Video Spotlight

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

The Path to 2020: Delivering transformative, rights-based family planning

In July of 2012, CARE partnered with other organizations to provide 120 million women and girls with family planning information and services by the year 2020.  This report reflects on the first half of the initiative, evaluating what has been accomplished thus far.  The evaluation shows that many barriers to providing women and girls with more family planning support remain.

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.

Year in Review 2016—World Vision International Health and Nutrition

In this "2016 Year in Review", World Vision shares notable observations on persistent challenges to reaching the Sustainable Development Goals (SGDs), alongside key examples and innovations demonstrating how they are tackling them. 

Barriers and facilitators to the implementation of lay health worker programmes to improve access to maternal and child health: qualitative evidence synthesis.

This article synthesizes the qualitative evidence of the effectiveness of lay health workers (LHWs) as well as the factors affecting implementation of LHW programs for maternal and child health. 53 studies were included primarily describing the experiences of LHWs, program recipients, and other health workers. Results from the review suggest that rather than being seen as a lesser trained health worker, LHWs may represent a different and sometimes preferred type of health worker. The close relationship between LHWs and recipients is a program strength.

Does task shifting yield cost savings and improve efficiency for health systems? A systematic review of evidence from low-income and middle-income countries

Research has demonstrated that task shifting, including the use of CHWs to deliver care, can improve population health. This systematic review examines whether task shifting in LMICs results in efficiency improvements by achieving cost savings. The authors identified 794 articles, and included 34 in the study. They found that substantial evidence exists for achieving cost savings and efficiency improvements from task shifting activities related to tuberculosis and HIV/AIDS.

A systematic review of strategies to increase access to health services among children in low and middle income countries

This systematic review examines the effectiveness of interventions aimed at increasing access to health services for children aged 5 years and below in LMIC. Fifty-seven studies were included in the review, and approximately half of studies (49%) were conducted in sub-Saharan Africa. The studies evaluated a diverse range of interventions and various outcomes. Supply side interventions included: delivery of services at or closer to home (by CHWs, nurses, or school programs) and service level improvements (e.g. integration of services).

Strengthening Human Resources for Nutrition

SPRING works to strengthen human resources for nutrition with the ultimate goal of increasing the number of formally-trained professional and frontline workers in nutrition, as prioritized by USAID’s Multi-Sectoral Nutrition Strategy 2014-15. This collection of resources includes the latest news, activities, publications, media, and events on strengthening human resources for nutrition. 

The Influence of Community Health Resources on Effectiveness and Sustainability of Community and Lay Health Worker Programs in Lower-Income Countries: A Systematic Review

This review explores the current evidence available to assess if increased levels of integration of community health resources in CHW programs leads to higher program effectiveness and sustainability. 32 articles were chosen for an extensive review, complemented by analysis of the results of 15 other review studies. Analysis found no quantitative data and minimal inclusion of even basic community level indicators.

Mobilizing Action on Violence Against Women—A Hand Book for ASHAs

This handbook provides information and tools to address violence against women. Included in the resource is a definition of different types of violence, signs and symptoms to be aware of, consequences of violence against women, the role of a CHW in addressing violence against women, and situations for discussion. While the handbook was made for accredited social health activists (ASHAs), it is a useful resource for any type of CHW. 

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.

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