Community Health
Championing countries’ efforts to extend the reach and range of their community health services
Strong community health systems are essential for meeting malaria and child health goals and for achieving PMI’s strategic objectives. Community health workers (CHWs) have demonstrated the ability to provide testing and treatment for malaria, diarrhea, pneumonia, and other childhood diseases. They make lifesaving care accessible to millions of people—an equity-based, proven approach for reducing child mortality. CHWs also play an active role in case follow-up and investigation in elimination settings.
PMI has supported countries in their journeys to scale up community case management since its launch, investing millions every year in community health worker training, supervision, and supplies. Despite these investments, major challenges remain in maintaining a well-supported, equipped, and fairly compensated community health workforce.
Coordinating with counterparts within and outside the U.S. government, PMI champions national efforts extend the reach and range of community health services and to finance, professionalize, and institutionalize community health worker programs as an integral part of the formal health system:
- PMI scales up community-based models of care that go further to reach the unreached with malaria testing and treatment. These approaches will vary according to the local context and may include the expansion of malaria community case management beyond young children to include patients of all ages and proactive visits by community health workers to bring testing and treatment to the household.
- PMI catalyzes funder and host-government investment, through both advocacy and provision of direct support of payment for community health workers for the first time, in these essential cadres and work to abolish the pay gap for women working on the frontlines.
- PMI invests in supply chains, protective equipment, training, supervision, and regular communication between community health workers and clinic staff.
- PMI strengthens health management information systems to collect disaggregated community-level data for use by CHWs and at all levels of the health systems.
Stories From the Field
PECADOM Plus – Peace Corps Volunteers in Madagascar Extend Malaria Case Management to the Community
A Malagasy community health worker practices performing an RDT during a training in preparation for a pilot of PECADOM Plus in Madagascar. Credit: Peace Corps Madagascar. Based on the success of PECADOM Plus [...]
Community Health Worker in Guinea Stops Malaria in its Tracks
“I'm grateful to StopPalu and USAID for giving me the training and skills to save the lives of the more vulnerable people in my community.” Mairama Camara, a community health worker, with Fatoumala Diallo, [...]
Helping Save Children’s Lives in Senegal
"This is just what we needed here in this community: someone to help us ensure our kids are healthy." Mbene Dionne, with one of her own children, serves more than 1,000 people in four [...]
PECADOM Plus – Peace Corps Volunteers in Senegal Extend Malaria Case Management to the Community
Using Senegal’s existing PECADOM (Prise en charge à domicile) model, volunteer health care workers were trained on home-based management of malaria and paid a small wage (approximately $5 per week) to conduct weekly door-to-door visits [...]
