To support quality CHW program design and implementation, USAID, UNICEF, the Community Health Impact Coalition, and Initiatives Inc. have updated and adapted the Community Health Worker Assessment and Improvement Matrix (CHW AIM) Program Functionality Matrix tool. This tool can be applied at district, regional, and national levels to identify and close gaps in design and implementation and, ultimately, enhance program performance.
The Community Health Systems (CHS) Catalog is a one-stop ‘shop’ for information on community health policies and programs across 25 countries, including extensive information on CHWs. Developed in 2014 and updated in 2017, it provides policymakers, program managers, researchers and donors with policy data to advance community health research, programming, and advocacy efforts. The CHS Catalog includes 25 country profiles, a set of infographics, and a summary of cross-country policy and program trends.
Based on qualitative research from six countries (Bangladesh, Indonesia, Ethiopia, Kenya, Malawi, Mozambique) that were part of the REACHOUT consortium, this study explores how gender roles and relations affect close-to-community (CTC) health service provider experience at the individual, community, and health system levels.
Community health workers (CHWs) improve access to quality health services at the community level. Despite the critical role that CHWs play, governments often have limited insight into their activities, the quality of their services, the conditions of the communities that they serve, and how best to link these CHWs and their beneficiaries to the larger health system.
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 their HIV status, who have access to treatment, and who are on treatment with suppressed viral loads. The initiative is based on substantial evidence that CHWs provide quality care and reduce costs for health delivery. The second initiative is the western and central Africa catch-up plan, which aims to accele
In Ethiopia some CHWs are now receiving smartphones that aid them in providing care for patients as well as strengthening new skills they can use in their job. This technology is powered by a solar lantern that allows CHWs to use training modules at home that can be downloaded and used without connection. In addition, the lantern provides a source of light to study CHW textbooks at night. These resources have increased exam scores of CHWs and helped them feel better prepared to help those in their community.
This study in Tigray, Ethiopia investigated the impact of a service delivery model that combined community-based distribution (CBD) of contraception with social marketing. 626 volunteer CHWs were recruited and trained to administer depot medroxyprogesterone acetate (DMPA) injections, provide counseling and referrals, and promote demand for family planning through door-to-door outreach and community meetings. Surveys of women of reproductive age, as well as of participating CHWs, were conducted at baseline and the end of the study.
This resource from USAID and MCHIP provides an overview of large-scale CHW programs from 13 countries: Afghanistan, Bangladesh, Brazil, Ethiopia, India, Indonesia, Iran, Nepal, Niger, Pakistan, Rwanda, Zambia and Zimbabwe. Case studies address the historical context of CHWs, the health needs of the country, the scope of work of the CHWs, CHW training, support and supervision, and financing of CHW programs. The demonstrated impact and continuing challenges of the different programs are also addressed.
This is an in-depth review of the effectiveness of CHW programs in Ethiopia, Brazil, and Nepal. The main objective of this report is to provide insight and examples of successful CHW programs for other countries that are looking to build and strengthen their own CHW programs, specifically in the maternal and child health field.