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Comparative Study
. 2014 Nov 5:12:64.
doi: 10.1186/1478-4491-12-64.

A comparative study of an NGO-sponsored CHW programme versus a ministry of health sponsored CHW programme in rural Kenya: a process evaluation

Jackline O Aridi  1 , Sarah A Chapman, Margaret A Wagah, Joel Negin
Affiliations
Comparative Study

A comparative study of an NGO-sponsored CHW programme versus a ministry of health sponsored CHW programme in rural Kenya: a process evaluation

Jackline O Aridi et al. Hum Resour Health. .

Abstract

The varied performance of Community Health Worker (CHW) programmes in different contexts has highlighted the need for implementation of research that focuses on programme delivery issues. This paper presents the results of process evaluations conducted on two different models of CHW programme delivery in adjacent rural communities in in Gem District of Western Kenya. One model was implemented by the Millennium Villages Project (MVP), and the other model was implemented in partnership with the Ministry of Health (MoH) as part of Kenya's National CHW programme.

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Figures

Figure 1
Figure 1
The Kenyan community health model. A Level One Care Unit serves a population of approximately 5,000. Between 1 and 2 trained and certified public health officers (CHEWS) each manage a cadre of 25 community health workers (CHWs), each of who are responsible for providing services to 20 households. Typically, there would be between 35 and 45 CHWs per village of 5,000. Village Health Committees work with CHEWs to mobilize and educate the community on issues of public health.
Figure 2
Figure 2
The MVP’s CHW programme. Total cluster size is typically between 35,000 to 70, 000, with village groupings of between 5,000 to 8,000 served by a cadre of 6 CHWs. Solid lines represent supervision, dashed lines represent flow of household health monitoring data. Monitoring data is collected by CHWs at the household level via mobile phones. Village Health Committees assist senior CHWs to monitor CHW activity at the household level.
Figure 3
Figure 3
Conceptual framework and assessment areas for the process evaluation.
See this image and copyright information in PMC

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