A report written by the Clinton Health Access Initiative in Zambia detailing key gaps in supervision and mentorship in Zambia's Community Health Assistants Program and presenting practical recommendations to address them.
With shortages of qualified human resources for health in low-income sub-Saharan African countries with high HIV/AIDs prevalence, there has been an increased interest in CHWs. This article examines whether present CHW programs supporting antiretroviral treatment in sub-Saharan Africa are taking into account lessons learned from past experiences and to what extent they are capitalizing on opportunities for improvement.
Healthy Start (HS) is a program dedicated to preventing infant mortality, improving birth outcomes, and reducing maternal and infant health disparities. This mixed-methods study researched how CHWs, an essential part of the HS workforce, provide for families and communities and inform the development of a standardized training program.
Sustainable funding is a significant barrier to expanding CHW work and to CHW integration into the healthcare system. This brief examines how states can use Medicaid managed care contracts to support community health workers.
Why don’t more patient-centered medical homes (PCMHs) employ CHWs despite the evidence that they make a difference? This qualitative study researched facilitators and barriers to integrating CHWs in PCMHs in Minnesota and defines the roles of CHWs on these care teams. The study found four factors that influenced use of CHW models :1) leaders who championed the CHW model, 2) a clinic culture that was open to innovation; 3) clinic prioritization of patients’ nonmedical needs, and 4) leadership perceptions of sustainability.
This article describes the results of a three-year simulation study that examined the comparative costs of a Patient-Centered Medical Home (PCMH) model and Integrated Primary Care and Community Support (I-PaCS) model, which integrates CHWs into primary care settings. The study found that the CHW model furthers cost savings at the facility level-making PCMH and I-PaCS models complementary.
On May 21, 2018, a side event was hosted by the Governments of Ethiopia and Ecuador at the 71st World Health Assembly in Geneva, addressing the contributions and effectiveness of Community Health Workers in Primary Health Care and Universal Health Care Coverage. This background document, makes the case for the importance of CHWs in primary health care and the achievement of universal health coverage.