Common Market for Eastern and Southern Africa, COMESA,African Union
12-08-2021
Work Detail
Regional Health Management Programme AdvisorHealth System Strengthening For Human Capital Development In EswatiniOver The Last Three Decades Following The 1978 Alma Ata Declaration On Primary Health Care Phc Community Health Workers Chws Were Promoted To Become Part Of Many Developing Countries Health Systems While There Was Considerable Variation In The Types Of Chws And The Forms Taken By Chw Programs Chws International Experiences Gave Rise To Debates On Their Role In Health Systems And Highlighted The Problems Associated With Their Management While Successful Experiments Across A Range Of Contexts Provided Inspiration For Chw Programs Numerous Challenges Arose In The Process Of Shifting From Effective And Small Scale Local Projects To National Chw Schemes Common Problems Cited Included Lack Of Community Integration Unrealistic Expectations Unsupportive Environments Poor Supervision Lack Of Appropriate Incentives High Turnover Poor Quality Service Provision And Low Cost Effectiveness Over The Last Decade Rapid Expansion In Hiv Aids And Other Health Programs Such As Tuberculosis And Malaria And A Renewed Interest In Child Survival Have Propelled A Shift In International Thinking Back Towards Large Scale Deployment Of Chws Furthermore There Is Significant Evidence That Chws Can Be Used At The Sub National Or The Local Level Even In Developing Countries Who Recommends That Countries Should Also Make Investments In Chw Programs To Facilitate Proper Integration Of Community Health Workers In The Health Systems And Communities Who 2018
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