An intervention brought together community health workers, health facility staff, and accredited drug dispensing outlet (ADDO) dispensers to improve maternal and newborn health through a mechanism of collaboration and referral. This study explored barriers, successes, and promising approaches to increasing timely access to care by linking the three levels of health care provision.
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.
During the 29th African Union Summit in Addis Ababa, Ethiopia, heads of state endorsed two new initiatives to end AIDS by 2030. The first is the community health workers initiative which aims to train and deploy 2 million CHWs to work towards increasing the number of people who know their HIV status, who have access to treatment, and who are on treatment with suppressed viral loads. The initiative is based on substantial evidence that CHWs provide quality care and reduce costs for health delivery. The second initiative is the western and central Africa catch-up plan, which aims to accele
In Zimbabwe Dixon Chibanda, a psychiatrist, created a space called “Friendship Benches” that sets aside medical and technical elements of mental healthcare and engages the community through “grandmothers” or local lay health workers. The grandmothers are trained in a form of cognitive behavioral therapy, but engage their patients in local language which helps reduce stigma associated with mental health in the community. This program was created to address the overwhelming lack of mental healthcare workers in the country. Thus far, the program has reached over 30,000 Zimbabweans. Studies
This document provides a summary of the key points during the “Unlocking the community health workforce potential, post-Ebola: what models and strategies work” meeting. This meeting was designed to develop strategies for countries affected by Ebola and to share lessons from countries with strong existing community health systems. Needs of these countries were shared in an effort to align with global efforts to support effective CHW programs. This meeting drew on both public and private sector leaders in an effort to share knowledge while keeping CHWs at the center of stakeholder thinking
Post Ebola, Guinea is rebuilding its health system to deliver higher quality care. Part of their effort includes gaining trust again from the community, something that dwindled during the epidemic. Health Communication Capacity Collaborative (HC3) is a five year initiative funded by USAID that is working to address these concerns. HC3 utilizes a social and behavior change communication (SBCC) strategy to improve health behaviors and services in Guinea.
Lochuch, a CHW in Kenya, faces many challenges in her job as she tries to protect the health of those in her community. She has dealt with angry husbands and ambulance denials; actions that could lead to harm of pregnant women. Lochuch is working to ensure that women can deliver in a hospital. This article details her personal experience overcoming barriers in her community and the resilience with which she and her co-workers advocate for their clients.
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.
In Ethiopia some CHWs are now receiving smartphones that aid them in providing care for patients as well as strengthening new skills they can use in their job. This technology is powered by a solar lantern that allows CHWs to use training modules at home that can be downloaded and used without connection. In addition, the lantern provides a source of light to study CHW textbooks at night. These resources have increased exam scores of CHWs and helped them feel better prepared to help those in their community.