ArticleAfrican journal of primary health care & family medicine2023
Community Health Worker programmes' integration into national health systems: Scoping review.
Article in African journal of primary health care & family medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
What it found
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- How effective are community health workers in managing and preventing perinatal depression in sub-Saharan Africa? A systematic review of quantitative evidence.Health policy and planning · 2026Pooled it
- Knowledge of Accredited Social Health Activists in India: a systematic review and meta analysis of evidence drawn from primary studies published between 2005 and 2022.BMC health services research · 2025Pooled 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
- Community-Centric Malaria Prevention in Sub-Saharan Africa: A Narrative Review of Pathways to Elimination and Global Health Impact.Health science reports · 2026Article
- Trends in government and donor funding for vertical and horizontal community health worker programmes in sub-Saharan Africa.BMJ global health · 2026Article
- Article
- A knowledge, attitude and practice-based integrative literature review of community health worker training on stroke and cardiovascular diseases in low-and middle-income countries.BMC primary care · 2025Review
- 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
- Moving Towards a South African NHI System of Excellence: Recommendations Based on the Insider Perspectives of CHWs as Key Role-Players.International journal of environmental research and public health · 2025Article
- Village health work in the primary healthcare of Zimbabwe: Health workers' perspectives.PloS one · 2025Article
- Facilitators and Barriers in Collaborations Between Community Health Workers with Primary and Well-Being Providers in Primary Healthcare in Belgium.Healthcare (Basel, Switzerland) · 2024Article
- Perceptions of roles of community healthcare workers in early childhood in Limpopo, South Africa.African journal of primary health care & family medicine · 2024Article
- Improved cholera control in Kenya: A retrospective analysis of 2017-2019 in Nairobi and Homabay.Journal of public health in Africa · 2024Article
- Analytical policy commentary: Multi-prong strategies for effective climate-resilient community-based health programming in humanitarian settings and beyond.The journal of climate change and healthArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCommunity health worker (CHW) programmes, when adequately integrated into mainstream health systems, can provide a viable, affordable and sustainable path to strengthened health systems that better meets demands for improved child health, especially in resource-constrained settings. However, studies that report on how CHW programmes are integrated into respective health systems in sub-Saharan Africa (SSA) are missing.
aimThis review presents evidence on CHW programmes' integration into National Health Systems for improved health outcomes in SSA.
settingSub-Saharan Africa.
methodSix CHW programmes representing three sub-Saharan regions (West, East, and Southern Africa) were purposively selected based on their deemed integration into respective National Health Systems. A database search of literature limited to the identified programmes was then conducted. Screening and literature selection was guided a scoping review framework. Abstracted data were synthesised and presented in a narrative form.
resultsA total of 42 publications met the inclusion criteria. Reviewed papers had an even focus on all six CHW programmes integration components. Although some similarities were observed, evidence of integration on most CHW programme integration components varied across countries. The linkage of CHW programmes to respective health systems runs across all reviewed countries. Some CHW programme components such as CHW recruitment, education and certification, service delivery, supervision, information management, and equipment and supplies are integrated into the health systems differently across the region.
conclusionDifferent approaches to the integration of all the components depict complexity in the field of CHW programme integration in the region.Contribution: The study presents synthesized evidence on CHW programmes integration into national health systems in SSA.
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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.