Strategic partnering to improve community health worker programming and performance: features of a community-health system integrated approach

Human Resources for Health
Joseph F NaimoliJames A McCaffery

Abstract

There is robust evidence that community health workers (CHWs) in low- and middle-income (LMIC) countries can improve their clients' health and well-being. The evidence on proven strategies to enhance and sustain CHW performance at scale, however, is limited. Nevertheless, CHW stakeholders need guidance and new ideas, which can emerge from the recognition that CHWs function at the intersection of two dynamic, overlapping systems - the formal health system and the community. Although each typically supports CHWs, their support is not necessarily strategic, collaborative or coordinated. We explore a strategic community health system partnership as one approach to improving CHW programming and performance in countries with or intending to mount large-scale CHW programmes. To identify the components of the approach, we drew on a year-long evidence synthesis exercise on CHW performance, synthesis records, author consultations, documentation on large-scale CHW programmes published after the synthesis and other relevant literature. We also established inclusion and exclusion criteria for the components we considered. We examined as well the challenges and opportunities associated with implementing each component. We identified a minimu...Continue Reading

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Citations

Jul 28, 2016·Social Science & Medicine·Sumit KaneKorrie de Koning
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Oct 14, 2021·Health Research Policy and Systems·Simon LewinHenry B Perry

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