Video Spotlight

"'I'm a Health Worker' - Abduaraman Gidi" made by IntraHealth International.

“Self-development matters” - Perception of Sakhis (CHWs) assessing self-development outcomes of their participation in the HBNC Program

This qualitative study looks at the perceptions of community health workers on the outcomes of the Home-Based Neonatal Care Program in India. The authors found that having local women participate in development programs results in both the potential for self-development and the program objective.

Time motion study using mixed methods to assess service delivery by frontline health workers from South India: methods

This article examines the performance of South Indian frontline health workers by analyzing their time management and identifying factors that affect their work. Around 6 or 7 hours were spent on any working day, rather than the expected 8 hours.

An NGO-Implemented Community–Clinic Health Worker Approach to Providing Long-Term Care for Hypertension in a Remote Region of Southern India

This report discusses the implementation of a program that trained community health workers in southern India to identify hypertensive patients, refer them to a physician, and assist with lifestyle interventions and medications. 

Book: Healthy Lives for Vulnerable Women and Children: Applying Health Systems Research

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 inaccessible healthcare services. Strong, equitable, and well-governed health systems can contribute to sustainably improving their lives.

Is incentive-based pay for India's community health workers working?

This article provides background information on the incentive system for India’s Accredited Social Health Activists (ASHAs).  India has created an outcome-based incentive system which creates a clear difference in payment per patient.

Case Studies of Large-Scale Community Health Worker Programs

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.

Community Health Worker Nutrition Advocacy Tool

SPRING, in collaboration with USAID, has created a new CHW Nutrition Advocacy Tool, which consists of a series of PowerPoint slides with important data regarding key nutrition responsibilities for CHWs. Information in these slides identify current gaps in nutrition service delivery and advocates for increased commitment to nutrition in community health programs. Stakeholders can use these materials to identify which nutrition-related services CHWs can provide, prioritizes CHW responsibilities, and builds a stronger foundation of policies, tools, and systems for CHWs to conduct their work.

Community health worker knowledge and management of pre-eclampsia in rural Karnataka State, India

The hypertensive disorders of pregnancy and postpartum haemorrhage are responsible for nearly 40% of all maternal deaths in India. Most of these deaths occur in primary health settings which frequently lack essential equipment and medication, are understaffed and have limited or no access to specialist care. Community health care workers are regarded as essential providers of basic maternity care; and the quality of care they provide is dependent on the level of knowledge and skills they possess.

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CHW Central is managed by Initiatives Inc. Site start-up was supported by the USAID Health Care Improvement Project in 2011.

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