ReviewJournal of global health2021
Compensation models for community health workers: Comparison of legal frameworks across five countries.
Review in Journal of global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05211869 (T1DTechCHW), which is not on this map. Cited by 42 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
T1DTechCHW: Enhancing the Community Health Worker (CHW) Model to Promote Diabetes Technology Use in Young Adults From Underrepresented Minority Groups (YA-URMs) With Type 1 Diabetes (T1D)
Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Strengthening Community Antimicrobial Stewardship in Africa: A Systematic Review of the Roles, Challenges, and Opportunities of Community Health and Animal Health Workers.Wellcome open research · 2025Pooled it
- A cross-sectional analysis of the impact of lady health worker visits in the prenatal and postnatal period on the uptake of continuum of care interventions and childhood mortality in Pakistan.Journal of global health · 2025Trial
- ASHA workers at the crossroads: navigating volunteerism and formalisation in the changing public health landscape.BMJ global health · 2026Review
- Experiences of volunteers: A volunteer-led community strategy for lung cancer awareness and mobilisation in KwaZulu-Natal.African journal of primary health care & family medicine · 2026Article
- Article
- Eliminating ghost workers and optimizing resources to strengthen Community Health Worker programs in sub-Saharan Africa.PLoS medicine · 2026Article
- Savoring the service: A qualitative study of Latine community health workers' health promotion efforts.PLOS global public health · 2026Article
- An Innovative University and Non-Governmental Organization Partnership in Global Health: Application of the Brocher Declaration to 20 Years of Collaboration in Kenya.Annals of global health · 2026Article
- Optimizing the role and functions of CHWs in service of a people-centred community health system in sub-Saharan Africa. A realist synthesis.SSM - health systems · 2025Review
- Financial motivation models for community health workers in low- and middle-income countries: a scoping review.Global health action · 2025Article
- Incentives on the motivation and job performance; insights from community health workers in Iran.BMC health services research · 2025Article
- A qualitative study of differences in palliative care in hospitals and traditional home-based care in Cameroon.BMC palliative care · 2025Article
- Costs and cost-effectiveness of integrated horizontal community health worker programmes in low- and middle-income countries (2015-2024): a scoping literature review.BMJ global health · 2025Article
- Community health worker payment processes: a qualitative assessment of experiences in two Indian states.Health policy and planning · 2025Article
- Article
- Equipping community health workers in Rwanda to deliver a gender transformative parenting program to prevent violence against women and children at scale.Frontiers in reproductive health · 2025Article
- Readiness and implications for adopting digitized payment of community health workers: a qualitative study of Benin and Uganda.Frontiers in health services · 2025Article
- How does community health feature in Global Financing Facility planning documents to support reproductive, maternal, newborn, child and adolescent health and nutrition (RMNAH-N)? insights from six francophone West African countries.Global health action · 2024Article
- Do cash or digital payment modalities affect community health worker performance? - a case study of a remote refugee settlement in Western Uganda.Global health action · 2024Article
- Documenting Community Health Worker Compensation Schemes and Their Perceived Effectiveness in Seven sub-Saharan African Countries: A Qualitative Study.Global health, science and practice · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite the life-saving work they perform, community health workers (CHWs) have long been subject to global debate about their remuneration. There is now, however, an emerging consensus that CHWs should be paid. As the discussion evolves from
methodsThis study examines the legal framework on CHW compensation in five countries: Brazil, Ghana, Nigeria, Rwanda, and South Africa. In order to map the characteristics of each approach, a review of the regulatory framework governing CHW compensation in each country was undertaken. Law firms in each of the five countries were engaged to support the identification and interpretation of relevant legal documents. To guide the search and aid in the creation of uniform country profiles, a standardized set of questions was developed, covering: (i) legal requirements for CHW compensation, (ii) CHW compensation mechanisms, and (iii) CHW legal protections and benefits.
resultsThe five countries profiled represent possible archetypes for CHW compensation: Brazil (public), Ghana (volunteer-based), Nigeria (private), Rwanda (cooperatives with performance based incentives) and South Africa (hybrid public/private). Advantages and disadvantages of each model with respect to (i) CHWs, in terms of financial protection, and (ii) the health system, in terms of ease of implementation, are outlined.
conclusionsWhile a strong legal framework does not necessarily translate into high-quality implementation of compensation practices, it is the first necessary step. Certain approaches to CHW compensation - particularly public-sector or models with public sector wage floors - best institutionalize recommended CHW protections. Political will and long-term financing often remain challenges; removing ecosystem barriers - such as multilateral and bilateral restrictions on the payment of salaries - can help governments institutionalize CHW payment.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.