WHO guideline on health policy and system support to optimize community health worker programmes
Overview
Addressing health workforce shortage, maldistribution and
performance challenges is essential for progress towards
all health-related goals, including universal health coverage.
Further, the health sector has the potential to be a driver of
economic growth through the creation of qualified employment
opportunities, in particular for women.
Effective health workforce strategies include the education
and deployment of a diverse and sustainable skills mix,
harnessing in some contexts the potential of community health
workers (CHWs) operating in interprofessional primary care
teams.
However, the support for CHWs and their integration
into health systems and communities are uneven across
and within countries; good-practice examples are not
necessarily replicated and policy options for which there is
greater evidence of effectiveness are not uniformly adopted.
Conversely, successful delivery of services through CHWs
requires evidence-based models for education, deployment
and management of these health workers.
The starting point for an effective design of CHW programmes
is a sound situation analysis of population needs, health
system requirements and resource implications. The role of
CHWs should be considered in relation to other health workers,
in order to integrate CHW programmes into the general
health system and into existing community structures in an
appropriate manner.
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