• Corpus ID: 15631172


  author={Uta Lehmann and Irwin Friedman and David Sanders},
This review examines the use of various categories of Community Health Workers (CHWs) as first line health workers in dealing, for example, with maternal and child health, tuberculosis, HIV/AIDS, malaria and other issues throughout Africa. It attempts to address key questions such as: What has happened to Community Health Worker programs over the past two decades in Africa? What models are being used? What type of work do CHWs undertake? In which countries is work being undertaken? How are… 
Community Health Workers: A Review of Concepts, Practice and Policy Concerns
An overview of the concepts and practice of community health workers from across a range of (developing and developed) countries are provided, and some insights into policy challenges that remain in designing effective CHW schemes are drawn, particularly in the Indian context.
A Cost Effect Analysis of Utilising Community Health Workers in the Management of Tuberculosis, Kenya
The use of CHWs may be considered as a health and economic benefit because more life was saved with a higher treatment success rate and there seemed to be death averted in the early months of TB treatment.
Retreat from Alma Ata? The WHO's report on Task Shifting to community health workers for AIDS care in poor countries
The WHO's neglect of community embeddedness of CHWs is located within the context of a broader global public health trend away from community-focused primary healthcare towards biomedically focused selective healthcare.
Role of Community Health Workers in Rural India
The most recent World health report focuses the world’s attention on human resources as the key ingredient to successful health systems functioning and it highlights the growing human resource
Community case management of malaria and pneumonia in children: Exploring use of diagnostics by community health workers in Uganda
Community acceptability of the use of RDTs by Ugandan CHWs, locally referred to as community medicine distributors (CMDs), is likely to be acceptable by community members given that CMDs are properly trained, and receive regular technical supervision and logistical support.
Effectiveness of Community Health Workers in Promotion of Maternal Health Services in Butere District, Rural Western Kenya
CHWs are effective in promotion of maternal health services and their utilization should be up scaled especially in rural population with poor health seeking behaviours.
Community health workers in Lesotho: Experiences of health promotion activities
Community health workers (CHWs) in Lesotho had a clear understanding of their roles and responsibilities, although they did not fully comprehend that what they were describing was, in fact, health promotion.
Community health worker's perceptions on the training services offered by Masikhulisane : a case study of Inanda, Ntuzuma and KwaMashu in eThekwini Municipality in KwaZulu-Natal
It was concluded that CHW’s can make a valuable contribution to improved access and coverage of communities with basic health services and the Masikhulisane training programme should be accredited, the sectoral approach should be broadened to reach more sectors not reached before and the training content should be revisited to ensure acceptability and appropriateness for targeted sectors.
The role of Village Health Workers and challenges faced in providing primary health care in Mutoko and Mudzi Districts in Zimbabwe
The study revealed that after undergoing a formal training VHWs performed the following roles; preventative, promotional, surveillance, referral and supportive, which had implications on VHW programme’s efficacy in the country.
Can the deployment of community health workers for the delivery of HIV services represent an effective and sustainable response to health workforce shortages? Results of a multicountry study
The study concludes that, where there is the necessary support, the potential contribution of CHWs can be optimized and represents a valuable addition to the urgent expansion of human resources for health, and to universal coverage of HIV services.


Community based health workers : human resources
This chapter examines the use of various categories of Community Based Health Workers as first line health workers in dealing with important health and social issues, for example with Tuberculosis
National Community Health Worker Programs: How Can They Be Strengthened?
It is clear that existing national community health worker programs have suffered from conceptual and implementation problems and governments can address these problems by adopting more flexible approaches within their CHW programs, by planning for them within the context of all health sector activities rather than as a separate activity.
Outcome effectiveness of community health workers: an integrative literature review.
  • S. Swider
  • Medicine, Political Science
    Public health nursing
  • 2002
Although CHWs show some promise as an intervention, the role can be doomed by overly high expectations, lack of a clear focus, and lack of documentation, so further research is required with an emphasis on stronger study design, documentation of CHW activities, and carefully defined target populations.
Tuberculosis in the community: 2. The perceptions of members of a tuberculosis health team towards a voluntary health worker programme.
  • J. DickJ. Schoeman
  • Medicine, Political Science
    Tubercle and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease
  • 1996
Community participation in primary health care (PHC) programmes: lessons from tuberculosis treatment delivery in South Africa.
The feasibility of community participation in a high-burden Tuberculosis Control Programme and how supervision of treatment by lay volunteers compares with other methods of tuberculosis treatment delivery in the Northern Cape province of South Africa are explored.
Urban community health workers: selection, training, practice and outcomes.
Delegation of selected tasks allows for cost effective functioning of more highly trained staff, an improved service and better use of available resources.
Government health services versus community: conflict or harmony.
Meeting basic health needs in Tanzania.
The Tanzanian example shows that better population coverage can be attained under conditions of underdevelopment through good planning good leadership and self-reliance.