Enhancing the role of community health nursing for universal health coverage
Human Resources for Health Observer Series No. 18
by Kathy Fritsch, Margaret Phiri, Silvina Malvarez et al.
World Health Organization, 2017
Community health nurses (CHNs) have the potential to make significant contributions to meet the health care needs of various population groups in a variety of community settings. In order to assess the extent to which CHNs are achieving this potential, WHO conducted a study between 2010 and 2014 that examined the status of community health nursing in 22 countries, 13 of which were experiencing a critical shortage of health care workers. The major challenges identified were: Limited availability of career opportunities; poor worker retention; low recognition for CHNs; inadequate and unsupportive working conditions and environments; absence of educational standards; varying educational entry-level requirements for CHN programmes; and a lack of consensus on the scope of practice for CHNs.