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Community Health Worker programmes’ integration into national health systems: Scoping review
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Community Health Worker programmes’ integration into national health systems: Scoping review
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Community Health Worker programmes’ integration into national health systems: Scoping review
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Journal Article
Community Health Worker programmes’ integration into national health systems: Scoping review
2023
Overview
BackgroundCommunity health worker (CHW) programmes, when adequately integrated into mainstream health systems, can provide a viable, affordable and sustainable path to strengthened health systems that better meets demands for improved child health, especially in resource-constrained settings. However, studies that report on how CHW programmes are integrated into respective health systems in sub-Saharan Africa (SSA) are missing.AimThis review presents evidence on CHW programmes’ integration into National Health Systems for improved health outcomes in SSA.SettingSub-Saharan Africa.MethodSix CHW programmes representing three sub-Saharan regions (West, East, and Southern Africa) were purposively selected based on their deemed integration into respective National Health Systems. A database search of literature limited to the identified programmes was then conducted. Screening and literature selection was guided a scoping review framework. Abstracted data were synthesised and presented in a narrative form.ResultsA total of 42 publications met the inclusion criteria. Reviewed papers had an even focus on all six CHW programmes integration components. Although some similarities were observed, evidence of integration on most CHW programme integration components varied across countries. The linkage of CHW programmes to respective health systems runs across all reviewed countries. Some CHW programme components such as CHW recruitment, education and certification, service delivery, supervision, information management, and equipment and supplies are integrated into the health systems differently across the region.ConclusionDifferent approaches to the integration of all the components depict complexity in the field of CHW programme integration in the region.ContributionThe study presents synthesized evidence on CHW programmes integration into national health systems in SSA.
Publisher
AOSIS,AOSIS (Pty) Ltd,AOSIS Publishing
Subject
