Figures & Tables
Figures
- FIGURE 1.
Preliminary Health Care Outcomes of Pilot CHW Program in Nepal, Compared to National and Global Targetsa
Abbreviations: CHW, community health worker.
a Data published previously22 and reproduced here in parallel to Sustainable Development Goal and Nepal Health Sector Strategy targets.
- FIGURE 2.
Program Design of Nepal Ministry of Health and Population, Family Welfare Division and Nyaya Health Nepal CHW Pilot Program
Abbreviations: CHPA, community health program associate; CHN, community health nurse; CHW, community health worker.
- FIGURE 3.
Cost Per Capita of the CHW Pilot Program in Nepal, by Village, N=24
Abbreviations: CHW, community health worker.
- FIGURE 4.
Distribution of Intermediate Cost Centers, Including Service Delivery and Administrative Functions, of Pilot CHW Program in Nepal, by Municipality
Abbreviations: CHW, community health worker.
- FIGURE 5.
Costs Per Capita and Per Beneficiary by Service Delivery of CHW Pilot Program in Nepal
Abbreviations: CHW, community health worker; NCD, noncommunicable diseases.
- FIGURE 6.
Costs by Functional Type of Expenditure in a CHW Pilot Program in Nepal
Abbreviations: CHW, community health worker.
- FIGURE 7.
Potential Advantages and Disadvantages and Additional Per Capita Cost of 3 Alternative CHW Program Implementation Scenarios, US$
Abbreviations: CHW, community health worker, PHC, primary health care.
Tables
WHO Recommended CHWProgram Attributes4 CHW Pilot Program Descriptive Characteristics Program Alignment WithWHO Recommendations Selection CHWs:
Have minimum education requirement of 10th level
Locally selected women who live in the community they serve
✓ Training Includes both preservice and continuous training
Training combines theory and practice based in community
✓ Certification Formal program certification is currently in process, pending government approval
– Supportive supervision Supervisors conduct:
Regular in-person supervision including observation in community
Dedicated supervision, data-driven feedback, and performance review
✓ Incentives CHWs are salaried, full-time employees, at a rate competitive to local market conditions, paired with additional non-financial incentives
✓ Career ladder Pending further government certification/approval
– CHW: population ratio Ratio is based upon epidemiology, geography, topography, security, andworkload/expected responsibilities
✓ Data collection/utilization CHWs collect data via mHealth platform, use in monitoring and review with supervisors, use in service delivery improvements
✓ Community integration CHWs mobilize resources and promote health and social needs
✓ Supply chain CHWs have reliable and consistent supply of medicines and supplies closely linked to local primary health centers
✓ Abbreviations: CHW, community health worker; WHO, World Health Organization.
- TABLE 2.
Description and Summary Statistics from Catchment Area of CHW Pilot Program, Including Sanfebagar and Kamalbazaar Municipalities
Sanfebagar Kamalbazaar Total Total population 36,766 23,738 60,504 Direct service beneficiaries 10,816 8,222 19,038 CHW: population ratio 1:1,935 1:2,158 1:2,017 Community health nurses: CHW ratio 1:4.8 1:5.5 1:5 Total costs (USD$) 118,327 66,177 184,504 Number of CHWs 19 11 30 Number of CHNs 4 2 6 Number of CHPAs 2 1 3 Cost per capita (USD$) 3.22 2.79 3.05 Abbreviations: CHN, community health nurse; CHPA, community health program associates; CHW, community health worker.
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