Video Spotlight

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

Community point distribution of insecticide-treated bed nets and community health worker hang-up visits in rural Zambia: a decision-focused evaluation

In 2013, the Zambian Ministry of Health distributed over two million insecticide-treated bed nets (ITNs) using a door-to-door distribution strategy, and distributed more than six million ITNs in 2014. This research study measures attendance rates at community point distribution and examines the impact of follow-up community health worker visits on ITN retention and usage. This data has potential to inform ITN distribution strategies in Zambia. 

Balancing workload, motivation and job satisfaction in Rwanda: assessing the effect of adding family planning service provision to community health worker duties

While task shifting to CHWs is widely practiced to address healthcare provider shortages, it can add to an already heavy workload for CHWs. In order to reflect how CHWs perceive and react to their circumstances, this study combined perception and objective measures of workload to examine quality of services, worker performance, and job and client satisfaction. 

Industrial action by healthcare workers in Nigeria in 2013–2015: an inquiry into causes, consequences and control—a cross-sectional descriptive study

In the past 36 months, Nigeria has suffered several healthcare workers’ strikes, resulting in decreased access to quality healthcare for Nigerians. The researchers in this study aimed to identify the root cause(s) for these strikes and determine potential solutions. 150 Nigerian healthcare workers participated in a cross-sectional survey and questionnaire to reveal reasons for the strikes. Findings concluded that increased salaries and wages were among the most common reasons for strikes, though other issues were discussed as well. 

What role for district-led quality improvement approaches in priority setting for Universal Health Coverage: Learning from Bangladesh, Ethiopia, Indonesia, Kenya, Malawi, Mozambique

Due to deficiencies in low- and middle-income countries, policy makers are suggesting different methods to achieving universal health coverage. One strategy is the expansion of cadres of close-to-community providers, which plays an important role for connecting communities with the formal health sector. This poster from the Reachout Consortium identifies some of the challenges with this strategy and how to address quality-related issues for universal health coverage. 

Yield of Community Health Worker-Driven Intensified Case Finding for Tuberculosis among HIV-Positive Patients in Rural Malawi

At the 21st International AIDS Conference in Durban, South Africa in July 2016, Dr. Katie Simon presented findings from a study highlighting how community health workers can be utilized to address tuberculosis case detection, which often infects people living with HIV. This study found that intensified tuberculosis case finding (TB ICF) by CHWs was associated with a 20-fold increase in TB case detection at an antiretroviral therapy clinic in Malawi.

USAID/Madagascar and Community Health Volunteers: Working in Partnership to Achieve Health Goals

Community Health Volunteers (CHVs) have played a critical role in the success of USAID in Madagascar’s health sector. As CHVs, they can provide basic health care services and health education at the community level, thus improving health care access in remote regions. This report highlights the successes and challenges of USAID/Madagascar’s investment in CHVs.  

Retention of health workers in rural Sierra Leone: findings from life histories

In light of the health worker shortage due to the post-conflict period and Ebola crisis in Sierra Leone, it is crucially important to understand different motivation factors for rural health workers, including doctors, nurses, midwives and Community Health Workers. Researchers conducted 23 participatory life histories with health workers, revealing that the context of the rural healthcare setting makes it difficult for health workers to conduct their work. These findings could be used to influence policy and help build a more robust rural healthcare workforce. 

Study protocol: realist evaluation of effectiveness and sustainability of a community health workers programme in improving maternal and child health in Nigeria

Community health workers can increase access to, and coverage of, health services – particularly maternal and child health (MCH) outcomes in Nigeria and other sub-Saharan African countries. This 5 year study aimed to evaluate the Nigerian CHW scheme using a mixed-methods realist approach will make an important contribution to health systems strengthening in Nigeria. 

Effectiveness of the Home Based Life Saving Skills training by community health workers on knowledge of danger signs, birth preparedness, complication readiness and facility delivery, among women in Rural Tanzania

Community health workers in Tanzania are trained in Home Based Life Saving Skills to educate communities on danger signs, birth preparedness, and complication readiness regarding childbirth. However, maternal mortality is currently greater than 400 per 100,000 live births, leading to the question of the effectiveness of this training program.

Monitoring iCCM referral systems: Bugoye Integrated Community Case Management Initiative (BIMI) in Uganda

Integrated community case management (iCCM) trains village health workers (VHWs) to provide treatment to the most common childhood diseases in Uganda, including malaria, pneumonia, and diarrhea. One of iCCM’s key features is a referral system for treatment at health facilities, but these referrals are difficult to monitor. A study was conducted to evaluate the referral system by reviewing quantitative data sources, revealing that a need for improvement.

 

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