ReviewHealth research policy and systems2021
Community health workers at the dawn of a new era: 10. Programme performance and its assessment.
Review in Health research policy and systems, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Community health workers at the dawn of a new era: 6. Recruitment, training, and continuing education.Health research policy and systems · 2021Pooled it
- Community health worker-led versus facility-based type 2 diabetes care in rural Lesotho: a cluster-randomized trial within the ComBaCaL cohort study.BMC medicine · 2026 · on this mapTrial
- Relationship of perinatal outcomes to the competence and quantity of contact with community health workers.Journal of global health · 2025Trial
- The effect of supervision on community health workers' effectiveness with households in rural South Africa: A cluster randomized controlled trial.PLoS medicine · 2023Trial
- Reciprocal innovation to improve access to primary healthcare in Belgium: adaptation and development of a community health worker intervention.BMC health services research · 2026Article
- Implementation process and acceptability of the electronic community health information system among community health workers in Kenya.Frontiers in health services · 2026Article
- Bridging communities, prevention, and heart health: U.S. strategies for CHW cardiovascular training and integration.Frontiers in epidemiology · 2025Review
- A realist perspective on optimizing community health workers' roles and functions to deliver integrated people-centred care.PLOS global public health · 2025Article
- The role of community health and nutrition volunteers in improving the health and nutrition status of infant and young children in remote areas, Hajjah, Yemen.BMC pediatrics · 2024Article
- Enhancing the capacity of community health workers in prevention and control of epidemics and pandemics in Wakiso district, Uganda: evaluation of a pilot project.BMC primary care · 2024Article
- Capacity building and community of practice for women community health workers in low-resource settings: long-term evaluation of the Mobile University For Health (MUH).Frontiers in global women's health · 2024Article
- Facilitating access to primary care for people living in socio-economically vulnerable circumstances in Belgium through community health workers: towards a conceptual model.BMC primary care · 2023Article
- Using telehealth to support community health workers in Uganda during COVID-19: a mixed-method study.BMC health services research · 2023Article
- Community health workers' perspectives on integrating into school settings to support student health.Frontiers in public health · 2023Article
- Community health workers' quality of comprehensive care: a cross-sectional observational study across three districts in South Africa.Frontiers in public health · 2023Observational
- How valid are women's reports of the antenatal health services they receive from Community Health Workers in Gombe State north-eastern Nigeria?BMC pregnancy and childbirth · 2022Article
- Indicator-activities to apply primary health care principles in national or large-scale community health worker programs in low-and middle-income countries: a Delphi exercise.BMC public health · 2022Article
- Community health workers at the dawn of a new era: 1. Introduction: tensions confronting large-scale CHW programmes.Health research policy and systems · 2021Review
- Community health workers at the dawn of a new era: 8. Incentives and remuneration.Health research policy and systems · 2021Review
- Community health workers at the dawn of a new era.Health research policy and systems · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 5 institutions in 4 countries.
Funding
Abstract
backgroundWhile the evidence supporting the effectiveness of community health worker (CHW) programmes is substantial, there is also considerable evidence that many of these programmes have notable weaknesses that need to be addressed in order for them to reach their full potential. Thus, considerations about CHW programme performance and its assessment must be taken into account as the importance of these programmes is becoming more widely appreciated. In this paper, the tenth in our 11-paper series, "Community health workers at the dawn of a new era", we address CHW programme performance and how it is assessed from a systems perspective.
methodsThe paper builds on the 2014 CHW Reference Guide, a compendium of case studies of 29 national CHW programmes, the 2018 WHO guideline on health policy and system support to optimize CHW programmes, and scientific studies on CHW programme performance published in the past 5 years.
resultsThe paper provides an overview of existing frameworks that are useful for assessing the performance of CHW programmes, with a specific focus on how individual CHW performance and community-level outcomes can be measured. The paper also reviews approaches that have been taken to assess CHW programme performance, from programme monitoring using the routine health information system to national assessments using quantitative and/or qualitative study designs and assessment checklists. The paper also discusses contextual factors that influence CHW programme performance, and reflects upon gaps and needs for the future with regard to assessment of CHW programme performance.
conclusionAssessments of CHW programme performance can have various approaches and foci according to the programme and its context. Given the fact that CHW programmes are complex entities and part of health systems, their assessment ideally needs to be based on data derived from a mix of reliable sources. Assessments should be focused not only on effectiveness (what works) but also on contextual factors and enablers (how, for whom, under what circumstances). Investment in performance assessment is instrumental for continually innovating, upgrading, and improving CHW programmes at scale. Now is the time for new efforts in implementation research for strengthening CHW programming.
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What OpenQuestion holds
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.