Definitions and training of CHWs

CTCs are defined as ‘health workers who carry out promotional, preventive and/or curative health services and who are often the first point of contact at community level in countries in the global south… usually have at least a minimum level of training in the context of the intervention that they carry out and include a broad variety of health workers, including community health workers (CHWs) and auxiliary health workers.’

For the benefit of those who may not have immediate web access, below is the preamble. There are several interesting-looking case studies, reviews and research articles. If anyone can provide comments on the collection as a whole, or on individual papers, please send a message to

‘CTC providers are strategically placed as the interface between health systems and the communities they serve. National and international decision-makers are once again turning to (CTC) services in order to strengthen health systems in the context of the momentum generated by strategies to support universal access, delivery of the Millennium Development Goals (MDGs) and the post-MDG agenda. However there are a number of flaws in current systems that need to be better understood. We are at a critical stage in the development of CTC programming and policy which requires the creation and communication of new knowledge to ensure the safety, sustainability, quality and accessibility of services, and their links with both the broader health system and the communities that CTC’s serve.

‘The series covers a range of topics on close to community providers for health systems development, including, but not limited to, the following:

‘Conceptualising the range of CTC providers in different contexts

Methods and tools for analysing CTC programmes

Cost effectiveness of CTC programmes

Challenges and opportunities CTC providers face in reaching and supporting marginalised groups

Diverse community perspectives and ownership of CTC programmes

Opportunities for CTC providers to act as champions for social change

The interface between health systems and CTC programmes

Strategies to motivate, retain and sustain CTC providers

Integrating vertical programmes using CTC providers within national programmes’

Let’s build a future where people are no longer dying for lack of healthcare knowledge – Join HIFA:  

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