This multi-site case study used interviews and focus groups of community health workers and facilitators to examine conversations on WhatsApp. WhatsApp was viewed positively by community health workers and acted as a useful tool in rural health work, despite the challenge of separating social use from instrumental use.
This study looked at the continuation rates of women who self-injected contraceptives (specifically subcutaneous depot medroxyprogesterone acetate) versus women who were injected by a health care provider, which included community health workers. The paper concluded that women who self-injected were more likely to continue and suggested promoting the ability to self-inject.
This cluster randomised controlled trial looked at the ability to train CHWs in Malawi to identify individuals with ear and hearing disorders. The intervention and training were effective and could be scaled up to CHWs in other countries.
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.
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 have the tools to compile and visualize the data they collected to make evidence-based program decisions.
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 equitable distribution of well-trained community health workforce. Efforts will also support maintaining sufficient supplies, transportation, and infrastructure. This strategy provides a guide and framework to introduce community health into the pre-exi
The objective of this paper was to assess if training Health Surveillance Assistants (HSAs) in couples counseling would increase modern family planning uptake among young women in Malawi. In this cluster randomized controlled trial, 30 HSAs from Lilongwe, Malawi received training in family planning. The HSAs were then randomized 1:1 to receive or not receive additional training in couples counseling. All HSAs were asked to provide family planning counseling to women in their communities and record their contraceptive uptake over 6 months.
This study evaluated the effects of a social accountability approach, CARE’s Community Score Card (CSC), on reproductive health outcomes in Ntcheu district, Malawi using a cluster-randomized control design. Two independent cross-sectional surveys of women who had given birth in the last 12 months, at baseline and at two years post-baseline were conducted.
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.