countries. The authors review various ways that CHWs have been used in different settings and analyze the role, management, and other factors that influence performance of CHWs. They alsoRead more…
Task shifting to tackle health worker shortages ()
This WHO report focuses on the “train” aspect of the task-shifting idea of “treat, train, retain,” in the effort to reduce the burden on existing healthcare professionals by shifting certain tasks to others such as CHWs. This paper outlines the WHO’s approach to the training crisis.
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