142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Community Health Workers Increase Equity of Health Services

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Wednesday, November 19, 2014 : 11:10 AM - 11:30 AM

Tanvi Monga , ICF International/MCHIP, Washington, DC
Even though the annual number of child deaths globally has recently fallen below 9 million compared to 19 million in 1960, a great majority of children are still dying from readily preventable or treatable conditions.  Furthermore, there are often large disparities in health outcomes among different populations within a country even those that have seen significant gains in reducing child mortality.   There is growing recognition that the work of community health workers (CHWs) is a proven health intervention that has greatly contributed to this reduction in child mortality rates in many countries.   

The Child Survival and Health Grants Program (CSHGP) supported by USAID has 32 active projects in 26 countries, most of which work with CHWs or similar cadre of health care staff at the community level.  This paper reviewed the CSHGP’s work done through CHWs, to bridge the health disparity gap for the most vulnerable populations.  All CSHGP grantees conduct knowledge practices and coverage surveys (KPC) which include baseline and endline data, and several grantees have included wealth assessment indicators in these surveys.  Analyses of this data indicate that programs with CHWs are better able to reach the most vulnerable populations. 

Although there was no direct CHW involvement in the development of this abstract and subsequent presentation, the data gathered is heavily dependent on CHWs.

Learning Areas:

Assessment of individual and community needs for health education

Learning Objectives:
Compare programs with CHWs and those without CHWs, in terms of equity of health services. Define health equity at the community-level.

Keyword(s): Community Health Workers and Promoters, Vulnerable Populations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a international health professional with over 7 years of experience and I currently work on the Maternal and Child Integrated Health Program (MCHIP).
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.