Community Health Worker (CHW) Programme

Nala Oli - ICTPH CHW Initiative

Traditionally “community health worker” (CHW) embraces a variety of community health aides selected, trained and working in the communities from which they come. A widely accepted definition was proposed by WHO:

“Community health workers should be members of the communities where they work, should be selected by the communities, should be answerable to the communities for their activities, should be supported by the health system but not necessarily a part of its organization, and have shorter training than professional workers”.

CHWs do not include formally trained nurse aides, medical assistants, physician assistants, paramedical workers in emergency and fire services and others who are auxiliaries, mid-level workers and self-defined health professionals or health paraprofessionals. Traditional, faith and complementary healers as well as traditional birth attendants also are not included in this definition, as these important groups warrant separate and detailed treatment in their own right.

The profile of community health workers internationally is very diverse. While there are some broad trends, they can be men or women, young or old, literate or illiterate. In almost all cases they come from the communities they serve. Most importantly, there is broad agreement that who and what CHWs are must respond to local societal and cultural norms and customs to ensure community acceptance and ownership.

Taking a cue from several studies done in India and the world on Community Health Workers, ICTPH has embarked on an extensive research to understand the role of the same with a view to create a health force that can effectively implement healthcare activities in rural areas. The Human capacity vertical has conceptualized and implemented a community outreach initiative as a part of its objective to analyse and address a vital issue of human resources for health plaguing several health care initiatives for rural populations. ICTPH has developed a workforce of community health workers in its field site in the Thanjavur district of Tamil Nadu to understand the role of CHWs in health care delivery.

Research Questions

Ongoing Research Projects

Nala Oli Volunteer Handbook

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