The Astana Declaration (4) Community health workers: who will pay?

27 October, 2018

WHO insist on CHWs,

The document on PHC underlines their importance in the health system.

My question is: who is going to pay for their work? Ideally the community has to recognize them and sustain their service, in the real life there is no a single example of it.

May I ask confirmation to hifa/chifa colleagues about my observation?

I keep hearing and reading about CHWs and their 'essential' role in the health system from years, still I have no knowledge of a single community paying for their work. NGOs do sustain them, for the period of presence in the country.

WHO has regional offices scattered in all countries, they should gather information from the field.




HIFA profile: Massimo Serventi is a long-standing Pediatrician working in Africa since 1982. He currently works on a volunteer basis in an excellent missionary/credited hospital in north Uganda, St. Mary's Hospital-Lacor-GULU. He has worked for several NGOs in 6 African/2 Asian countries. His interests include clinical and community pediatrics, adherence to clinical guidelines and school education as the major determinant of good health. massimoser20 AT