Evaluation of community health worker training course effectiveness in India
AbstractCommunity health workers (CHWs) have long played a key role in delivering healthcare in rural and remote populations, through primary care, prevention and education. Numerous mechanisms of training and supporting CHWs have been implemented, and the WHO has outlined recommendations for the programmatic and financial aspects of CHW programs. This study evaluated the outcomes of a CHW training program in India whereby community development workers from faith-based organisations have been trained since 2011 to extend health prevention, promotion, education and basic services to rural, remote and poor communities across the country. Triangulation of quantitative and qualitative data and course information was conducted, and analysis pointed to the effectiveness of the trainees in their respective work locations. Outcomes were noted in the areas of first aid and primary care, health promotion and education, the breadth of beneficiaries, and spiritual health. The consistency of the data across these areas suggests that the training course is effective in its delivery, its contribution to the expansion of healthcare coverage and its potential for impact across India.
World Health Organization. Alma Ata Declaration. Geneva: World Health Organization. 1978.
Tulenko K, Mgedal S, Afzal MM, Frymus D, Oshin A, Pate M, et al. Community health workers for universal health-care coverage: from fragmentation to synergy. Bulletin of the World Health Organization. 2013;91:847-52.
Lehmann U, Sanders D. Community health workers: what do we know about them. The state of the evidence on programmes, activities, costs and impact on health outcomes of using community health workers Geneva: World Health Organization. 2007:1-42.
Bhutta ZA, Lassi ZS, Pariyo G, Huicho L. Global experience of community health workers for delivery of health related millennium development goals: a systematic review, country case studies, and recommendations for integration into national health systems. Global Health Workforce Alliance. 2010;1:249-61.
Crigler L, Hill K, Furth R, Bjerregaard D. Community Health Worker Assessment and Improvement Matrix (CHW AIM): a toolkit for improving CHW programs and services. Bethesda, MD: USAID. 2011.
Rosato M, Laverack G, Grabman LH, Tripathy P, Nair N, Mwansambo C, et al. Community participation: lessons for maternal, newborn, and child health. The Lancet. 2008;372(9642):962-71.
Patel V, Parikh R, Nandraj S, Balasubramaniam P, Narayan K, Paul VK, et al. Assuring health coverage for all in India. The Lancet. 2015;386(10011):2422-35.
WorldBank. World Bank Data Set: Rural population (% of total population) 2015 [10/09/2016]. World Bank Staff estimates based on United Nations, World Urbanization Prospects]. Available from: http://data.worldbank.org/indicator/SP.RUR.TOTL.ZS?year_high_desc=true.
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