CHWs on the Move_Bjerregaard_5.10.11
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The document discusses the CHW AIM Toolkit, which provides guidance, tools and resources to strengthen community health worker programs. It has been field tested in several countries. The toolkit includes matrices and tools to assess 12 components of CHW program functionality. Results from 19 programs showed average scores below 3, indicating most programs need strengthening. An operations research study is underway to test if applying the toolkit improves CHW performance. A Community of Practice website (CHWCentral.org) was also launched to facilitate information sharing between CHW programs.
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CHWs on the Move_Bjerregaard_5.10.11
- 5. WHO Results Country Case Studies NOTE: For a minimally functional program a score of at least 2 is required in each of the 12 components CHW-AIM Pakistan Bangladesh Thailand Brazil Haiti Ethiopia Uganda Mozambique Recruitment 3 3 3 3 3 3 3 3 CHW Role 3 2 3 2 3 3 2 2 Initial Training 3 2 3 3 3 3 3 3 Ongoing Training 2 3 2 3 2 2 1 1 Equipment and Supplies 2 3 2 3 2 2 1 2 Supervision 3 3 0 3 3 3 2 2 Performance Evaluation 3 2 0 3 2 2 2 1 Incentives 2 2 2 3 3 2 1 0 Community Involvement 2 3 3 3 2 2 2 2 Referral System 1 1 1 3 3 2 1 1 Professional Advancement 2 0 1 2 2 2 0 2 Documentation, Information System 2 1 0 3 3 3 2 0 Average Score 2.1 1.6 2.1 2.8 2.6 2.4 1.6 1.6
- 6. CHW AIM Results from 19 programs
- 9. CHW AIM OR Baseline Results
- 10. Performance Against National Service Delivery Standards
- 13. www.CHWCentral.org : An Online Community of Practice
Editor's Notes
- Context and reason for request to develop tool: FY2008 USAID MCH Priority Increase functional CHWs by 100,000 (original request) PEPFAR II Health systems strengthening Specific target to increase health workers by 140,000 Global Health Initiative Health systems strengthening Although original request was to measure and count functional community health workers, objectives changed when tool was seen as an effective way to strengthen CHW programs and to develop common and crosscutting criteria for functional programs.
- WHO and Global Health Workforce Alliance (GHWA) used the CHW AIM as a benchmark for assessing 8 country programs. At this point in the tool development there were 12 components. The tool was not applied in a workshop but rather through review of documentation and interviews. For each of the 12 components listed above, four levels of functionality are described that range from non-functional (Level 0) to highly functional as defined by suggested best practices (Level 3).
- WHO and Global Health Workforce Alliance (GHWA) used the CHW AIM as a benchmark for assessing 8 country programs. At this point in the tool development there were 12 components. The tool was not applied in a workshop but rather through review of documentation and interviews. For each of the 12 components listed above, four levels of functionality are described that range from non-functional (Level 0) to highly functional as defined by suggested best practices (Level 3).