To improve healthcare access in rural areas, in 2010 the Government of Zambia implemented a national CHW strategy that introduced a new cadre of healthcare workers called community health assistants (CHAs). After 1 year of training the pilot class of 307 CHAs were deployed in September 2012. This paper presents findings from a process evaluation of the barriers and facilitators of implementation of the CHA pilot, along with how evidence was used to guide ongoing implementation and scale-up decisions.
In 2010, Zambia created a cadre of community health workers called Community Health Assistants (CHAs). This program continues to be scaled up to meet the needs of Zambia’s rural population. This study summarizes the factors that have aided the scale-up of the CHA program as well as the challenges. The study determined that CHAs play a critical role in providing a wide range of services to community members. However, CHAs continue to face challenges such as infrequent supervision, lack of medical and non-medical supplies, and challenges with the mobile data reporting system. The study c
For the organizations who have dedicated themselves to building good CHW programs, where can they go to learn how to make programs that are built to thrive? The Center for Health Market Innovation awarded two like-minded health delivery organizations, Last Mile Health in Liberia and Possible in Nepal, a learning exchange grant.
This report is the first National Community Health Strategy Malawi has produced, spanning from 2017 to 2022. This strategy is intended to work towards achieving Millennium Development Goal number three: universal health care. The main focus of this strategy include: integration of health services, community engagement, and sufficient and equitable distribution of well-trained community health workforce. Efforts will also support maintaining sufficient supplies, transportation, and infrastructure. This strategy provides a guide and framework to introduce community health into the pre-exi
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.
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.