Dear HIFA colleagues,
We now enter our final week of this discussion and turn our attention to Recommendation 10 of the Guideline:
WHO suggests using the following criteria in determining a target population size in the context of CHW programmes.
Criteria to be adopted in most settings:
• expected workload based on epidemiology and anticipated demand for services;
• frequency of contact required;
• nature and time requirements of the services provided;
• expected weekly time commitment of CHWs (factoring in time away from service provision for training, administrative duties, and other requirements);
• local geography (including proximity of households, distance to clinic and population density).
Criteria that might be of relevance in some settings:
• weather and climate;
• transport availability and cost;
• health worker safety;
• mobility of population;
• available human and financial resources.
Certainty of the evidence – very low. Strength of the recommendation – conditional.
How feasible is Recommendation 10 in your country/context to determine CHW:population ratios taking these factors into consideration? If your country/programme currently does this, what tools do you use?
Best wishes, Neil
Access the CHW Guideline here:
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HIFA profile: Neil Pakenham-Walsh is coordinator of the HIFA global health campaign (Healthcare Information For All - www.hifa.org ), a global community with more than 19,000 members in 177 countries, interacting on six global forums in four languages. Twitter: @hifa_org FB: facebook.com/HIFAdotORG firstname.lastname@example.org