Tremendous challenges remain to ensure that the most vulnerable populations, including women, children, and adolescents, are able to enjoy the healthy lives and well-being promised in the Sustainable Development Goals. Much of their poor health is caused by poverty, gender, lack of education, and social marginalization as well as inaccessible healthcare services. Strong, equitable, and well-governed health systems can contribute to sustainably improving their lives.
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.
In this PIH interview, Dan Palazuelos continues his vibrant roundtable series. He sat down with Ash Rogers, Executive Director of the Lwala Community Alliance in Kenya. Lwala is known for its excellence in service delivery, and perhaps more importantly, its practice of listening to and elevating the voice of the community.
For the organizations who have dedicated themselves to building good CHW programs, where can they go to learn how to make programs that are built to thrive? The Center for Health Market Innovation awarded two like-minded health delivery organizations, Last Mile Health in Liberia and Possible in Nepal, a learning exchange grant.
An intervention brought together community health workers, health facility staff, and accredited drug dispensing outlet (ADDO) dispensers to improve maternal and newborn health through a mechanism of collaboration and referral. This study explored barriers, successes, and promising approaches to increasing timely access to care by linking the three levels of health care provision.
In July of 2012, CARE partnered with other organizations to provide 120 million women and girls with family planning information and services by the year 2020. This report reflects on the first half of the initiative, evaluating what has been accomplished thus far. The evaluation shows that many barriers to providing women and girls with more family planning support remain.
Post Ebola, Guinea is rebuilding its health system to deliver higher quality care. Part of their effort includes gaining trust again from the community, something that dwindled during the epidemic. Health Communication Capacity Collaborative (HC3) is a five year initiative funded by USAID that is working to address these concerns. HC3 utilizes a social and behavior change communication (SBCC) strategy to improve health behaviors and services in Guinea.
Kenya does not have a strong health infrastructure to support its people causing concern with current universal healthcare goals. Kenya worries it will not be able to deliver care without a strong CHW program such as Rwanda’s. Although Kenya already has CHWs working in certain areas, they are overwhelmed with large numbers of families per CHW and are not able to provide adequate care to everyone. This article cites Rwanda’s success with a larger CHW program and results of significantly better health, pushing for Kenya to do the same.