Video Spotlight

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

CHW Incentives: Lessons Learned and Best Practices from Madagascar

In Madagascar 83% of the country’s 22.9 million people live in rural areas that can be difficult to access. CHWs play a crucial role in providing access to healthcare in those parts of the country that are underserved. Over 34,000 CHWs work to extend basic health services such as maternal and child health, family planning and reproductive health, nutrition, TB, and sanitation services. This study seeks to examine the influence both financial and non-financial incentives have on CHW program performance and retention in Madagascar. 

Community perspectives on the determinants of maternal health in rural southern Mozambique: a qualitative study

Mozambique has one of the highest rates of maternal mortality in sub-Saharan Africa. To effectively address maternal mortality in the post-2015 agenda, interventions need to consider the determinants of health so that their delivery is not limited to the health sector. The objective of this exploratory qualitative study was to identify key community groups’ perspectives on the perceived determinants of maternal health in rural areas of southern Mozambique.

Community health workers’ knowledge and practice in relation to pre-eclampsia in Ogun State, Nigeria: an essential bridge to maternal survival

Pre-eclampsia is a leading cause of maternal and fetal morbidity and mortality worldwide. Early detection and treatment have been instrumental in reducing case fatality in high-income countries. This study was part of a multi-country evaluation of community treatment of pre-eclampsia to determine community health workers' knowledge and practice in the identification and treatment of pre-eclampsia, as they are essential providers of maternal care services in Nigeria. 
 

Human resource constraints and the prospect of task-sharing among community health workers for the detection of early signs of pre-eclampsia in Ogun State, Nigeria

Task-sharing expands the responsibilities of low-cadre health workers and allows them to share these responsibilities with highly qualified healthcare providers in an effort to best utilize available human resources. This study is part of a larger community-based trial evaluating the acceptability of community treatment for severe pre-eclampsia and examines the prospect for task-sharing among community health extension workers (CHEW) for the detection of early signs of pre-eclampsia in Ogun State, Nigeria. 

Mobile Technology in Support of Frontline Health Workers

This report summarizes current data from over 140 FHW-supported mHealth projects from developing countries to describe the emergent trends and best practices in the use of mobile phones, tablets, and technical platforms by FHWs over the last decade, understand the key considerations in choosing the type pf phone and platform and associated programmatic costs, present the evidence on the effectiveness of mobile approaches, and establish
a framework for systematically deploying such tools.  

Unlocking the community health workforce potential, post-Ebola: what models and strategies work?

The Ebola pandemic of 2014-16 demonstrated the crucial role of the community health workforce in preventing, responding to, and effectively treating health emergencies. As the West Africa region rebuilds its health systems after Ebola, countries and communities have identified a need to develop strategies and plans to embed the role of the community health worker (CHW) as a foundation of an effective healthcare system. 

Performance of Community Health Workers: Optimizing the Benefits of their Unique Position between Communities and the Health Sector

Maryse Kok's thesis aims to gain insight into how performance of CHWs in low-middle income countries (LMIC) can be improved, in order to contribute to the realization of better informed, more effective and sustainable CHW programmes and ultimately improved health status of poor and rural communities. 

Community health workers for universal health-care coverage: from fragmentation to synergy

To achieve universal health coverage, health systems will have to reach into every community, including the poorest and hardest to access. Since Alma-Ata, inconsistent support of community health workers (CHWs) and failure to integrate them into the health system have impeded full realization of their potential contribution in the context of primary health care.

Safety and Acceptability of Community-Based Distribution of Injectable Contraceptives: A Pilot Project in Mozambique

Mozambique has witnessed a climbing total fertility rate in the last 20 years. Nearly one-third of married women have an unmet need for family planning, but the supply of family planning services is not meeting the demand.

Challenges Facing Successful Scaling Up of Effective Screening for Cardiovascular Disease by Community Health Workers in Mexico and South Africa: Policy Implications

The integration of community health workers (CHWs) into primary and secondary prevention functions in health programs and services delivery in Mexico and South Africa has been demonstrated to be effective. This paper aims to identify barriers and challenges to these types of CHW programs by comparing the experiences of earlier studies with successful programs. Barriers reviewed include scale up issues, training and certification issues, integration issues, and funding gaps. The authors use this information to make policy recommendations about task-sharing CHW programs. 

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