Global literature has shown that community health workers connect communities to formal health care services. This article investigates whether or not this holds true in Uganda by examining village health teams (VHTs). The paper suggests several factors that limit VHTs ability to effectively link communities to form health care services.
Health Surveillance Assistants (HSAs) have been providing integrated community case management (iCCM) for sick children in Malawi since 2008. HSAs report monthly iCCM program data but, at the time of this study, little of it was being used for service improvement. Additionally, HSAs and facility health workers did not have the tools to compile and visualize the data they collected to make evidence-based program decisions.
In this article, mPowering reflects on learning from pre-existing CHW programs. First, they recognize CHWs who have support are more likely to make an impact on the communities they serve. In addition, the introduction of technology into many programs has presented opportunities to improve communication and data collection. The reflection concludes by stating current CHW programs need to be strengthened, which can be done by increased investment in health systems.
Amref Health Africa in Kenya has developed a replicable Community Health Units (CHUs) Functionality Scorecard for measuring and managing the functionality of CHUs. The scorecard was designed and piloted at 114 CHUs in Rift Valley province in Kenya. The scorecard categorized CHUs as Functional, Semi-functional, or Non-Functional. Before and after data was used to assess the functionality. From January 2012 to September 2013, the proportion of functional CHU increased from 3.5% to 82.9%, Semi-Functional reduced from 39% to 13% while Non-Functional reduced from 58% to 4%.
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.
Mozambique has witnessed a climbing total fertility rate in the last 20 years. Nearly one-third of married women have an unmet need for family planning, but the supply of family planning services is not meeting the demand.
This Toolkit provides gender-specific questions to guide data collection in order to precisely identify gender inequalities in health-related areas. These questions have been designed with USAID and the Automated Directive System's (ADS) five domains in mind, which include laws, regulations, and institutional practices; cultural norms and beliefs; gender roles, responsibilities, and time used; access to and control over assets and resources; and patterns of power and decision-making.