Video Spotlight

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

A Performance-Based Incentives System for Village Health Workers in Kisoro, Uganda

Village health worker programs in Uganda have met with limited success in the past partly due to a reliance on volunteerism and a lack of incentivization. Doctors for Global Health developed a performance-based incentive mechanism for village health workers (VHWs) in Uganda. The given paper looks at the feasibility and sustainability of the model.

Effect of a community health worker mHealth monitoring system on uptake of maternal and newborn health services in Rwanda

This study evaluates the impact of a mobile phone (mHealth) monitoring system- RapidSMS on improving access to proven maternal and newborn health interventions. Using an interrupted time series design, the study looks at the effect of the mHealth intervention on antenatal care, health facility delivery and vaccination.

Can community health workers increase modern contraceptive use among young married women? A cross-sectional study in rural Niger

The Republic of Niger reports the highest rates of early marriage and adolescent fertility in the world. This study assesses cross-sectional data from household surveys to determine if the deployment of volunteer community health workers in rural settings has improved family planning services in adolescents and the youth.

Community health extension program of Ethiopia, 2003–2018: successes and challenges toward universal coverage for primary healthcare services

Since 2003, Ethiopia has been implementing a community health extension program (HEP). This systematic review assesses the improvements that the program has brought about particularly in terms of maternal and childcare, hygiene and sanitation, knowledge and healthcare seeking. It also looks at the weaknesses of this dynamic program with respect to productivity, efficiency, capacity and living conditions of health extension workers (HEWs).

Community health workers to improve uptake of maternal healthcare services: A cluster-randomized pragmatic trial in Dar es Salaam, Tanzania

In addition to quality of care of maternal health services, increased uptake of antenatal care (ANC) and facility- based delivery are key contributors to improved maternal and neonatal health in resource limited settings. This cluster randomized trial attempted to assess the impact of a community health worker (CHW) intervention on the proportion of women who visit ANC less than 4 times during pregnancy and deliver at home.

“Being seen” at the clinic: Zambian and South African health worker reflections on the relationship between health facility spatial organisation and items and HIV stigma in 21 health facilities, the HPTN 071 (PopART) study

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. 

Visibility in community health work mediated by mobile health systems: A case of Malawi

The authors assess community health workers’ visibility within a technological space. They argue that  mHealth makes CHW’s work more visible by showing their use of mHealth and data systems in different locations and making their data accessible beyond their direct supervisors.   

Evaluation of the cost-effectiveness of the treatment of uncomplicated severe acute malnutrition by lady health workers as compared to an outpatient therapeutic feeding programme in Sindh Province, Pakistan

In this article, a cost effectiveness analysis is used to compare outpatient facility–based treatment of severe acute malnutrition with one delivered by community health workers in rural Pakistan. The study found that facility based treatment was only slightly more cost-effective than the alternative.

Dealing with context in logic model development: Reflections from a realist evaluation of a community health worker programme in Nigeria

The authors in this article assess the extent to which community health worker programs improve access to maternity services. They use the integration of contextual factors into a logic model to frame the assessment and argue that the logic model can serve as an analytical tool rather than an end in itself.

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