This qualitative study compared the affects of two CHW supervision models – clinic-based supervision versus community-based supervision – on CHW team performance. It also examined CHW team performance when supervised by a senior nurse versus a junior nurse. The study outlines some of the characteristics of effective supervision and finds that CHWs supervised in facilities by senior nurses are better integrated with facility teams and more able to ensure continuity of care.
This study is a qualitative assessment of women’s preferences for preconception intervention strategies to promote physical and mental health in urban settings. The evaluation was carried out through focus group discussions in Soweto, South Africa.
In this article, the authors assess the relationship between the spatial organization of healthcare services and the stigmatization of people living with HIV in Zambia and South Africa. CHWs were involved in collecting data and providing their own insights into how patients experience facility spaces.
This article proposes a framework for the design and scale up of CHW program governance. Drawing from factual observations of South Africa’s community health system and theoretical insights on governance, the article frames key governance principles and outputs.
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.
This paper explores the role of CHWs in supporting South Africa’s HIV/AID treatment program. Interviews were conducted to examine the perceptions and experiences of CHWs who care for HIV/AIDS patients in anti-retroviral treatment (ART).
With the urgency of the HIV and TB epidemics in some low and middle-income countries, prevalent chronic diseases such as hypertension are often neglected by health services. This study assesses whether task-shifting from nurses to lay health workers (LHWs) improves the management of hypertension in rural primary healthcare clinics in South Africa.
Despite psychiatric disorders contributing to a significant portion of the global disease burden, insufficient access to mental health services is widespread. This study examined its CHW mental health training program, developed in close collaboration with the Western Cape Department of Health, and evaluates the program’s success in improving the knowledge, skill and confidence among trained CHWs and expanding access to mental health services.