Dear Dr Barzegar, thank you for your posting about CHW and vaccination. I agree their contribution can be transformational as in Nigeria where CHW are part and parcel of primary health But I must correct a wrong impression in your posting when you wrote that. 'I would like to comment on a review posted in HIFA, from several African countries including Nigeria, where the impact of CHW's services on reduction of Infant Mortality Rate (IMR), were not considerable'.
I don't know about other countries but in Nigeria for sure that statement is wrong. CHW are a key part of Primary health care in Nigeria which is responsible for all immunizations, therefore CHWs are also a key factor in the prevention and control of immunization preventable deaths and morbidity.
HIFA profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria. In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007.
Joseph is a member of the HIFA Steering Group: http://www.hifa.org/people/steering-group: http://www.hifa.org/support/members/joseph-0
Email: jneana AT yahoo.co.uk