by Prabhjot Singh and Jeffrey D Sachs
The Lancet, Vol. 382, Issue 9889, pp. 363 – 365, 27 July 2013
Before 2000, and in many places until today, community health workers (CHWs) in sub-Saharan Africa were mainly regarded as volunteers who provide a few simple services, mostly in community awareness and disease prevention. However, evidence supports an expanded role of CHWs in community-based case management and several reviews and guidelines from WHO now recommend the expansion of CHW activities. CHW scale-up in low-income countries, particularly sub-Saharan Africa, will be a crucial stepping stone towards achievement of the MDGs and the overarching aim of health for all.