(2) Formation of Community Health Workers (CHW) in Community Health Development

Question 1

___ come from the communities they serve

Answer 1

CHWs

Question 2

T/F: most CHWs have little to no secondary and no tertiary education

Answer 2

T

Question 3

Role of CHW:

Working in developing country health programmes from before the Alma Ata declaration; some in large national programmes

Answer 3

Generalist

Question 4

Role of CHWs:

Expected to perform a wide range of functions such as home visits, environmental sanitations, provision of water supply, first aid, and treatment of simple and common ailments, health education, nutrition and surveillance, maternal and child health, and family planning activities, communicable disease control, community development activities, etc.

Answer 4

Generalist

Question 5

Another role of CHWs

Answer 5

Specialty CHW

Question 6

Role of CHWs:

Often, but not only, true for programmes run by NGOs, which frequently have a programme specific focus

Answer 6

Specialty CHW

Question 7

Role of CHWs:

May also be a response to the difficulty experienced in finding the optimal mix of CHW functions and tasks and the right balance between breath and depth of tasks

Answer 7

Specialty CHW

Question 8

CHW governance, ownership, and accountability

Answer 8

*Community participation
*Relationships with formal health services
*Incentives
*Volunteers versus paid workers
*Incentives and disincentives

Question 9

CHW governance, ownership, and accountability:

The attitudes and interactions of health personnel in the formal health services with CHWs have an immediate impact on critical aspects of CHW programme management, such as selection, continuing training, and supervision

*Community participation
*Relationships with formal health services
*Incentives
*Volunteers versus paid workers
*Incentives and disincentives

Answer 9

Relationship with formal health

Question 10

CHW governance, ownership, and accountability:

During the training period, teams lived in villages where they assessed various health and social problems through action-oriented research

*Community participation
*Relationships with formal health services
*Incentives
*Volunteers versus paid workers
*Incentives and disincentives

Answer 10

Relationship with formal health

Question 11

CHW governance, ownership, and accountability:

There is no tidy package of three incentives that will ensure motivated CHWs who will continue to work for years

*Community participation
*Relationships with formal health services
*Incentives
*Volunteers versus paid workers
*Incentives and disincentives

Answer 11

Incentives and disincentives

Question 12

CHW governance, ownership, and accountability:

A complex set of factors affects CHW motivation and attrition, and how there factors play out varies considerably from place to place

*Community participation
*Relationships with formal health services
*Incentives
*Volunteers versus paid workers
*Incentives and disincentives

Answer 12

Incentives and disincentives

Question 13

CHW governance, ownership, and accountability:

Monetary ___ can increase retention

Answer 13

Incentives

Question 14

CHW governance, ownership, and accountability:

Bring a host of problems because it may not be enough

*Community participation
*Relationships with formal health services
*Monetary Incentives
*Volunteers versus paid workers
*Incentives and disincentives

Answer 14

Monetary incentives

Question 15

T/F: in-kind incentives are often ineffective

Answer 15

F (many programs have used in-kind incentives effectively)

Question 16

Represent an important health resource whose potential in providing and extending a reasonable level of health care to underserved populations must be tapped

Answer 16

CHWs