Health policy and system support to optimise community health worker programmes: an abridged WHO guideline

Giorgio Cometto, Nathan Ford, Jerome Pfaffman-Zambruni, Elie A. Akl, Uta Lehmann, Barbara McPake, Madeleine Ballard, Maryse Kok, Maisam Najafizada, Abimbola Olaniran, Onyema Ajuebor, Henry B. Perry, Kerry Scott, Bianca Albers, Aron Shlonsky, David Taylor

Research output: Contribution to journalComment/debate

173 Citations (Scopus)

Abstract

Optimising community health worker (CHW) programmes requires evidence-based policies on their education,

deployment, and management. This guideline aims to inform efforts by planners, policy makers, and managers to

improve CHW programmes as part of an integrated approach to strengthen primary health care and health systems.

The development of this guideline followed the standard WHO approach to developing global guidelines. We

conducted one overview of reviews, 15 systematic reviews (each one on a specific policy question), and a survey of

stakeholders’ views on the acceptability and feasibility of the interventions under consideration. We assessed the

quality of systematic reviews using the AMSTAR tool, and the certainty of the evidence using the GRADE methodology.

The overview of reviews identified 122 eligible articles and the systematic reviews identified 137 eligible primary

studies. The stakeholder perception survey obtained inputs from 96 respondents. Recommendations were developed

in the areas of CHW

Original languageEnglish
Pages (from-to)e1397-e1404
JournalThe Lancet Global Health
Volume6
Issue number12
DOIs
Publication statusPublished - 26 Oct 2018

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