Video Spotlight

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

Can formalizing links among community health workers, accredited drug dispensing outlet dispensers, and health facility staff increase their collaboration to improve prompt access to maternal and child care? A qualitative study in Tanzania

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.

Sustainable Financing Models for Community Health Worker Services in Connecticut: Translating Science into Practice

The focus of this report is on the financial sustainability of Community Health Worker (CHW) programs in the state of Connecticut.  The goal of this research is to find a way in which Connecticut can develop an effective program that utilizes CHWs to improve patient health outcomes and achieve a level of positive financial return.  This report worked within the boundaries of Connecticut’s State Innovation Model (SIM), a federally funded grant to aid in transforming healthcare systems from state to state, in order to ensure a possible funding source for the resulting new programs.  The repor

Community health worker perspectives on a new primary health care initiative in the Eastern Cape of South Africa

This study sought to understand CHW perspectives on a new primary health initiative in South Africa called Re-engineering Primary Health Care (rPHC). This initiative aims to provide a preventive and health-promoting community-based PHC model. Focus group discussions and surveys on the knowledge and attitudes of 91 CHWs working on community-based rPHC teams in the King Sabata Dalindyebo (KSD) sub-district of Eastern Cape Province were conducted.

A scorecard for assessing functionality of community health unit in Kenya

Amref Health Africa in Kenya has developed a replicable Community Health Units (CHUs) Functionality Scorecard for measuring and managing the functionality of CHUs. The scorecard was designed and piloted at 114 CHUs in Rift Valley province in Kenya. The scorecard categorized CHUs as Functional, Semi-functional, or Non-Functional. Before and after data was used to assess the functionality. From January 2012 to September 2013, the proportion of functional CHU increased from 3.5% to 82.9%, Semi-Functional reduced from 39% to 13% while Non-Functional reduced from 58% to 4%.

Case Studies of Large-Scale Community Health Worker Programs

This resource from USAID and MCHIP provides an overview of large-scale CHW programs from 13 countries: Afghanistan, Bangladesh, Brazil, Ethiopia, India, Indonesia, Iran, Nepal, Niger, Pakistan, Rwanda, Zambia and Zimbabwe. Case studies address the historical context of CHWs, the health needs of the country, the scope of work of the CHWs, CHW training, support and supervision, and financing of CHW programs. The demonstrated impact and continuing challenges of the different programs are also addressed.

A comprehensive description of three national community health worker programs and their contributions to maternal and child health and primary health care

This is an in-depth review of the effectiveness of CHW programs in Ethiopia, Brazil, and Nepal. The main objective of this report is to provide insight and examples of successful CHW programs for other countries that are looking to build and strengthen their own CHW programs, specifically in the maternal and child health field. 

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.

Assessing Early Access to Care and Child Survival during a Health System Strengthening Intervention in Mali: A Repeated Cross Sectional Survey

In 2012, 6.6 million children under age five died worldwide, most from diseases with known means of prevention and treatment. A delivery gap persists between well-validated methods for child survival and equitable, timely access to those methods. A health systems strengthening intervention was implemented in peri-urban Mali designed to improve child survival by improving rapid access to prevention and treatment.

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.

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