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  • Mobile Technology & Community Case Management- Solving the Last Mile in Health Care Delivery | Community Resource

    This document is the report from a workshop that brought together public health and mobile technology experts. The group examined how the use of mobile phones and other related technology can improve health care delivery by supporting CHWs and integrated Community Case Management (iCCM) programs. The report presents scenarios that demonstrate how mobile technology can be used to: bridge gaps between suppliers and health providers; give voice to community demands; and, promote recognition of high-performing CHWs.

  • Job stress among community health workers: a multi-method study from Pakistan | Community Resource

    This multi-method study investigated Lady Health Workers' (LHWs) viewpoints on their job description, the problems they face and the levels of stress they encounter. All LHWs in one rural sub-district in Rawalpindi, Pakistan, were surveyed. Around a quarter of LHWs were found to have significant occupational stress. The authors conclude that improvements in remuneration, administration of supplies and career opportunities would reduce stress and result in better performance among LHWs. In addition, they recommend that communication skills should an essential part of training for LHWs.

  • Improving outcomes with community health workers | Community Resource

    This program management guide explores some of the key components and lessons learned from designing and implementing CHW programs at PIH-supported sites within national primary healthcare systems. It focuses on operational aspects, including recruitment, compensation and supervision.

  • Assessment of the Training of the First Intake of Health Extension Workers | Community Resource

    This study assessed the first year of Ethiopia’s Health Extension Worker (HEW) training program, a central component of the Health Extension Program's (HEP). The authors used a questionnaire and observations on the training program’s inputs, processes, and outputs. They found that the training centers lacked adequate facilities for the HEW trainees and the selection and training processes were flawed. However, trainees expressed a high level of commitment. The authors make recommendations on improving future training, continuing education of HEWs, and dealing with attrition.

  • Iranian health houses open the door to primary care | Community Resource

    This article reviews Iran’s “Health Houses,” which were conceived and introduced during the country’s 1980-1988 war with Iraq. The health houses are run by trained CHWs, called behvarzan, who provide basic health care to most of the country's rural population. Female behvarz are typically responsible for child and maternal health, vaccinations, registration and administering medicines, while male behvarz deal mainly with sanitation and environmental projects. An estimated 90% of Iran's rural population receives health care at its 17,000 health houses from 30,000 CHWs.

  • Helping Health Workers Learn | Community Resource

    This book presents methods, aids, and ideas for instructors training community health workers at the village level. It contains five parts: 1. Approaches and plans to carrying out a training program for CHWs; 2. Learning through seeing, doing, thinking; 3. Learning to use the book “Where There Is No Doctor”; 4. Activities with mothers and children; and, 5. Health in relation to food, land, and social problems.

  • Where There Is No Doctor | Community Resource

    This reference book is written primarily for CHWs or other village health workers living far from medical centers, in places where there are no health facilities. It covers basic diagnosis and treatment of a wide array of common conditions. It is written in basic language, and includes lots of visual references, so that people without much formal education can use it; it has been translated into more than 80 languages and used in over 100 countries.

  • Situation Anaysis- Village Health Teams Uganda 2009 | Community Resource

    This situation analysis documented the status of Village Health Teams (VHTs) in Uganda in 2009, including their numbers, functionality, and activities. It was intended to serve as a surrogate baseline for districts, many of which have little or no documentation of VHT implementation. The authors carried out both a desk review and field visits relating to Village Health Teams and community health interventions in Uganda. They found that 62 districts have trained VHTs but coverage and quality varies.

  • Improving community health worker use of malaria rapid diagnostic tests in Zambia: package instructions, job aid and job aid-plus-training | Community Resource

    This study examined: (i) whether Zambian CHWs could prepare and interpret RDTs accurately and safely using manufacturer's instructions alone; (ii) whether mostly pictorial instructions (a "job aid") could raise performance; and (iii) whether a brief training program would produce further improvement. The authors found that manufacturers' instructions, like those provided with the RDTs used in this study, are insufficient to ensure safe and accurate use by CHWs. However, well-designed instructions plus training can ensure high performance.

  • Promising Practices in Supply Chain Management for Community-Based Distribution Programs: Global Survey of CBD Programs | Community Resource

    This global survey documents the preliminary research and findings that the JSI team compiled to inform the final project document, Supply Chain Models and Considerations for Community‐Based Distribution Programs: A Program Manager’s Guide. It can be used as a reference to any person or organization interested in CBD programs.

  • Supply Chain Models and Considerations for Community-Based Distribution Programs: A Program Manager's Guide | Community Resource

    This document provides guidance in the design of systems for community-based distribution (CBD) programs. The guide aims to assist program managers and other stakeholders in designing and implementing stronger and more sustainable supply chains for their CBD programs. The guide is intended to serve as a resource of tools that can be modified and adapted for use by any government or organization that implements CBD programs in any country.

  • The Ife South Breastfeeding Project: training community health extension workers to promote and manage breastfeeding in rural communities | Community Resource

    This article presents the findings of a project to promote exclusive breastfeeding in rural communities through the training of community health extension workers in rural Nigeria. The authors found that the training of extension health workers in rural communities is feasible, can have a beneficial impact on breastfeeding promotion, and that such training should be continued and incorporated into the primary health care system.

  • Engaging Men at the Community Level | Community Resource

    This training manual helps participants develop and use activities at the community level to create a supportive environment for work related male engagement. It provides guidance on discussing HIV and AIDS, gender norms, gender equity and creating community action teams.

  • People first: African solutions to the health worker crisis | Community Resource

    This brief draws on AMREF's experience, looking at three key issues: appropriate training, task-shifting to lower cadres of worker, and training and supporting CHWs to bring health care closer to communities. It emphasizes both the need for global commitment to scale up proven models at the national level and leadership and ownership by African governments.

  • Scaling Up, Saving Lives | Community Resource

    This report presents the findings and recommendations of the Global Health Workforce Alliance’s Task Force for Scaling Up and Training for Health Workers, focusing on countries with a health workforce crisis. The report uses evidence from Brazil, Ethiopia,and India on what can and has been done to expand the education and training of health workers quickly and on a national scale, by national governments as well as education and training bodies. The Task Force estimates it would require US $2.6 billion a year to educate and train 1.5 million additional health workers in Africa.

  • Comparing the Effectiveness and Costs of Alternative Strategies for Improving Access to Information and Services for the IUD in Ghana | Community Resource

    This report describes a study conducted in Ghana to explore utilizing Community Health Officers (CHOs) and Community Health Volunteers (CHVs) to increase interest in using IUDs and other long-acting and permanent methods. The study utilized a pre- and post-test quasi-experimental design and included two intervention groups (where CHOs and CHVs were given additional training and support) and one comparison group.

  • Health Workforce "Innovative Approaches and Promising Practices" Study: Providing Doorstep Services to Underserved Rural Populations: Community Health Officers in Ghana | Community Resource

    Through its Community-Based Health Planning and Services (CHPS) initiative, Ghana has deployed over 300 auxiliary nurses in 53 of the country’s deprived districts. These nurses, who receive two years of training and the title Community Health Officer (CHO), are part of an innovative approach that shifts staff from low-impact static health centers with limited outreach to high-impact mobile community-supported services.

  • Scaling-up the Community-Based Health Workforce for Emergencies | Community Resource

    From the World Health Organization: This Joint Statement was developed by the Global Health Workforce Alliance together with the WHO, IFRC, UNHCR, UNICEF and WHO. It aims at drawing attention to the vital role played by CHWs in emergency risk management; promoting the scale-up, training and involvement of CHWs; and reinforcing the community-based health workforce.

  • Community Health Workers - Key messages | Community Resource

    From the World Health Organization: A global consultation of programme managers, policy makers and experts was convened by the Alliance in April 2010 in Montreux, Switzerland, to review the recommendations of a systematic review on Community Health Workers (CHWs), share experiences, and develop broad agreement on key messages for countries to use to integrate CHWs into their national health workforce. Key messages were identified around the following three areas: the planning, production and deployment; attraction and retention; and performance management of CHW.

  • New online resource about Community Health Workers | Publications

    CHW Central (www.chwcentral.org) is a new interactive platform to facilitate information-sharing and dialogue about how to support and improve the effectiveness of community health workers, who serve in communities around the world providing health education and care. The website's features include:

    • Online facilitated discussions with experts on current and critical issues facing CHW programs;
    • A resource center of training materials, practical tools, and up-to-date guidelines; and
    • A member exchange forum where registered users can post questions and solicit input.

    Developed by the USAID Health Care Improvement Project, CHW Central draws on global resources and evidence from a number of organizations committed to improving and supporting community health workers, including USAID, The Global Health Workforce Alliance, CORE Group, CapacityPlus, and MCHIP.

    CHW Central is managed by Initiatives Inc., in collaboration with  University Research Co., LLC (URC) and Johns Hopkins Bloomberg School of Public Health Center for Communication Programs.
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