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.
To achieve universal health coverage, health systems will have to reach into every community, including the poorest and hardest to access. Since Alma-Ata, inconsistent support of community health workers (CHWs) and failure to integrate them into the health system have impeded full realization of their potential contribution in the context of primary health care.
During the past 10 years, community health workers (CHWs) have emerged as a focal point of international discussions on primary health-care systems. Although lay community-based health workers have been active for at least 60 years, the Millennium Development Goals (MDGs) in 2000 prompted new discussion of how these workers can help to extend primary health care from facilities to communities. CHWs have since been part of an international attempt to revise primary health-care delivery in low-income settings, and CHW programmes have been changed accordingly.
As a part of World Vision's Integrated Community Case Management (iCCM) Project Model Orientation Series, this webinar shares iCCM-focused strategies to effectively address health challenges experienced by mothers, children, and populations impacted by HIV and AIDS, and address WASH issues.
The webinar includes information about iCCM, World Vision's approach using an iCCM strategy, preparatory and operational tools, the global status of iCCM in World Vision, and a financing model for iCCM.
World Vision is currently engaged in a wide range of community health activities worldwide, many of which draw on the efforts of community health workers or CHWs. CHWs are community-based members who have been trained to deliver basic health services but who do not hold a professional health qualification.
World Vision's Timed and Targeted Counselling for Health and Nutrition (ttC) is a comprehensive training course for CHWs, Care Groups and volunteers working in maternal and child health. ttC takes a life-cycle approach, supporting through pregnancy to two years of age, which offers the best opportunity to put children on a path to life-long health.
Volunteer community health workers (VCHW) are health care providers who are trained but do not have any professional certification. They are intended to fill the gap for unmet curative, preventative, and health promotion health needs of communities.
Angola is undergoing a period of reconstruction, after experiencing a protracted civil war that lasted until 2002. This historical context of violent conflicts has left a legacy of low rates of production and capital accumulation, of severe debt, and extreme dependency on foreign countries, all of which markedly influence the health situation of the Angolan people.
Community health worker (CHW) programmes have received much attention since the 1978 Declaration of Alma-Ata, with many initiatives established in developing countries. However, CHW programmes often suffer high attrition once the initial enthusiasm of volunteers wanes. In 2002, Uganda began implementing a national CHW programme called the village health teams (VHTs), but their performance has been poor in many communities. It is argued that poor community involvement in the selection of the CHWs affects their embeddedness in communities and success.