Community Health Worker Requirements to Accelerate Progress Towards Universal Health Coverage in Africa: An Overview of Contemporary Estimates and Implications of Full-Time Versus Part-Time Working Arrangements.
Saved in:
| Title: | Community Health Worker Requirements to Accelerate Progress Towards Universal Health Coverage in Africa: An Overview of Contemporary Estimates and Implications of Full-Time Versus Part-Time Working Arrangements. |
|---|---|
| Authors: | Asamani, James Avoka1 Asamanij@who.int, Okoroafor, Sunny C.1, Mwinga, Kasonde1 |
| Source: | Inquiry (00469580). 2/24/2025, Vol. 62, p1-5. 5p. |
| Subject Terms: | *Health services accessibility, *Community health services, *Employment, *Labor supply, Medical personnel, Primary health care, Medical care, Part-time employment, Universal healthcare, Labor demand |
| Geographic Terms: | Africa |
| Abstract: | Primary health care is the most effective approach to achieving universal health coverage (UHC) and ensuring health security. In this approach, community health workers play a crucial role by delivering a comprehensive array of preventive, promotive, and curative services. Their contributions are vital in addressing health inequities, ensuring that all individuals have access to essential health services. By empowering these workers, we can foster a more equitable health system that meets the diverse needs of communities. African leaders are pursuing a 2 million community health worker agenda, but there are lingering questions about how to set targets of the density of community health workers needed in countries to achieve the sustainable development goals. By examining the implications of empirical estimates and incorporating nuances of working hours of community health workers, we find a wide range of density from 11.2 to 59.5 community health workers per 10 000 population depending on country context and the community health worker's working arrangements. If community health workers are not full-time workers and work between 30% and 65% of their time, the current shortage of community health workers is between 580 000 and 954 500. However, if all the existing community health workers were to be employed full-time, the needs-based shortage of community health workers would shrink significantly to just 210 000. These should be considered ordered guesses and not planning targets for countries. Countries are encouraged to use the available health workforce planning tools to estimate its context-appropriate requirements for community health workers as part of the broader health workforce planning. [ABSTRACT FROM AUTHOR] |
| Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
|
Full text is not displayed to guests.
Login for full access.
|
|
| FullText | Links: – Type: pdflink Text: Availability: 1 |
|---|---|
| Header | DbId: ehh DbLabel: Education Research Complete An: 183273022 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Community Health Worker Requirements to Accelerate Progress Towards Universal Health Coverage in Africa: An Overview of Contemporary Estimates and Implications of Full-Time Versus Part-Time Working Arrangements. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Asamani%2C+James+Avoka%22">Asamani, James Avoka</searchLink><relatesTo>1</relatesTo><i> Asamanij@who.int</i><br /><searchLink fieldCode="AR" term="%22Okoroafor%2C+Sunny+C%2E%22">Okoroafor, Sunny C.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Mwinga%2C+Kasonde%22">Mwinga, Kasonde</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Inquiry+%2800469580%29%22">Inquiry (00469580)</searchLink>. 2/24/2025, Vol. 62, p1-5. 5p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br />*<searchLink fieldCode="DE" term="%22Community+health+services%22">Community health services</searchLink><br />*<searchLink fieldCode="DE" term="%22Employment%22">Employment</searchLink><br />*<searchLink fieldCode="DE" term="%22Labor+supply%22">Labor supply</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+personnel%22">Medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Primary+health+care%22">Primary health care</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Part-time+employment%22">Part-time employment</searchLink><br /><searchLink fieldCode="DE" term="%22Universal+healthcare%22">Universal healthcare</searchLink><br /><searchLink fieldCode="DE" term="%22Labor+demand%22">Labor demand</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Africa%22">Africa</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Primary health care is the most effective approach to achieving universal health coverage (UHC) and ensuring health security. In this approach, community health workers play a crucial role by delivering a comprehensive array of preventive, promotive, and curative services. Their contributions are vital in addressing health inequities, ensuring that all individuals have access to essential health services. By empowering these workers, we can foster a more equitable health system that meets the diverse needs of communities. African leaders are pursuing a 2 million community health worker agenda, but there are lingering questions about how to set targets of the density of community health workers needed in countries to achieve the sustainable development goals. By examining the implications of empirical estimates and incorporating nuances of working hours of community health workers, we find a wide range of density from 11.2 to 59.5 community health workers per 10 000 population depending on country context and the community health worker's working arrangements. If community health workers are not full-time workers and work between 30% and 65% of their time, the current shortage of community health workers is between 580 000 and 954 500. However, if all the existing community health workers were to be employed full-time, the needs-based shortage of community health workers would shrink significantly to just 210 000. These should be considered ordered guesses and not planning targets for countries. Countries are encouraged to use the available health workforce planning tools to estimate its context-appropriate requirements for community health workers as part of the broader health workforce planning. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=183273022 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1177/00469580251323381 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 5 StartPage: 1 Subjects: – SubjectFull: Health services accessibility Type: general – SubjectFull: Community health services Type: general – SubjectFull: Employment Type: general – SubjectFull: Labor supply Type: general – SubjectFull: Medical personnel Type: general – SubjectFull: Primary health care Type: general – SubjectFull: Medical care Type: general – SubjectFull: Part-time employment Type: general – SubjectFull: Universal healthcare Type: general – SubjectFull: Labor demand Type: general – SubjectFull: Africa Type: general Titles: – TitleFull: Community Health Worker Requirements to Accelerate Progress Towards Universal Health Coverage in Africa: An Overview of Contemporary Estimates and Implications of Full-Time Versus Part-Time Working Arrangements. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Asamani, James Avoka – PersonEntity: Name: NameFull: Okoroafor, Sunny C. – PersonEntity: Name: NameFull: Mwinga, Kasonde IsPartOfRelationships: – BibEntity: Dates: – D: 24 M: 02 Text: 2/24/2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 00469580 Numbering: – Type: volume Value: 62 Titles: – TitleFull: Inquiry (00469580) Type: main |
| ResultId | 1 |
