Video Spotlight

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

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.

Potential challenges of implementing the Community Health Extension Worker programme in Uganda

The planned roll out of the Community Health Extension Worker (CHEW) program in Uganda is set to be implemented in 2018. Based on the Ugandan Ministry of Health’s extensive experience with Village Health Teams in the past decade, this commentary addresses potential challenges that will arise in the implementation of the new CHEW program.

Proactive community case management and child survival in periurban Mali

This analysis covers a 7-year interrupted time series that investigated early access to care and under-five morality during a proactive community case management intervention in periurban Mali. Prevalence of febrile illness in children under 5 years went from 39.7% to 22.6% in 7 years. Early antimalarial treatment more than doubled for young children under 5. Under-five mortality lowered to 7/1000 in 2015.

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. 

Community health systems: allowing community health workers to emerge from the shadows

In this correspondence to the Lancet: Global Health, the authors address the role and potential of community health systems with institutionalized community health workers. 

Feasibility and acceptability of training community health workers in ear and hearing care in Malawi: a cluster randomised controlled trial

This cluster randomised controlled trial looked at the ability to train CHWs in Malawi to identify individuals with ear and hearing disorders. The intervention and training were effective and could be scaled up to CHWs in other countries.

Expanding the population coverage of evidence–based interventions with community health workers to save the lives of mothers and children: an analysis of potential global impact using the Lives Saved Tool (LiST)

This paper investigates the effect of expanding the population coverage of evidence-based interventions that community health workers provide outside of facilities. Using the Lives Saved Tool, the authors examined 73 countries and estimated that, if population coverage was expanded to 90%, 6.9 million lives of mothers and their children under the age of 5 could be saved during the period from 2016 to 2020.

An exploration of facilitators and challenges in the scale-up of a national, public sector community health worker cadre in Zambia: a qualitative study

In 2010, Zambia created a cadre of community health workers called Community Health Assistants (CHAs).  This program continues to be scaled up to meet the needs of Zambia’s rural population.  This study summarizes the factors that have aided the scale-up of the CHA program as well as the challenges.  The study determined that CHAs play a critical role in providing a wide range of services to community members.  However, CHAs continue to face challenges such as infrequent supervision, lack of medical and non-medical supplies, and challenges with the mobile data reporting system.  The study c

National Community Health Strategy - Malawi

This report is the first National Community Health Strategy Malawi has produced, spanning from 2017 to 2022.  This strategy is intended to work towards achieving Millennium Development Goal number three: universal health care.  The main focus of this strategy include: integration of health services, community engagement, and sufficient and equitable distribution of well-trained community health workforce.  Efforts will also support maintaining sufficient supplies, transportation, and infrastructure.  This strategy provides a guide and framework to introduce community health into the pre-exi

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