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.

Our goal is to see 40+ low- and middle-income countries adopt proCHW policies. To track progress and accelerate policy change, we’re excited to steward the largest-ever public-facing dashboard on proCHW policies. The dashboard is intended to be a shared resource for the entire field. Help us keep it current by submitting tips or updates.

Submit an Update

Definitions

ACCREDITED AND SALARIED.

CHIC’s definition of proCHWs is based on eight evidence-based best practices: CHWs who are accredited, accessible, proactive, continuously trained, supported by a dedicated supervisor, paid, part of a strong health system, and part of data feedback loops. Or, in short: salaried, supervised, supplied, and skilled.

For purposes of this dashboard, we focus on two of the eight best practices that are indicative of formal, fulfilling, and dignified labor conditions and for which sufficient data exists in policy documents. We looked for evidence in country policy documents of at least one CHW occupational group that is:

  • Accredited: Does the country policy document explicitly recognize roles, qualifications, and competencies for CHWs? [Yes / No]
  • Salaried: Does the policy document provide for CHWs to be compensated through government wage bills? [Yes / No] (N.B. policies that stipulate CHW remuneration via performance-based incentives, stipends, and/or non-financial incentives like gumboots, t-shirts, soap, and batteries were coded as “No”)

If both criteria were met, the group was deemed an “accredited and salaried” group.

Scope

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

These countries were classified as low and middle income, as per the World Bank income classifications, as of June 2021. For each country, we identified the latest community health policy (or related document) and extracted key information related to CHW accreditation and salary status.

CHIC
Community Health Impact Coalition

Methods

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

Policy analysis involved identifying the latest community health policy (or equivalent document) for the countries in scope via desk review and stakeholder outreach; data extraction into a Google Sheet template; and initial validation of findings by CHIC collaborators.

The dashboard design and visualization involved light data cleaning using R, basemap generation using the Mapbox platform, and dashboard and visualization development using Mapbox GL JS. The raw data powering the dashboard can be downloaded here along with the codebook.

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 received, our team will review your submission, validate the information, and publish updates to the dashboard on a quarterly basis. We encourage submissions to fill in missing data or to request an update for 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 currently looks at only two of the eight best practices for proCHW programs.

Although we focus on accreditation and salaries for this dashboard, all eight best practices are equally important and should be pursued simultaneously and with complementarity. 

In addition, our policy review might not capture the latest policy details for each country. Policy information is not always readily available or posted to Ministry of Health websites. We invite our entire community of collaborators to help us fill in data gaps and improve the accuracy of the dashboard.

Acknowledgements

  • Policy Analysis: This work was made possible by many collaborators, 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)
  • Design and Visualization: Jordan Downey (Independent)
Village Reach