CORE Group has developed a module about cholera to address gaps in preparedness and response in at risk countries and communities. The complete guide features four different lesson plans, and is complemented by flip charts that are intended to be used by community health workers. These lessons aim to reach mothers and caregivers of children under the age of 5 because this age group has increased risk of death from cholera. These modules include actions that can be taken before, during, and after a cholera outbreak. Both documents can be downloaded below.
In Zimbabwe Dixon Chibanda, a psychiatrist, created a space called “Friendship Benches” that sets aside medical and technical elements of mental healthcare and engages the community through “grandmothers” or local lay health workers. The grandmothers are trained in a form of cognitive behavioral therapy, but engage their patients in local language which helps reduce stigma associated with mental health in the community. This program was created to address the overwhelming lack of mental healthcare workers in the country. Thus far, the program has reached over 30,000 Zimbabweans. Studies
This document provides a summary of the key points during the “Unlocking the community health workforce potential, post-Ebola: what models and strategies work” meeting. This meeting was designed to develop strategies for countries affected by Ebola and to share lessons from countries with strong existing community health systems. Needs of these countries were shared in an effort to align with global efforts to support effective CHW programs. This meeting drew on both public and private sector leaders in an effort to share knowledge while keeping CHWs at the center of stakeholder thinking
Post Ebola, Guinea is rebuilding its health system to deliver higher quality care. Part of their effort includes gaining trust again from the community, something that dwindled during the epidemic. Health Communication Capacity Collaborative (HC3) is a five year initiative funded by USAID that is working to address these concerns. HC3 utilizes a social and behavior change communication (SBCC) strategy to improve health behaviors and services in Guinea.
Kenya does not have a strong health infrastructure to support its people causing concern with current universal healthcare goals. Kenya worries it will not be able to deliver care without a strong CHW program such as Rwanda’s. Although Kenya already has CHWs working in certain areas, they are overwhelmed with large numbers of families per CHW and are not able to provide adequate care to everyone. This article cites Rwanda’s success with a larger CHW program and results of significantly better health, pushing for Kenya to do the same.
This article provides background information on the incentive system for India’s Accredited Social Health Activists (ASHAs). India has created an outcome-based incentive system which creates a clear difference in payment per patient.
This article draws on the importance of CHWs in post conflict countries. Sidibe details personal experience in East Timor where he worked as a Peace Corps Volunteer, but emphasizes his new work in Liberia and the health improvements that have been made as a result of CHWs. Liberia and surrounding nations post Ebola were left with a lack of health resources posing a challenge to its people. With the support of the international community these countries are now establishing CHWs to help with preventative care in communities across the country.
In Zambia, the 2010 National Community Health Worker Strategy (NCHWS) created a cadre of salaried Community Health Assistants (CHAs) to work in rural and underserved areas providing access to health care and developing prevention measures. The Ministry of Health (MOH) is currently in the process of creating a workforce of 5,000 CHAs. After the first class of CHAs graduated, a process evaluation was conducted. This study is the second evaluation of the program, which has since grown due to results of the first evaluation. The goal of this study was to evaluate long-term needs of a large-
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