proCHW Policy Dashboard.

POLICY DASHBOARD

The largest-ever public dashboard for community health worker policies

Community Health Impact Coalition is making professional community health workers (proCHWs) the norm worldwide by changing guidelines, funding, and policy.

To track progress and accelerate change, we’ve created version 2.0 of our proCHW Policy Dashboard to further detail program elements and capture new insights on implementation. 

The Dashboard is both a scoreboard and a strategy tool for the proCHW movement:

  • By detailing existing policies, it maps proCHW investment opportunities.
  • By showing where strong policy and implementation are in place, it’s a scoreboard of progress. 
  • By flagging policies set to expire within the next 24 months, it maps key windows for policy action and renewal.

This is a shared resource for the proCHW movement to drive progress toward adoption and implementation of proCHW policies.

Submit an Update

THE BASELINE ISN’T ENOUGH.

CHIC’s initial dashboard, launched in 2023, tracked countries with at least one CHW group that is accredited and paid.

That work established an important baseline. But whether a policy exists and whether it is implemented are two different things.

Version 2.0 asks the harder question: Are national policies being implemented?



FROM COMMITMENT TO DELIVERY.

The Dashboard is both a scoreboard and a strategy advocacy tool for the proCHW movement:

• By detailing existing policies, it maps proCHW investment opportunities.

• By showing where strong policy and implementation are in place, it serves as a scoreboard of progress.

• By flagging policies set to expire within the next 24 months, it highlights windows for action and renewal.

This shared resource gives the movement clearer visibility into policy implementation — helping ensure commitments translate into the delivery capacity needed to make proCHWs the norm worldwide. When properly supported, CHWs consistently deliver stronger health outcomes, primary health coverage, and better value for every dollar spent.

Definitions

ACCREDITED AND SALARIED.

CHIC’s definition of proCHWs is based on the WHO CHW Guidelines: providing competency-based training, supportive supervision, and fair remuneration, all while promoting equitable access to care.  Or, in short: salaried, supervised, supplied, and skilled.

For purposes of this dashboard, we focus on practices that signal formal, fulfilling, and dignified labor conditions that can be consistently identified in official government documents. 

We also present evidence of CHW policy implementation using seven proxy indicators. 

All data come from government-issued or validated sources covering at least one CHW group in each country, guided by the CHW AIM tool and the Community Health Systems Maturity Self-Assessment framework.

Indicator descriptions are below. Full definitions are presented in the Indicator Guide

proCHW Program Elements:

  • Accredited: Does the government document explicitly recognize the roles, qualifications, and competencies for CHWs? [Yes / Partial / No / No known CHWs]
  • Paid: Does the government document include salaries or other regular payments for CHWs? [Salaried / Regular pay/ No / No known CHWs]
  • Supervised: Does the government document establish a functional supervision system for CHWs? [Yes / Partial / No / No known CHWs]
  • Skilled: Does the government document describe a functional training for CHWs? [Yes / Partial / No / No known CHWs]
  • Supplied: Does the government document describe a functional system for CHWs to access equipment, supplies, and job aids? [Yes / Partial / No / No known CHWs]

Implementation Evidence:

  • Domestic Financing Commitment: Does the government document commit to financing CHW programs? [Yes / No / No known CHWs] 
  • CHW Budget Line Item: Is there evidence of domestic resources being used for CHW programs, such as a dedicated budget line or budget allocation in the national health budget? [Yes / No / No known CHWs] 
  • Data Systems & Feedback Loops: Does the government document describe a functional data system for CHWs? [Yes / No / No known CHWs] 
  • Monitoring, Evaluation, Research, and Learning Framework: Does the government document describe a national MERL framework for measuring and tracking the performance of CHW programs? [Yes / No / No known CHWs ] 
  • CHW Registry: Does the government document describe a digital registry or a CHW master list? [Yes / No / No known CHWs]  
  • Costed Documentation: Does the government document include costing information that explicitly includes CHWs? [Yes / No / No known CHWs]  
  • Operational Materials: Does the government document describe existing or planned operational guidance for CHW programs? [Yes / No / No known CHWs]  

CHW Associations: 

  • CHW Associations: Professional organization that unites CHWs under a common platform to advance their professional development, recognition, and advocacy within the health system.  

Submit a CHW Association update



Scope

The dashboard specifically looks at countries included in the Countdown to 2030 list.

These countries were classified as low- and middle–income by the World Bank as of June 2021. For each country, we identified the most recent community health policy (or related government document) and extracted information on CHW programs.



A woman in a purple dress serving a drink into a cup while other people watch her
Community Health Impact Coalition

Methods

We developed this dashboard in two phases: (a) policy analysis, and (b) design and visualization.

Policy analysis included identifying the latest community health policy (or an equivalent government document) through desk review and stakeholder outreach, and extracting data into a structured template, with initial validation by CHIC collaborators.

In the design and visualization phase, raw policy analysis data were processed using Google BigQuery. Using Vertex AI, Google Gemini 2.0 Flash was run in BigQuery to generate country summaries. A basemap was generated using the Mapbox platform, and functionality and display were customized using Mapbox GL JS and JavaScript. The dashboard is fully open-source, and code can be found here.  The raw data powering the dashboard can be downloaded here, along with the codebook.



A Community Health Worker seated at the entrance of a house with a mother and her three children
Wuqu Kawoq

Update Process

A shared resource for the field.

We are committed to providing the latest and greatest information in this policy dashboard. We accept update requests on a rolling/ongoing basis.

Once we receive your submission, our team will review it, validate the information, and publish quarterly updates to the dashboard. We encourage submissions to fill in missing data or to request updates to existing country data. You can check the date a country was last updated by clicking on the country on the map. All underlying data is published to the web.



Data Methods and Limitations

This dashboard presents information drawn from government sources on national CHW programs. It focuses on indicators that can be assessed through document review, rather than through direct data collection.

Because access to these materials varies widely, the dataset includes only information from publicly available or partner-validated sources.

Some indicators describe planned or prescribed commitments, while others capture signs that policies are being implemented. Indicators are coded conservatively and supported by quotes and detailed source information for transparency. We welcome collaborators to help us fill data gaps and improve the dashboard’s accuracy.

Acknowledgements

  • Policy Analysis: This work was led by Molly Lauria (Independent) and made possible through close collaboration with Stuart Agnew (Johns Hopkins Bloomberg School), Zuhrat Inam (Gill-Lebovic Center for Community Health in the Caribbean and Latin America of George Washington University), and Deborah Mazagao Vieira (Independent). Additional contributions were provided by Rabab Bukhamseen, Maya Demby, Soliyana Gizachew, Rahwa Adisu Mesfin, Jason Rush, and David Tellez (all from Johns Hopkins Bloomberg School), who supported the preliminary desk review.
  • Design and Visualization: Jordan Downey (Independent)

Additionally, we thank the many collaborators who made the first iteration possible, especially (in alphabetical order): Ayla Alkharrat (London School of Economics), Maria Hadjicosta (London School of Economics), Laura Solia Shellaby (LSS Global), and Ajiri Uzere (London School of Economics).

People standing in line to have their babies weighed by a Community Health Worker
Village Reach