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A comparative study of an NGO-sponsored CHW programme versus a ministry of health sponsored CHW programme in rural Kenya: a process evaluation.

Aridi JO, Chapman SA, Wagah MA, Negin J - Hum Resour Health (2014)

Bottom Line: The varied performance of Community Health Worker (CHW) programmes in different contexts has highlighted the need for implementation of research that focuses on programme delivery issues.This paper presents the results of process evaluations conducted on two different models of CHW programme delivery in adjacent rural communities in in Gem District of Western Kenya.One model was implemented by the Millennium Villages Project (MVP), and the other model was implemented in partnership with the Ministry of Health (MoH) as part of Kenya's National CHW programme.

View Article: PubMed Central - PubMed

Affiliation: The Ford Family Program in Human Development Studies and Solidarity, University of Notre Dame, Nairobi, Kenya. Jackline.Oluoch@gmail.com.

ABSTRACT
The varied performance of Community Health Worker (CHW) programmes in different contexts has highlighted the need for implementation of research that focuses on programme delivery issues. This paper presents the results of process evaluations conducted on two different models of CHW programme delivery in adjacent rural communities in in Gem District of Western Kenya. One model was implemented by the Millennium Villages Project (MVP), and the other model was implemented in partnership with the Ministry of Health (MoH) as part of Kenya's National CHW programme.

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The MVP’s CHW programme. Total cluster size is typically between 35,000 to 70, 000, with village groupings of between 5,000 to 8,000 served by a cadre of 6 CHWs. Solid lines represent supervision, dashed lines represent flow of household health monitoring data. Monitoring data is collected by CHWs at the household level via mobile phones. Village Health Committees assist senior CHWs to monitor CHW activity at the household level.
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Fig2: The MVP’s CHW programme. Total cluster size is typically between 35,000 to 70, 000, with village groupings of between 5,000 to 8,000 served by a cadre of 6 CHWs. Solid lines represent supervision, dashed lines represent flow of household health monitoring data. Monitoring data is collected by CHWs at the household level via mobile phones. Village Health Committees assist senior CHWs to monitor CHW activity at the household level.

Mentions: The project commenced in 2004 in Kenya in the Western region of Kenya in a village called Bar Sauri with a population of roughly 65,000 people in what was then the Siaya District (now Gem District) [24]. The MVP’s CHW programme strategies, as well as procedures governing selection of MVs, are described elsewhere [25, 26]. In brief, the CHW programme of the MVP utilizes a workforce of CHWs, with each CHW serving at least 150 households and approximately 650 people. The MVP CHWs are supervised by senior CHWs in groups of six. The seniors are in turn supervised by Health Facilitators in a ratio of approximately 8 to 20 depending on the setting (Figure 2). The CHWs provide preventative care through health education and limited curative services. They are provided with a CHW kit that has basic drugs such as oral rehydration solution, zinc, paracetamol, Rapid Diagnostic Tests (RDTs) for malarial parasites, and Coartem for household-level treatment of positive RDT cases. The CHWs within the MVP are supported by Information and Communications Technology (ICT) systems that are facilitated through a mobile telephony system. The mobile heath technology uses information collected at the household level by CHWs to monitor child and maternal health, as well as monitor compliance with treatment administered at the clinic level. The system also prompts household visits via text message and generates feedback to CHWs and managers regarding the health status of individuals and communities.Figure 2


A comparative study of an NGO-sponsored CHW programme versus a ministry of health sponsored CHW programme in rural Kenya: a process evaluation.

Aridi JO, Chapman SA, Wagah MA, Negin J - Hum Resour Health (2014)

The MVP’s CHW programme. Total cluster size is typically between 35,000 to 70, 000, with village groupings of between 5,000 to 8,000 served by a cadre of 6 CHWs. Solid lines represent supervision, dashed lines represent flow of household health monitoring data. Monitoring data is collected by CHWs at the household level via mobile phones. Village Health Committees assist senior CHWs to monitor CHW activity at the household level.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4230347&req=5

Fig2: The MVP’s CHW programme. Total cluster size is typically between 35,000 to 70, 000, with village groupings of between 5,000 to 8,000 served by a cadre of 6 CHWs. Solid lines represent supervision, dashed lines represent flow of household health monitoring data. Monitoring data is collected by CHWs at the household level via mobile phones. Village Health Committees assist senior CHWs to monitor CHW activity at the household level.
Mentions: The project commenced in 2004 in Kenya in the Western region of Kenya in a village called Bar Sauri with a population of roughly 65,000 people in what was then the Siaya District (now Gem District) [24]. The MVP’s CHW programme strategies, as well as procedures governing selection of MVs, are described elsewhere [25, 26]. In brief, the CHW programme of the MVP utilizes a workforce of CHWs, with each CHW serving at least 150 households and approximately 650 people. The MVP CHWs are supervised by senior CHWs in groups of six. The seniors are in turn supervised by Health Facilitators in a ratio of approximately 8 to 20 depending on the setting (Figure 2). The CHWs provide preventative care through health education and limited curative services. They are provided with a CHW kit that has basic drugs such as oral rehydration solution, zinc, paracetamol, Rapid Diagnostic Tests (RDTs) for malarial parasites, and Coartem for household-level treatment of positive RDT cases. The CHWs within the MVP are supported by Information and Communications Technology (ICT) systems that are facilitated through a mobile telephony system. The mobile heath technology uses information collected at the household level by CHWs to monitor child and maternal health, as well as monitor compliance with treatment administered at the clinic level. The system also prompts household visits via text message and generates feedback to CHWs and managers regarding the health status of individuals and communities.Figure 2

Bottom Line: The varied performance of Community Health Worker (CHW) programmes in different contexts has highlighted the need for implementation of research that focuses on programme delivery issues.This paper presents the results of process evaluations conducted on two different models of CHW programme delivery in adjacent rural communities in in Gem District of Western Kenya.One model was implemented by the Millennium Villages Project (MVP), and the other model was implemented in partnership with the Ministry of Health (MoH) as part of Kenya's National CHW programme.

View Article: PubMed Central - PubMed

Affiliation: The Ford Family Program in Human Development Studies and Solidarity, University of Notre Dame, Nairobi, Kenya. Jackline.Oluoch@gmail.com.

ABSTRACT
The varied performance of Community Health Worker (CHW) programmes in different contexts has highlighted the need for implementation of research that focuses on programme delivery issues. This paper presents the results of process evaluations conducted on two different models of CHW programme delivery in adjacent rural communities in in Gem District of Western Kenya. One model was implemented by the Millennium Villages Project (MVP), and the other model was implemented in partnership with the Ministry of Health (MoH) as part of Kenya's National CHW programme.

Show MeSH
Related in: MedlinePlus