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CHWs on the Move_Bjerregaard_5.10.11
The document discusses assessing and improving community health worker (CHW) programs using the CHW AIM (Assess, Improve, Measure) toolkit. The toolkit includes a functionality matrix to assess CHW program design and implementation, intervention matrices to assess specific health services, and guides participants through a workshop process to conduct assessments, identify strengths and challenges, validate scores, and develop action plans for improvement. The goal is to provide a standardized yet adaptable approach to strengthening CHW programs globally.
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CHWs on the Move_Bjerregaard_5.10.11
- 1. Assessing & Improving CHW ProgramsDonna BjerregaardInitiatives Inc. for USAID Health Care Improvement ProjectCORE Group Meeting 5-10-20111
- 2. PEPFAR II: HSSand increase of health workersGHI: HSS, integration and sustainabilityWHO/Global Health Workforce Alliance: country-level support and expansion of CHW programsKey MessagesGHWA: Bangkok1 Million Community Health Workers Campaign (UN initiative)USAID Review for evidence based practices2Global Pressure to Increase Community Services
- 3. Maturity of healthsystems, especially at primary levelDiversity of CHW cadres/typologyDifferences in community systems: readiness and ability to support workersScarcity of resourcesPaucity of practical tools and examples of success3Current Challenges to Widespread Improvement
- 4. CHW AIM Tool& ProcessCHW AIM Operations Research ZambiaCHW Central: CoP2011-2012: CHW Improvement Collaboratives in Ethiopia and Mali4HCI’s CHW Program Improvement Work
- 5. Respond to globalneeds to strengthen systems to support CHW programsContribute to a more strategic approach to CHW program implementation Provide practical tools to disseminate and reinforce best practicesBuild local capacity to assess and improve CHW programs in relationship to best practices5CHW AIM Strategy
- 6. Assess program functionality:identify strengths & challenges, guide improvement using a simple process and clear criteria that can be applied across projects/programsAssess health service interventionsFacilitate action planning to guide short-term and continuous improvement6CHW AIM Objectives
- 7. A tool andprocess that guides self-directed assessments of CHW programs and action planning CHW AIM: What is it?
- 8. IntroductionCHW Program FunctionalityMatrix Intervention MatricesHIV/AIDS, MNCH, TBSoon: WASH & FPFacilitator’s GuideTraining GuideAppendicesParticipant Selection Form for WorkshopComprehensive Document Review Guide and Checklist for CHW Programs CHW AIM Validation QuestionnaireScore and Score Rationale Documentation WorksheetCHW AIM Program Functionality Score SheetCHW AIM Action Planning FrameworkResources and Field Examples8CHW AIM Toolkit
- 9. Functionality Model ProcessStep1: Adapt Matrices to the Country Context Step 2: Plan the Assessment WorkshopStep 3: Conduct the Assessment Workshop Step 4: Provide Follow-Up Support9
- 10. CHW AIM ExampleSectionDefinition of componentScoring is done by individuals, then by group consensus. Scores are validated by field visit interviews10
- 11. Workshop participants selectappropriate boxes according to their experience
- 12. 12 SAMPLE ACTION PLAN
- 13. Field visits, eitherbefore or after workshops, validate scoring and refine action plans13Validating Workshop Scoring
- 14. Cost EffectiveQuantitative &Qualitative Can be applied at country or individual program levelthru workshop or document review/interviewsAllows cross department sharingAction plan: clear deliverables /indicators14Facilitating Factors
Editor's Notes
- #3 Context and reason for request to develop tool:FY2008 USAID MCH PriorityIncrease functional CHWs by 100,000 (original request)PEPFAR IIHealth systems strengthening Specific target to increase health workers by 140,000Global Health InitiativeHealth 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.
- #5 A tool and process that guide self-directed assessments of CHW programs and an action planning processContext and reason for request to develop tool:FY2008 USAID MCH PriorityIncrease functional CHWs by 100,000 (original request)PEPFAR IIHealth systems strengthening Specific target to increase health workers by 140,000Global Health InitiativeHealth 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.
- #7 Context and reason for request to develop tool:FY2008 USAID MCH PriorityIncrease functional CHWs by 100,000 (original request)PEPFAR IIHealth systems strengthening Specific target to increase health workers by 140,000Global Health InitiativeHealth 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.
- #8 Context and reason for request to develop tool:FY2008 USAID MCH PriorityIncrease functional CHWs by 100,000 (original request)PEPFAR IIHealth systems strengthening Specific target to increase health workers by 140,000Global Health InitiativeHealth 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.
- #11 Each of these 15 components sets out clear and simple criteria based on a review of best practices for successful and not so successful programs. Components originally numbered 8 but have increased after field tests made it clear that these were all critical for sustainability and long-term functionality.