Dear Dr Joseph Ana and colleagues,
The Nigerian example appears to be close to what we want - CHWs not just being a part of the HS [health system] but also having some administrative support and guided supervision from pre-service training to on-the-job experiential learning that is recognised.
Every country could plan to have junior extension workers drawn from the community.
It requires a flexible approach to contextualise to the local needs and, of course, political will to invest more for primary care.
HIFA profile: Sunanda Kolli Reddy is a Developmental Paediatrician from New Delhi,India, with a special interest in Early Child Care and Development of children with neurodevelopmental problems in underserved communities. She is actively involved in health promotion, community-based research, care provider training for promoting abilities of children with special needs, through the various programmes of Centre for Applied Research and Education on Neurodevelopmental Impairments and Disability-related Health Initiatives (CARENIDHI), which she heads (www.carenidhi.org). Her work in the community settings to widen the disability-in-development model of CBR encompasses the wider determinants of health and human capabilities and issues which impact the lives of the poor. She combines her experience in developmental paediatrics with the core work of CARENIDHI's grassroots convergence programmes in partnership with groups working in the area of Implementation research and policy. She is a member of the HIFA working group on Community Health Workers.
write2sunanda AT gmail.com