Which intervention design factors influence performance of community health workers in low- and middle-income countries? A systematic review

by Maryse C Kok, Marjolein Dieleman, Miriam Taegtmeyer et al.
Health Policy Plan. (2014) – First published online: December 11, 2014

21 pp. 837 kB:

Community health workers (CHWs) are increasingly recognized as an integral component of the health workforce needed to achieve public health goals in low- and middle-income countries (LMICs). A mix of financial and non-financial incentives, predictable for the CHWs, was found to be an effective strategy to enhance performance, especially of those CHWs with multiple tasks. Clearly defined CHW roles and introduction of clear processes for communication among different levels of the health system could strengthen CHW performance. Additional intervention research to develop a better evidence base for the most effective training and supervision mechanisms and qualitative research to inform policymakers in development of CHW interventions are needed.

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