- Description of the topic : this part is clear because the problem is described as shortage of qualified human resources for health in low income countries
The problem is affecting the child and maternal health particularly. Where in 2010, 7,6 million children died before their 5th anniversary worldwide; 73.2% of under-5 mortality are due to preventable disease like malaria , pneumonia, and diarrhea, aside these there is shortage of skilled health worker.
Identified barriers to community health worker’s effectiveness in case management include inadequate training, supervision, remuneration as well as insufficient assimilation of community health worker in health system.
- Summary of existing knowledge: Rwanda community health system is already initiated since 1995 where 3 CHWs exists in each village (binome and 1 social affairs). These are utilized to alleviate health work shortage problem especially in maternal and child health serving as intermediaries between health centers and community. They have been effective in implementation of intervention to prevent under-5 deaths like malaria prevention, health education, breastfeeding promotion, essential newborn care and psychosocial support.
- The purpose of the study :
-Evaluate community health worker system in Rwanda from perspective of CHWs themselves as well as their beneficiaries.
-Identify factors and challenges that impact community health worker system
- Methodology approach : qualitative evaluation where participant are CHWs and their beneficiaries
- Contextual information is not given : maybe not necessary
- Potential impact: inform system improvement.