Unit 11 - Formation of Community Health Workers in Community Health Development

Question 1

They come from communities they serve

Answer 1

Community Health Workers (CHW)

Question 2

T/F: CHW should have completed their secondary, but may or may not complete their tertiary education.

Answer 2

FALSE, they may be a CHW even if they have little or no secondary or no tertiary education.

Question 3

CHWs come from the c_________ they serve and they have l_______e or no s_________ and no t_________ education.

Answer 3

Communities, Little, Secondary, Tertiary

Question 4

They have been working in developing country health programs before the Alma Ata declaration; some in large national programs

Answer 4

Generalist village health workers

Question 5

Generalist village health workers have been working in d__________ c__________ health programs before the A_______________ _______________n; some in large national programs

Answer 5

Developing country, Alma Ata declaration

Question 6

Generalists are expected to perform the following: M__________ and C____________ Health, C__________ d__________ control, C_______________ of ___________ on vital events, E_______________ s____________n.

Answer 6

Maternal, Child, Communicable disease, Collection, Data, Environmental sanitation

Question 7

This is true for programs run by NGOs, which has a specific focus.

Answer 7

Specialty Community Health Workers

Question 8

Specialization may also be a response to the difficulty experienced in finding the o___________ mix of CHW functions and tasks and the right balance between b__________ and d___________ of tasks.

Answer 8

Optimal, Breadth, Depth

Question 9

The highest use of specialist CHWs are for?

Answer 9

Maternal and Child Health (36%)

Question 10

The second highest use of specialist CHWs are for?

Answer 10

Tuberculosis (22%)

Question 11

The third highest use of specialist CHWs are used for?

Answer 11

Malaria (10%)

Question 12

List the use of specialist CHWs from greatest to least

Answer 12

MCH, TB, Malaria, ARI, HIV, Others

Question 13

CHW Governance, Ownership and Accountability
- C_____________ p_____________
- Relationships with f___________ h___________ s__________
- I_____________
- V_______________ vs p__________ w__________
- I______________ and d_______________

Answer 13

• Community participation
• Relationships with formal health services
• Incentives
• Volunteers vs paid workers
• Incentives and disincentives

Question 14

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 s____________, c__________ t___________ and s___________.

Answer 14

Selection, Continuing Training, Supervision

Question 15

During the training period, teams lived in villages where they assessed various health and social problems through a________-o________ r__________.

Answer 15

Action-oriented research

Question 16

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

Answer 16

True

Question 17

Only a single set of factor affects the motivation and attrition of CHWs

Answer 17

False, there are complex set of factors

Question 18

T/F: The motivation of CHW motivation and attrition varies considerably from place to place.

Answer 18

True

Question 19

M_____________ i__________ can increase CHW retention

Answer 19

Monetary incentives

Question 20

T/F: Monetary incentives bring a host of problems because the money may not be enough, paid regularly, or may stop.

Answer 20

True

Question 21

CHWs represent an important health resource whose potential in p__________ and e____________ a r___________ level of health care to u_____________ populations must be fully tapped.

Answer 21

Providing, Extending, Reasonable, Underserved