Video Spotlight

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

What encourages community health workers to use mobile technologies for health interventions? Emerging lessons from rural Rwanda

This article looks at the determinants of community health workers using mobile phone technologies in rural Rwanda. Technical characteristics were found to be a predictor of use, while user characteristics were not. 

The effect of clustering on lot quality assurance sampling: a probabilistic model to calculate sample sizes for quality assessments

This paper uses a newly developed general framework to create a cluster lot quality assurance sampling (C-LQAS) system. This method for creating a C-LQAS system is used to design data quality assessments for a community health worker program in Rwanda.

Practitioner Expertise to Optimise Community Health Systems: Harnessing Operational Insight

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.

Community Health Worker’s Role in Bridging the Gap to Universal Healthcare in Rural Kenya

Kenya does not have a strong health infrastructure to support its people causing concern with current universal healthcare goals.  Kenya worries it will not be able to deliver care without a strong CHW program such as Rwanda’s.  Although Kenya already has CHWs working in certain areas, they are overwhelmed with large numbers of families per CHW and are not able to provide adequate care to everyone.  This article cites Rwanda’s success with a larger CHW program and results of significantly better health, pushing for Kenya to do the same.

 

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.

Balancing workload, motivation and job satisfaction in Rwanda: assessing the effect of adding family planning service provision to community health worker duties

While task shifting to CHWs is widely practiced to address healthcare provider shortages, it can add to an already heavy workload for CHWs. In order to reflect how CHWs perceive and react to their circumstances, this study combined perception and objective measures of workload to examine quality of services, worker performance, and job and client satisfaction. 

Acting on the Call June 2016 Report

USAID's 2016 Acting on the Call Report provides updates from the program that aims to end preventable maternal and child deaths in 25 priority countries, which together accounted for more than two-thirds of child and maternal deaths worldwide.

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