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.
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.
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.
This article researched female community health workers performance in India through interviews. While their work resulted in positive community health changes, community norms and health system practices limited their effectiveness.
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.
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.
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.
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.
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.