Performance of Community Health Workers

Optimizing the benefits of their unique position between communities and the health sector

PhD thesis by Maryse Catelijne Kok, Amsterdam, the Netherlands, 2015

248 pp. 5.8 MB
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Community health workers (CHWs) form an essential part of the health system in many low‐ and middle-income countries (LMICs). They deliver promotive, preventive and some curative health services to – often poor and vulnerable – communities. The continuing shortage of human resources for health combined with evidence that CHWs can contribute to improved community health has led to a renewed interest in CHW programmes in recent years. The aim of this thesis is to gain insight into how performance of CHWs in LMICs can be improved, in order to contribute to the realization of better informed, more effective and sustainable CHW programmes and ultimately improved health status of poor and rural communities.

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