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.
This paper explores the factors that shaped the acceptability and adoption of community health assistants (CHAs) into the health system at the district level in Zambia. Using thematic analysis, data was collected through a review of documents, 6 focus group discussions with community leaders, and 12 key informant interviews with CHA trainers, supervisors and members of the District Health Management Team. Results found a perceived relative advantage of CHAs over existing community-based health workers in terms of their quality of training and scope of responsibilities.
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.
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.
In 2013, the Zambian Ministry of Health distributed over two million insecticide-treated bed nets (ITNs) using a door-to-door distribution strategy, and distributed more than six million ITNs in 2014. This research study measures attendance rates at community point distribution and examines the impact of follow-up community health worker visits on ITN retention and usage. This data has potential to inform ITN distribution strategies in Zambia.
The FCHV Program in Nepal was initiated in 1988/89 with the goal of supporting national health through community involvement. Currently there are 52,000 FCHVs with varying roles and responsibilities related to health. This presentation discusses the 2014 survey aimed at understanding FCHVs perceptions of their work, as well as the communities’ perceptions of FCHVs. Using a mixed methods strategy, researchers conducted a cross-sectional assessment of 13 domains in Nepal.
Results from the United States Agency for International Development (USAID)-funded Family Advancement for Life and Health project (FALAH), implemented from 2008-2012, show that the inclusion of men in family planning (FP) efforts is a feasible and effective intervention to help shift attitudes and behaviours in Pakistan and perhaps in other countries in the region and globally as well. This brief presents findings of a case study of FALAH's male engagement component and its contributions to these results.