tailieunhanh - One Million Community Health Workers - technical task force report

There is an urgent need to improve the health of women and children, particularly in areas of Africa, where Millennium Development Goals (MDGs) 4 and 5 are most lagging. This requires strong community engagement and formal investments in national health systems, especially for those least likely to be reached through current national health strategies, such as those in rural communities. Community Health Workers (CHWs) have been internationally recognized for their notable success in reducing morbidity and averting mortality in mothers, newborns and children. CHWs are most effective when supported by a clinically skilled health workforce, particularly for maternal care, and deployed within the context of an appropriately financed primary health care system. However, CHWs have. | Table of Contents List of Acronyms and Executive Community Health Worker Systems at National Scale Why Now .9 Primary Health Care Integration CHWs in Operational Design Considerations for CHW Systems at National Estimated Financing National Planning Deployment and Closing the Gap National Policy Landscape and Next Appendix A Evidence Base for Community Health Interventions in Child Newborn and Maternal Appendix B Mobile Health Technologies to Support Community Health System Appendix C Local Implementation Landscape MVP CHW Program Operational List of Boxes Box 1 Brazil Family Health Programme Large-Scale Success Model for Primary Health Care Box 2 Community Case Box 3 The Role of CHWs in Control of Box 4 New Evidence and Policy Community Case Management of Box 5 Nepal s Community Health Workers A Successful Mixed Paid and Volunteer Box 6 From the Kakamega Community-based health care project to Kenya s Community Health Box 7 Additional Cost Box 8 Pakistan s Lady Health Worker Program Large-Scale Success Model for Selection and Box 9 Voluntary Community Health Workers and Community List of Figures Figure 1 CHW subsystem as part of a Primary Health Care Figure 2 CHW Figure 3 Community Health Worker Costs .54 List of Tables Table 1 Community-based interventions for MDGs 4 and Table 2 Example Operational Table 3 Average Yearly Expenditure for Community Health Worker Program at 1 CHW for every 650 Rural Table 4 Modifying Factors for Operational Design as Compared to Example Model .69 Table 5 National Policy Table 6 JCHEW and CHEW Community-Based Table 7 VHW Cadre One Million Community Health Workers Technical Task Force .