CHWs (4) Selection of CHWs for pre-service training

8 June, 2019

Dear HIFA-Zambia colleagues,

Thank you all your contributions to the discussion! This discussion has been very active on our sister forum HIFA. You can review the messages here:

http://www.hifa.org/rss-feeds/17

We now enter our second week and we turn to Recommendation 1 in the WHO Guideline. Recommendation 1 is in three parts and suggests certain criteria to use - and not to use - for selection of CHWs.

RECOMMENDATION 1: SELECTION FOR PRE-SERVICE TRAINING

Recommendation 1A

WHO suggests using the following criteria for selecting CHWs for pre-service training:

• minimum educational level that is appropriate to the task(s) under consideration;

• membership of and acceptance by the target community;

• gender equity appropriate to the context (considering affirmative action to preferentially select women to empower them and, where culturally relevant, to ensure acceptability of services by the population or target group);

• personal attributes, capacities, values, and life and professional experiences of the candidates (e.g. cognitive abilities, integrity, motivation, interpersonal skills, demonstrated commitment to community service, and a public service ethos).

Certainty of the evidence – very low. Strength of the recommendation – conditional.

Recommendation 1B

WHO suggests not using the following criterion for selecting CHWs for pre-service training:

• age (except in relation to requirements of national education and labour policies).

Certainty of the evidence – very low. Strength of the recommendation – conditional.

Recommendation 1C

WHO recommends not using the following criterion for selecting CHWs for pre-service training:

• marital status.

Certainty of the evidence – very low. Strength of the recommendation – strong.

QUESTIONS FOR DISCUSSION: How do these criteria relate to current practice in your country/experience? Are these criteria implementable in your country/experience?

(Note: The above questions are suggestions only. Feel free to ask your own questions. We encourage contributions on any aspect of CHWs at any time.)

The Background, Rationale, Summary of evidence, Interpretation of evidence, and Implementation considerations for this Recommendation are provided on pages 32-35 of the full version of the Guideline,which can be freely downloaded here: https://apps.who.int/iris/bitstream/handle/10665/275474/9789241550369-en...

Please send your contributions to: hifa-zambia@dgroups.org

Many thanks, Neil

Coordinator, HIFA Project on Community Health Workers

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

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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