Case studies in eleven countries including Zambia, Armenia, and Senegal, utilized World Vision’s social accountability approach, Citizen Voice and Action (CVA), to address public service improvement. This approach aims to link community members and organizations with each other and also to link these communities with service providers, local governments, and national policies. CVA empowers communities to influence and improve access to quality public services such as health, education, and child protection.
Using mobile job aids can help CHWs deliver integrated counseling on family planning and HIV/STI screening by following a step-by-step service delivery algorithm. Lessons learned during the pilot led to the development of additional features during scale-up to exploit the other major advantages that mHealth offers including:
· Better supervision of health workers and accountability for their performance
· Improved communication between supervisors and workers
· Access to real-time data and reports to support quality improvement
Deployment of resident female Community Health Extension Workers (CHEWs) to a remote rural community led to major and sustained increases in service utilization, including antenatal care and facility-based deliveries.
Key components for success include:
1) providing an additional rural residence allowance to help recruit and retain CHEWs;
2) posting the female CHEWs in pairs to avoid isolation and provide mutual support;
3) ensuring supplies and transportation means for home visits; and
4) allowing CHEWs to perform deliveries.
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 workers (CHWs) as a foundation of an effective healthcare system. The aim of this report is to outline conclusions from the Wilton Park meeting on the topic.
Community-based strategies that foster frequent contact between caregivers of children under five and provide credible sources of health information are essential to improve child survival. Care Groups are a community-based implementation strategy for the delivery of social and behavior change interventions. This study assessed if supervision of Care Group activities by Ministry of Health (MOH) personnel could achieve the same child health outcomes as supervision provided by specialized non-governmental organization (NGO) staff.
This report was created in 2009 by the African Health Workforce Observatory in collaboration with the World Health Organization, Global Health Workforce Alliance, and the European Union. It outlines the structure of the Gambian health system and introduces data on the health workforce, including distribution of health workforce, health workforce production and utilization, and governance of human resources for health (HRH).