In Kenya, maternal and child mortality rates are still high despite government efforts aimed at improving MCH. This study’s objective was to determine the effect of a CHW led primary health care intervention, Community Health Strategy (CHS) on focused antenatal care (FANC) in Mwingi, Kenya. Researchers employed a pretest -posttest experimental study design with 1 pretest and 2 post-test surveys in intervention and control sites. Data was collected from 422 households in each survey and the main respondents were women with a child aged 9-12 months.
The objectives of this study were to examine how different stakeholders define sustainability and to identify barriers to and facilitators of the sustainability of the Afghan CHW program. 63 key informants were interviewed, and 11 focus groups were conducted with policymakers, health managers, community health workers, and community members. The interviews and focus groups showed that stakeholders define sustainability differently.
This handbook provides information and tools to address violence against women. Included in the resource is a definition of different types of violence, signs and symptoms to be aware of, consequences of violence against women, the role of a CHW in addressing violence against women, and situations for discussion. While the handbook was made for accredited social health activists (ASHAs), it is a useful resource for any type of CHW.
This document provides tools for assessing the functionality of two types of representative health groups: the Community Health Committee (CHC) and the Health Facility Management Committee (HFMC). Tools are available to assess program functionality through documents such as a roles and responsibilities checklist, assessment and improvement matrices, a validation questionnaire, and an action plan template. Specific resources are available to assess the support provided to CHW Programs including recruitment, training, supervision, and incentives.
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.
SPRING, in collaboration with USAID, has created a new CHW Nutrition Advocacy Tool, which consists of a series of PowerPoint slides with important data regarding key nutrition responsibilities for CHWs. Information in these slides identify current gaps in nutrition service delivery and advocates for increased commitment to nutrition in community health programs. Stakeholders can use these materials to identify which nutrition-related services CHWs can provide, prioritizes CHW responsibilities, and builds a stronger foundation of policies, tools, and systems for CHWs to conduct their work.
This paper assesses the change in the use of essential maternal and child health services in Konobo, Liberia after the implementation of an enhanced CHW program. Last Mille Health, a nongovernmental organization, partnered with the Liberian Ministry of Health to pilot the CHW program. The program had enhanced recruitment, training, supervision, and compensation. Researchers conducted cross-sectional cluster surveys before and after the program implementation.
This review article explores the various definitions and descriptions of CHWs in the literature. It also identifies common themes in these definitions to better understand the essential characteristics of health workers classified as CHWs and to distinguish them from other healthcare providers. By describing the various categories of CHWs, this resource helps to clarify the use of the term to ultimately aid key stakeholders in community health program planning, policy, and research.
The emerging field of mobile health (mHealth) consists of interventions that apply cellular phones and other mobile devices for healthcare purpose such as data collection, clinical decision support, self-care, and CHW management. This rapid expansion of mobile communications systems represents an opportunity to improve the productivity of community health workers in rural areas.
This longitudinal study aims to assess the effect of CHW-provided targeted education on blood pressure (BP) control in hypertensive patients in Bangladesh. Trained CHWs regularly followed up and provided specific health messages on BP control to adult hypertensive individuals through quarterly meetings and individual counseling. Mean BP changes were measured ever 6 months for 24 months. BP measurements showed that systolic BP and diastolic BP were significantly reduced compared to baseline in the group that worked with CHWs.