Growth monitoring and regular developmental assessments are key components of what all parents need in order to rest assured that their infants and toddlers are on track or, if not, so that they can intervene early on, before any deviations affect the child's future.
Generally, CHW's sort themselves into two groups: older, more seasoned & settled workers who value their work and are valued by the community, and younger, often more educated and more ambitious workers. The former are often content to continue their work, and remain settled. The latter, to remain content, need opportunities for advanced training, and if adequately educated, a career ladder which may take them out of the community.
CHW's are unique in the provision of community based health care in that ideally, they, like the Greek god Janus, are two faced...but in a positive, not a pejorative sense. CHW's should answer both to the community that they serve, and to the health professionals with whom they serve.
We have found that it takes a person with a communications background to develop content that is readily accessible for a policymaker… The motivation for the researcher to assist in such an endeavor should be to see the research culminate in improved health outcomes. I still think you need a communications person to bridge the divide between academic and policy worlds.
Convening the key stakeholders up front in order to formulate the key questions necessary for making decisions from all perspectives should be the first step in any research in order to bring the evidence to bear for decision making to occur… Samueli Institute has the expertise and the management processes in place to allow these kinds of stakeholders to come together for their voices to be heard, drive the research questions to evidence based conclusions and recommendations that then can be made with all stakeholders involved.
In one country I was involved in a donor funded project that was designed precisely to encourage decision makers to use evidence in making policies on public health issues, particularly mother and child health. Donor project gathered all available research and evaluation data reports in a CD. They provided that CD to all relevant officials. In addition urged professional columnists to highlight the issues in news media, and by organizing monthly meetings. In other words this was the utmost effort anyone could make to persuade health officials to use evidence for policy and decision making.
Donors regard research and evaluation as non-essential activities... It is usually political expediency rather than objective decision-making that is practiced... On the one hand there is little data available or accessible. On the other when time comes to make a decision, data are ignored because they [policymakers] don't know how to interpret or read statistics. To be sure you will find various survey reports are just stacked on the office shelves gathering dust.
For the 222 million women who have an unmet need for modern contraception, increasing access to high-quality family planning services is essential.
As countries work to scale up the number of health workers, it also makes sense to focus on the existing workforce. In-service training can improve the quality of family planning services by updating health workers' knowledge, but it is often expensive and requires providers to leave their posts during the training.
if smart lay persons can be trained to correct vesico- and recto- vaginal fistulae safely, and they have been, then clearly they can be trained to do relatively simpler "Caesars" (Caesarian sections). And they should be! So why the omission?
Today, the Ebola Communication Network (ECN), was launched. The ECN is an online collection of Ebola resources, materials and tools from and for the global health community.