CHWs (75) The day before Day 1 of the 2nd CHW Symposium - 21st November 2019

24 November, 2019

On the day before the Day 1 of the 2nd CHW Symposium [*see note below] i.e. on Thursday 21st November 2019 the 7 ICH partners (USAID, WHO, UNICEF, LAST MILE HEALTH, MCSP, BMGF, other) hosted a 1-Day event to promote:

1) the WHO CHW Guideline first published in October 2018 (delivered by Catherine Kane). WHO Guideline on health policy and system support to optimize community health worker programmes (CHW Guideline)

HIFA Members should Recall the on-going thematic discussion on the guide that HIFA is running Led by the HIFA working group on Community Health Workers, supported by WHO and HSG: Three thematic discussions

1. Recommendations 1-5: Selection, training and certification of CHWs (June/July 2019);

2. Recommendations 6-10: Supportive supervision, remuneration, career ladder and workload (October/November 2019); and

3. Recommendations 11-17. How to promote uptake? (2020)

2) the community health worker performance measurement framework released by Frontline Health project of the Population Council USA and by good coincidence was published in prominent peer reviewed Human Resources Health journal from the BioMedCentral stable; Agarwal et al. Human Resources for Health (2019) 17:86 (delivered by Ben Bellows): has 7 Domains, 46 indicators from which users are advised on how to prioritise their adaptation according to their context.

3) the ICHC 2017 with participants attention drawn to the notice that ICHC 2020 is coming. Reference was made to the Community Health RoadMap conference webinar call (September 10, 2019). Some participants in the audience took part in the call. I remember that I could not join from Nigeria because of connectivity challenges. Lets hope the next time is better. The message reinforced 'Focus - Align - Fund National Priorities that include: financing, fragmentation issues, optimisation, future fit, performance management, High Level Political Comitment, etc. (this chapter was delivered by Naso Kureshy of USAID).

Joseph Ana.


@Health Resources International (HRI) WA.

National Implementing Organisation: 12-Pillar Clinical Governance

National Implementing Organisation: PACK Nigeria Programme for PHC

Publisher: Medical and Health Journals; Books and Periodicals.

Nigeria: 8 Amaku Street, State Housing & 20 Eta Agbor Road, Calabar.

Tel: +234 (0) 8063600642

Website: email: ;

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 200. Website: Joseph is a member of the HIFA Steering Group and the HIFA working group on Community Health Workers.

Email: jneana AT

[*Note from HIFA moderator (Neil PW): Thank you Joseph for sharing your observations in Dhaka. We look forward to hear more about the event.]