Strengthening health systems and services in the developing world

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Community Health Worker Program Assessment and Improvement Matrix (CHW-AIM)

One of the goals of the Health Care Improvement (HCI) project is to identify low-cost approaches for sustaining and strengthening community health worker (CHW) performance. With technical assistance from Initiatives’ senior advisor and other specialists under this task order, HCI has developed a promising new tool, the Community Health Worker Program Assessment and Improvement Matrix (CHW-AIM).

The CHW-AIM approach is designed to enable ministries of health, local organizations, and other institutions to systematically assess and strengthen their community health worker programs based on organizational best practices and packages of evidence-based interventions. The approach encourages country ownership through ease of use, up‐front adaptation to country context, and step‐by‐step involvement. The process can easily be combined with other tools and approaches. Recent pilot tests in Nepal, Benin, and Zambia have demonstrated that the approach is easy to implement, locally adaptable, people-centered, and effective.

In 2010, for example, baseline application of the process in Zambia enabled organizations to develop concrete action plans around gaps in community health worker tools and supervision. Using the CHW-AIM action-planning framework, our in-country partners developed practical solutions to help the Ministry of Health provide standards and tools, and to encourage mentorship and learning among community health workers. Results such as these are helping us create an approach that can be applied in nearly any context.

Project: Community Health Worker Program Assessment and Improvement Matrix (CHW AIM)
Funder: USAID
Prime: University Research Co., LLC (URC)
Dates: 2010-2011
Website: www.hciproject.org
Related Links: CHW AIM Toolkit

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