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Community Health Worker Programs: Gaps and Solutions

A CARE multi-country study analyzing government-supported community health worker programs in Bangladesh, Ethiopia, Guatemala, Nigeria and the United States using the CHW Assessment and Improvement Matrix (AIM) found that insufficient funding of these programs affects remuneration and other incentives for community health workers but also leads to inadequate resources for training, data collection, and equipment and supplies. This negatively impacts community health workers’ motivation, retention, and recognition and, in general, poses major barriers to achieving Universal health coverage and the Sustainable Development Goals. Governments must step their support and investment in community health workers, properly integrate them into health systems and ensure a broader enabling environment for them to unleash their full potential.

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