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.
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 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 meta-synthesis of the existing literature, this article examines 33 publications to identify the factors that enable community health workers to bring about behavior change. It explicitly recognizes the difference between full-time trained and salaried community health workers and part-time community volunteers and proposes an approach to better coordinating the community health workforce to serve health, behavior change and empowerment needs.
This qualitative study looks at the perceptions of community health workers on the outcomes of the Home-Based Neonatal Care Program in India. The authors found that having local women participate in development programs results in both the potential for self-development and the program objective.