Utilizing community health worker data for program management and evaluation: Systems for data quality assessments and baseline results from Rwanda

Mitsunaga, Tisha; Hedt‐Gauthier, Bethany; Ngizwenayo, Elias; Farmer, Didi Bertrand; Karamaga, Adolphe; Drobac, Peter; Basinga, Paulin; Hirschhorn, Lisa R.; Ngabo, Fidèle; Mugeni, Cathy

doi:10.1016/j.socscimed.2013.02.033

Cited by 22 publications

(16 citation statements)

References 24 publications

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“…A recent study of CHW reporting in one Rwandan district during May–June 2011 found that only 57% and 79% of monthly village CHW reports agreed perfectly with the tally of individual sick-child encounter forms for the number of children treated for pneumonia and malaria, respectively 41 . However, as pointed out in the study, the quality of CHW data collection is likely to be better for more noteworthy events, such as child deaths, where the total number for a village in a given month is almost certain to be either 0 or 1, and would not at all impact the health facility use figures, which are based on actual visits to health centers and admissions to hospitals.…”

Section: Discussionmentioning

confidence: 97%

Nationwide implementation of integrated community case management of childhood illness in Rwanda

Mugeni

Levine

Munyaneza

et al. 2014

Glob Health Sci Pract

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Section: Discussionmentioning

confidence: 97%

Nationwide implementation of integrated community case management of childhood illness in Rwanda

Mugeni

Levine

Munyaneza

et al. 2014

Glob Health Sci Pract

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“…An encouraging initiative in this direction is the Rwandan government's initiative to improve community health through the mobilization of community health workers (CHW). The government of Rwanda launched the Rwanda community health program in 1995 and currently operates around 45,000 CHWs (Mitsunaga et al, 2013). CHWs increase a community's access to healthcare and improve its health by monitoring maternal health, child nutritional status, and other diseases such as diarrhea, while offering basic curative and preventive care, educating community members in health issues, and referring cases of malnutrition and other diseases to health centers (Mitsunaga et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

Geographical accessibility to healthcare and malnutrition in Rwanda

Aoun

Matsuda

Sekiyama

2015

Social Science & Medicine

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“…In some contexts, CHWs have compromised, by selecting a restricted social group or only the tasks that are feasible (or rewarded), and neglecting other responsibilities (Hermann et al, 2009). Complimenting facility information systems with community based vital events registration and disease surveillance is of critical value, but requires considerable time investments (Mitsunaga et al, 2013). Periodic consultations with CHWs are essential for their feedback on constraints to performance to inform adjustments to task expectations.…”

Section: Workload Expectationsmentioning

confidence: 99%

Toward universal coverage in Afghanistan: A multi-stakeholder assessment of capacity investments in the community health worker system

Edward

Branchini

Aitken

et al. 2015

Social Science & Medicine

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Global efforts to scale-up the community health workforce have accelerated as a result of the growing evidence of their effectiveness to enhance coverage and health outcomes. Reconstruction efforts in Afghanistan integrated capacity investments for community based service delivery, including the deployment of over 28,000 community health workers (CHWs) to ensure access to basic preventive and curative services. The study aimed to conduct capacity assessments of the CHW system and determine stakeholder perspectives of CHW performance. Structured interviews were conducted on a national sample from 33 provinces and included supervisors, facility providers, patients, and CHWs. Formative assessments were also conducted with national policymakers, community members and health councils in two provinces. Results indicate that more than 70% of the NGO's provide comprehensive training for CHWs, 95% CHWs reported regular supervision, and more than 60% of the health posts had adequate infrastructure and essential commodities. Innovative strategies of paired male and female CHWs, institution of a special cadre of community health supervisors, and community health councils were introduced as systems strengthening mechanisms. Reported barriers included unrealistic and expanding task expectations (14%), unsatisfactory compensation mechanisms (75%), inadequate transport (69%), and lack of commodities (40%). Formative assessments evidenced that CHWs were highly valued as they provided equitable, accessible and affordable 24-h care. Their loyalty, dedication and the ability for women to access care without male family escorts was appreciated by communities. With rising concerns of workforce deficits, insecurity and budget constraints, the health system must enhance the capacity of these frontline workers to improve the continuum of care. The study provides critical insight into the strengths and constraints of Afghanistan's CHW system, warranting further efforts to contextualize service delivery and mechanisms for their support and motivation.

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Utilizing community health worker data for program management and evaluation: Systems for data quality assessments and baseline results from Rwanda

Cited by 22 publications

References 24 publications

Nationwide implementation of integrated community case management of childhood illness in Rwanda

Nationwide implementation of integrated community case management of childhood illness in Rwanda

Geographical accessibility to healthcare and malnutrition in Rwanda

Toward universal coverage in Afghanistan: A multi-stakeholder assessment of capacity investments in the community health worker system

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