CHWs (163) Paradigm shifts in Community Health Worker roles to address Non Communicable Diseases

17 August, 2019

Extracts below. Full text here: https://www.georgeinstitute.org/profiles/paradigm-shifts-in-community-he...

Paradigm shifts in Community Health Worker roles to address Non Communicable Diseases

by Dr Rajani Ved, Distinguished Fellow, Thought leadership program, The George Institute

Could a shift in roles for the one million Community Health Workers (called ASHAs), be the solution to India's health care crisis?

This piece... identifies six key paradigm shifts are likely to be needed for ASHAs to transition to community level care for NCDs...

1. Expanding coverage of population sub groups...

2. Moving from episodic care to long-term follow up...

3. Increase in task complexity... ASHAs will need high quality training to expand knowledge and skills and ongoing mentoring to community level interventions related to the metabolic, biologic and behavioural factors related to NCDs. This calls for enabling ASHAs to attain educational equivalence of at least high school, or investment in high quality training programmes of sufficient duration, to address the needs of low literate ASHAs....

4. Enabling care continuum...

5. Adopting digital technology...

6. Maintaining activist role...

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Best wishes, Neil

Coordinator, HIFA Project on Community Health Workers

http://www.hifa.org/projects/community-health-workers

Let's build a future where people are no longer dying for lack of healthcare information - Join HIFA: www.hifa.org

HIFA profile: Neil Pakenham-Walsh is coordinator of the HIFA global health campaign (Healthcare Information For All - www.hifa.org ), a global community with more than 19,000 members in 177 countries, interacting on six global forums in four languages. Twitter: @hifa_org FB: facebook.com/HIFAdotORG neil@hifa.org