Abstract
This paper, presented as part of a workshop at the 2016 World Public Health Nutrition Conference, is one of a series of papers focused on ‘magic bullets’ versus community action for nutrition. This paper will describe the evidence base on the impact of CHW programmes for child health and discuss features of successful programmes. This is a timely issue as the World Health Organisation is currently leading a process to develop global guidance on community health worker programmes.
Highlights
Community-based delivery platforms using community health workers (CHWs) have been implemented since the 1970s with increased focus following the Alma Ata Conference on primary health care.[4]
With the increased human resources for health requirements posed by the HIV/AIDS epidemic, pressure to meet the Millennium Development Goal (MDG) and SDG goals combined with the human resources for health crises in sub-Saharan Africa,[6] CHW programmes have re-emerged as a common strategy to increase access to health services in rural and hard to reach areas.[7]
Much of the scope of work of CHWs has been focused on child health, with some programmes having a broad scope including prevention and the promotion of interventions to support child health, whilst others have been focused on nutrition or vertical programs for HIV, tuberculosis, and malaria.[8,9,10]
Summary
Community-based delivery platforms using community health workers (CHWs) have been implemented since the 1970s with increased focus following the Alma Ata Conference on primary health care.[4].
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