The Integrated Community Case Management (iCCM) Task Force (TF) has proposed a list of 48 indicators to guide governments and partners in monitoring and evaluating national iCCM programs. These indicators are compiled in the document entitled Indicator Guide for Monitoring and Evaluating Integrated Community Case Management. Recently, the iCCM TF began a review process to determine the number of indicators being reported by country programs, and opportunities and challenges related to measuring indicators not being reported.
Community engagement and participation has played a critical role in successful disease control and elimination campaigns in many countries. Despite this, its benefits for malaria control and elimination are yet to be fully realized.
Tanzania has been a pioneer in establishing community-level services, yet challenges remain in sustaining these systems and ensuring adequate human resource strategies. In particular, the added value of a cadre of professional community health workers is under debate. While Tanzania has the highest density of primary health care facilities in Africa, equitable access and quality of care remain a challenge.
The global shortage of skilled, motivated, and supported health workers is universally acknowledged as a key development challenge because it is a critical barrier to strengthening health systems, achieving the Millennium Development Goals (MDGs), improving the prospects for universal health coverage, and addressing inequity and poverty. The World Health Report 2006, Working Together for Health, estimated a worldwide shortage of 4.3 million health workers.
The global shortage of skilled, motivated, and supported health workers is universally acknowledged as a barrier to achieving the Millennium Development Goals. The World Health Report 2006, “Working Together for Health,” estimated that there is a shortage of 4.3 million health workers in the world.
The Principles of Practice outlined in this document are intended as a framework for advocacy, programming and partnership between implementing NGOs, government and donor agencies working with key CHW cadres in countries for which rapid and urgent scale-up of CHW programs is a priority.
The Health Extension Program is one of the most innovative community-based health programs in Ethiopia. It is based on the assumption that access to and quality of primary health care in rural communities can be improved through transfer of health knowledge and skills to households. Since it became operational in 2004–2005, the Program has had a tangible effect on the thinking and practices of rural people regarding disease prevention, family health, hygiene and environmental sanitation. It has enabled Ethiopia to increase primary health care coverage from 76.9% in 2005 to 90% in 2010.
This success story demonstrates how CHWs can play a crucial role in educating women and families about basic health needs and maternal and newborn care. In Rwanda, the MOH uses CHWs to improve MCH; nearly 12,000 were trained by the US Maternal and Child Health Integrated Program (MCHIP) to strengthen their knowledge of emergency obstetric and newborn care and active management of the third stage of labor to improve MCH care.
This literature review provides examples of lessons learned in the planning, implementation and evaluation of HRH interventions in maternal, neonatal and reproductive health (MNRH) at the community level in the Asia and Pacific regions. The review outlines interventions in the areas of HRH policy, management, and education and training. It synthesizes what are considered effective ways of working with the community and ways towards building supportive environments for health workers.
Religious leaders and individual congregations are often important gatekeepers in disseminating reproductive health messages and influencing positive behavior change in communities. This report reflects the interest among many diverse actors within the Christian and Muslim communities to expand access to family planning information and services as well as the interest of secular health organizations in partnering with faith groups to multiply each other's reach and influence.