4. 3. Trained and Mentored
Professionally
1.Target and Select Local
Candidates
2. Transported to Urban Medical Centers
(Location of Majority of Health Resources)
4. Return To Serve Local Communities
Using Acquired Medical Knowledge
7. 1. Community Health
Workers
Selection Process
By panels actively recruiting
and interacting with
community members
Training:
2 years volunteer, part-time
-Trained by doctors in their own country as a
shadowing/apprenticeship program
- Worker stays at doctor’s house
-Training in primary health care
After 2 years: Paid salary
-Specialize to the region’s biggest problem
8. Incentives
Recognition – social benefits from medical training
Future job opportunity – after 2 year commitment, long term position offered
Health benefits --
1. Community
Health Workers
13. Past and present
interventions
– Barefoot doctors :
• Success: effectively reduced costs and provided timely
treatment to the rural people
•
Failure: Barefoot doctors lost their source of income when
the agricultural sector was privatized
14. – Vanuatu
• Success: Vanuatu has 206 'Aid Posts' targeting an estimated
30,000 people. here are around 250 trained Village Health
Workers throughout Vanuatu manning 206 aid posts. In
some locations, there are 2 Village Health Workers per Aid
Post.
Failure: Changing people's cultural beliefs and attitudes towards
their health and well-being is a challenge
Village Health Worker Program – Vanuatu
Village health workers are minimally trained to work with
communities to promote hygiene, good sanitation and
disease prevention.
15. – Vanuatu
• Success: Vanuatu has 206 'Aid Posts' targeting an estimated
30,000 people. here are around 250 trained Village Health
Workers throughout Vanuatu manning 206 aid posts. In
some locations, there are 2 Village Health Workers per Aid
Post.
Failure: Changing people's cultural beliefs and attitudes towards
their health and well-being is a challenge
Success: Set up 206 'Aid Posts' targeting an estimated
30,000 people with 250 trained Village Health Workers.
Failure: Changing people's cultural beliefs and attitudes
towards their health and well-being is a challenge
16. Time Table
2013 (5 yrs) 2018 (4yrs) 2022 (3 yrs) 2025 (2yrs) 2027
Implement
intervention
in the 5
countries
with the
lowest ratio
of doctors
Implement
into next 5
countries
with lowest
ratio
Implement
into next 5
countries
with lowest
ratio
Implement
into next 5
countries
with lowest
ratio
All
countries
have
implemente
d the
intervention
18. Goal 1: Improved Health Care
Goal 2:
More
community
involvement
3. Local Healthcare
Collaboration
19.
20. Potential Critiques
Not addressing urban
areas
High start up costs
Voluntary position
Accommodations of worker
Incentive for doctor
Language barriers
Funds drying up
