Video Spotlight

"'I'm a Health Worker' - Abduaraman Gidi" made by IntraHealth International.

The Governance of National Community Health Worker Programmes in Low- and Middle-Income Countries: An Empirically Based Framework of Governance Principles, Purposes and Tasks

This article proposes a framework for the design and scale up of CHW program governance.  Drawing from  factual observations of South Africa’s community health system and theoretical insights on governance, the article frames key governance principles and outputs.

Community Health Worker Assessment and Improvement Matrix (CHW AIM): Updated Program Functionality Matrix for Optimizing Community Health Programs

To support quality CHW program design and implementation, USAID, UNICEF, the Community Health Impact Coalition, and Initiatives Inc. have updated and adapted the Community Health Worker Assessment and Improvement Matrix (CHW AIM) Program Functionality Matrix tool. This tool can be applied at district, regional, and national levels to identify and close gaps in design and implementation and, ultimately, enhance program performance.

The Community Health Systems (CHS) Catalog

The Community Health Systems (CHS) Catalog is a one-stop ‘shop’ for information on community health policies and programs across 25 countries, including extensive information on CHWs. Developed in 2014 and updated in 2017, it provides policymakers, program managers, researchers and donors with policy data to advance community health research, programming, and advocacy efforts. The CHS Catalog includes 25 country profiles, a set of infographics, and a summary of cross-country policy and program trends.

A new era for community health in countries of low and middle income?

How will we address the predicted worldwide shortage of over 14 million health workers by 2030?  At the World Economic Forum in Davos Switzerland in 2015, a 4-year US$100 million fund supporting Last Mile Health and Living Goods to train 50,000 CHWs in six countries was launched. This commentary details the goals and challenges of such an initiative.

Kapiri Mposhi District Community Health Assistant Mentorship Report-February 2018

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.

Integrating Community Health Workers Into Medical Homes

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. 

Community Health Workers

This report details the history and current state of CHW programs around the world and highlights the importance of sustainability and improving CHW performance. 

Leadership and Task Shifting to Address the Challenges of Antimicrobial Resistance in South Africa

This article examines using community health workers to address the challenges of antimicrobial resistance in South Africa in terms of leadership and task shifting.

Leadership and governance of community health worker programmes at scale: a cross case analysis of provincial implementation in South Africa

This cross case analysis of leadership and governance roles involved in implementing large-scale community health worker programs at sub-national level. The authors identified four key roles for leaders and governments in implementing these programs. 

Practitioner Expertise to Optimise Community Health Systems: Harnessing Operational Insight

This newly released report, titled ‘Practitioner Expertise to Optimise Community Health Systems: Harnessing Operational Insight’ examines how CHWs can successfully be integrated into national health systems, subsequently contributing towards efforts to achieve Universal Health Coverage.

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CHW Central is managed by Initiatives Inc. Site start-up was supported by the USAID Health Care Improvement Project in 2011.

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