Community Health Workers

This study was undertaken to make a clear needs assessment, define priorities and identify resources to plan appropriate continuing education programs and prepare reference materials for health workers, particularly with the deployment of 30,000 health extension workers which will create additional information access needs in Ethiopia. [adapted from abstract]

The study focuses on the first batch of Ethiopian Health Extension Workers (HEWs) with the overall objective of assessing the working conditions of HEWs and their job satisfaction. [from abstract]

This learning resource package contains the trainer manual with all the material to design and hold a traning course for community health workers on postpartum family planing methods and counselling skills. It also has a participant manual for use during the training.

This study aims to assess the effectiveness of a multi-strategic practice change intervention in increasing clinician’s routine provision of preventive care across a network of community health services. [from abstract]

Cambodia recently scaled up their Village Malaria Worker (VMW) project by substantially increasing the number of VMWs and expanding the project’s health services to include treatment of fever, diarrhoea, and acute respiratory infections in children under five. This study examined if the scale-up interfered with VMWs’ service quality, actions, and knowledge of malaria control, and analysed VMWs’ overall achievements and perceptions of the newly added health services. [from abstract]

This profile summarises the available information on the cadres working at community level in Timor-Leste: their diversity, distribution, supervisory structures, education and training, as well as the policy and regulations that govern their practice. [from summary]

This profile summarises the available information on the cadres working at community level in Cambodia; their diversity, distribution, supervisory structures, education and training, as well as the policy and regulations that govern their practice. [from summary]

This study aims to clarify the level of job satisfaction of Chinese community health workers between a metropolitan and a small city in Liaoning province and explore its associated factors. [from abstract]

Scott Radloff, director of USAID’s Office of Population and Reproductive Health, talks about successful strategies to bring integrated health services to communities in need. [from publisher]

The objective of this study was to assess whether community case management by lady health workers with oral amoxicillin in children with severe pneumonia was equivalent to current standard of care. [from summary]

Community case management of malaria is an established route for distribution of anti-malarial drugs in rural areas, but this study examined the feasibility and acceptability of the approach through Community Medicine Distributors (CMDs) in urban areas using before and after implementation studies in five African cities in Ghana, Burkina Faso, Ethiopia and Malawi. [adapted from introduction]

Given the very limited professional health care human resources in these settings, it is important to examine the evidence for the effectiveness of community health worker (CHW) programs as a delivery strategy for health interventions in sub-Saharan Africa. This review focuses on the impact CHWs have when delivering curative interventions. [adapted from author]

The aim of this statement is to draw attention to the vital role that the community-based health workforce plays in all phases of emergency risk management; promote the scale-up of the community-based health workforce; and encourage governments and supporting partners to reinforce the community-based health workforce by strengthening and preparing existing health systems. [from author]

By investigating the community-owned resource persons - their demographic characteristics, their reasons for participating in the an urban malaria control program (UMCP), and their work performance - this study outlines how communities can become responsible for malaria control. [adapted from author]

This profile summarises the available information on the cadres working
at community level in Bangladesh; their diversity, distribution, supervisory structures, education and training, as well as the policy and regulations that govern their practice. [from summary]

This profile summarises the available information on the cadres working at community level in the Philippines; their diversity, distribution, supervisory structures, education and training, as well as the policy and regulations that govern their practice. [from summary]

This profile summarises the available information on the cadres working at community level in Vanuatu: their diversity, distribution, supervisory structures, education and training, as well as the policy and regulations that govern their practice.

The objective of this study was to assess whether the development and implementation of a community health worker project in rural Kenya was associated with an increase in knowledge about malaria and the use of insecticide-treated nets in children under five years of age. [from abstract]

This profile summarises the available information on the cadres working at community level in Indonesia; their diversity, distribution, supervisory structures, education and training, as well as the policy and regulations that govern their practice. [from summary]

This article explores community health worker (CHW) programs and describes their potential use in low- and middle-income countries. It uses South Africa as an example of how CHWs could improve access to breast health care because of its middle-income status, existing cancer centers, and history of CHW programs. [adapated from abstract]

This profile summarises the available information on the cadres working at community level in the Solomon Islands: their diversity, distribution, supervisory structures, education and training, as well as the policy and regulations that govern their practice. [from summary]

Much of current discussion of task shifting focuses on community health workers who are seen as relieving doctors, clinical officers, and especially nurses of some of the health promotion and direct care and support work that professional cadres are frequently unable to deliver because of personnel shortages and distance from communities they service. However, task-shifting cannot work unless close attention is paid both to the systems that support successful implementation and to needed expansion of human resources within overall health care system. [adapted from author]

This technical taskforce report focuses on providing broad cost guidance, deployment strategy and operational design considerations for community health worker subsystems as part of health system strengthening to achieve the Millenium Development Goals. [from author]

This toolkit was designed to help organizations assess community health worker (CHW) program functionality and improve program performance. Built around a core of 15 components deemed essential for effective programs, CHW the toolkit includes a guided self-assessment and performance improvement process to help organizations identify program strengths and address gaps. [adapted from introduction]

This profile summarises the available information on the cadres working at community level in Fiji – their diversity, distribution, supervisory structures, education and training, as well as the policy and regulations that govern their practice. [from summary]

This article and the accompanying video tell the story of a community health worker, Almaz Doiso, in Ethiopia who is responsible for the health needs of more than 500 families in one of the most remote regions of the world - South Omo Ethiopia. [adapted from author]

This article outlines a prospective evaluation of the effectiveness of using community health workers as delivery points for ACT and RDTs in the home management of malaria in two districts in Zambia. [from abstract]

The authors conducted a cluster randomized trial to assess the effect of community-based peer health workers on AIDS care of adults in Rakai, Uganda. [from abstract]

This paper examines the case of South Africa, where there has been rapid growth of a range of lay workers (home-based carers, lay counselor, DOT supporters etc.) principally in response to an expansion in budgets and programmes for HIV, most recently the rollout of antiretroviral therapy. [from author]

This summary of evidence about the effect of lay health worker programmes (on mother and child health and tuberculosis) is derived from a Cochrane Review published in 2010. This video builds on the SUPPORT Summary of the same review, prepared for health policy makers in low and middle-income countries.