Optimizing Staffing Models and Team Structure : For Quality Care Amidst Infrastructure and Resource Constraints

World Bank Group

World Bank, Washington, DC

关键词: RURAL HEALTH SERVICES;    HEALTH WORKERS;    HEALTH SERVICE DELIVERY;    PRIMARY HEALTH CARE;    COMMUNITY HEALTH WORKERS;   

RP-ID  :  137692

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

In low, and middle-income countries,policymakers have long struggled to extend quality frontlinecare to remote, rural communities. Confronting poorinfrastructure, health worker shortages, and limited fiscalspace, many countries have used expanded community-basedhealth worker cadres to improve ‘last mile’ access toessential services. Yet to date, many such initiatives havebeen hampered by poor service quality, insufficient support,and lack of wider integration, ultimately yieldingdisappointing results. To harness the potential of frontlinehealth staff in these settings, innovative staffing modelsare needed to integrate community health workers (CHWs) andmid-level cadres within effective frontline health teams.