Video Spotlight

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

Evidence-Based CHW Program Addresses Unmet Social Needs and Generates Positive Return on Investment

Interventions that address socioeconomic determinants of health are receiving considerable attention from policy makers and health care executives, attention fueled in part by expected returns on investment. However, many current estimates of returns on investment are likely overestimated. This study presents a return-on-investment analysis based on a randomized controlled trial of Individualized Management for Patient-Centered Targets (IMPaCT), a standardized community health worker intervention that addresses unmet social needs for disadvantaged people.

A conceptual framework for measuring community health workforce performance within primary health care systems

Management of CHW programs requires better data collection approaches at the community level. This paper describes a framework and proposes a list of metrics to monitor CHW performance in low- and middle-income countries. 

Application of the community health worker model in adult asthma and COPD in the U.S.: a systematic review

This paper systematically reviews the effectiveness of community health worker interventions in reducing healthcare utilization in adults with asthma and COPD.

Means, Motives and Opportunity: determinants of community health worker performance

The Means, Motives and Opportunity (MMO) framework can be used to identify determinants of CHW performance. This article uses the case study of Anganwadi Workers (village nutrition workers) in Bihar, India to demonstrate how the framework is applied. 

Facilitating equitable community-level access to maternal health services: exploring the experiences of Rwanda’s community health workers

CHWs play an integral role in linking members of communities to maternal health services in formal health care systems. This study identifies specific strategies applied by CHWs in Rwanda to promote equitable maternal care in their communities. It highlights the need for future research on strategies to motivate community health workers. 

Advancing Health Equity Through Community Health Workers and Peer Providers: Mounting Evidence and Policy Recommendations

Community health workers are often overlooked and underutilized as powerful change agents for health equity. This report, based on a review of nine studies, provides evidence and policy recommendations. It describes the value of including CHWs in healthcare delivery systems for addressing inequities.

Salaried and voluntary community health workers: exploring how incentives and expectation gaps influence motivation

There has been a renewed attention for the need to strengthen CHWs performance, which partly depends on motivation. This paper analyzes the use of incentives and their influence on improving CHW motivation.

The National Village Health Guide Scheme in India: Lessons Four Decades Later for Community Health Worker Programs Today and Tomorrow

National CHW schemes are an increasingly important tool for achieving universal health coverage and ending maternal and child deaths by 2030. This article focuses on critical issues that face the effectiveness of large-scale CHW programs drawing on the experiences of India’s CHW scheme –the Village Health Guides.

It Takes Community Health Workers to End Violence Against Children

Global interest in strengthening the health sector’s role in ending violence against children (VAC) has been increasing. While CHWs have been widely recognized for their contributions towards many types of community-based interventions, there is little global research on perceptions and practices of CHWs in preventing or reducing VAC. This study describes opportunities in developing strategies to end violence against children that draw on the role of CHWs.

Optimising the performance of frontline implementers engaged in the NTD programme in Nigeria: lessons for strengthening community health systems for universal health coverage

Successful attainment of Neglected Tropical Disease goals and other health interventions depends on maximizing frontline implementers’ performance. This study aimed to capture and translate knowledge, problems and solutions, identified by implementers, to enhance NTD program delivery at the community level in Nigeria.

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