In 2012, a new cadre of Community Health Assistants (CHAs) were deployed as part of Zambia’s National Community Health Strategy. This study aims to evaluate the impact CHAs have on the volume and type of health services provided. Results show that the addition of CHAs in rural areas increased health service provision shifting the burden of basic health services away from more highly trained health workers. This allows policymakers to improve access to care with constrained budgets.
To improve healthcare access in rural areas, in 2010 the Government of Zambia implemented a national CHW strategy that introduced a new cadre of healthcare workers called community health assistants (CHAs). After 1 year of training the pilot class of 307 CHAs were deployed in September 2012. This paper presents findings from a process evaluation of the barriers and facilitators of implementation of the CHA pilot, along with how evidence was used to guide ongoing implementation and scale-up decisions.
In 2010, Zambia created a cadre of community health workers called Community Health Assistants (CHAs). This program continues to be scaled up to meet the needs of Zambia’s rural population. This study summarizes the factors that have aided the scale-up of the CHA program as well as the challenges. The study determined that CHAs play a critical role in providing a wide range of services to community members. However, CHAs continue to face challenges such as infrequent supervision, lack of medical and non-medical supplies, and challenges with the mobile data reporting system. The study c
For the organizations who have dedicated themselves to building good CHW programs, where can they go to learn how to make programs that are built to thrive? The Center for Health Market Innovation awarded two like-minded health delivery organizations, Last Mile Health in Liberia and Possible in Nepal, a learning exchange grant.
This report is the first National Community Health Strategy Malawi has produced, spanning from 2017 to 2022. This strategy is intended to work towards achieving Millennium Development Goal number three: universal health care. The main focus of this strategy include: integration of health services, community engagement, and sufficient and equitable distribution of well-trained community health workforce. Efforts will also support maintaining sufficient supplies, transportation, and infrastructure. This strategy provides a guide and framework to introduce community health into the pre-exi
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