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.
As access to mobile technologies expands, improving their effective use is key to strengthening data. This article discusses emerging lessons from rural Rwanda on CHW use of mobile technologies for health interventions. Technical characteristics such as reminders and alerts were seen to be the strongest predictors towards use, while user characteristic (age) did not influence use. Programme characteristics, specifically supervision and training, had mixed findings.
This article presents findings from a study of treatment of uncomplicated severe acute malnutrition by community health workers in rural Mali. Key findings indicate that well-trained and supervised CHWs are capable of managing cases of uncomplicated SAM, there is an opportunity to increase access to quality treatment in Mali for SAM, and that resources needed to ensure continuous service should be further explored.
This cross-sectional survey in the Philippines emphasizes the importance of community health workers in reaching the drug coverage rate 0d 75% set by WHO and increasing compliance with mass drug administration in the community.
This article looks at the determinants of community health workers using mobile phone technologies in rural Rwanda. Technical characteristics were found to be a predictor of use, while user characteristics were not.
This pilot model involving community health workers (CHWs) delivering treatment for uncomplicated severe acute malnutrition (SAM) was tested in Mali. The authors found the properly trained and managed CHWs can manage uncomplicated SAM.
This multi-site case study used interviews and focus groups of community health workers and facilitators to examine conversations on WhatsApp. WhatsApp was viewed positively by community health workers and acted as a useful tool in rural health work, despite the challenge of separating social use from instrumental use.
The authors conducted a mixed-methods study to understand the roles of community health workers and design a standardized training curriculum. An organizational survey and discussion groups resulted in the development of a core set of competencies to incorporate into a Healthy Start community health workers training program.
This paper discusses the implementation of a mobile-based community health management information system for community health workers (CHWs) and their supervisors in Zambia. CHWs provided weekly updates to supervisors and received feedback through the mobile application.