What we do.

CHIC Last Mile Health man
Last Mile Health

TECHNICALLY RIGHT & MORALLY SOUND

Community Health Impact Coalition is making professional community health workers (proCHWs) the norm worldwide. We create international guidelines. We increase global funding. And we win national policy.

Our mission is both technically right and morally sound. We’re in ferocious pursuit of getting quality embedded and scaled in existing public sector health delivery.

OUR TACTICS

A powerful, symbiotic machine for policy change.

We use the three interconnected tactics of Research, Advocate, and Activate. We drive high-impact community health system design with those responsible for CHW policymaking, financing, and implementation.

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Blue quadrilateral

RESEARCH

We equip international norm setters with evidence to create proCHW guidelines.

  • Publish joint studies
  • Provide technical expertise for proCHW guidelines
  • Distribute Research Round-Up

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Purple quadrilateral

ADVOCATE

We influence global financing institutions to increase proCHW funding.

  • Build stakeholder awareness and cultivate proCHE champions
  • Track and affect investments in proCHWs
  • Drive uptake of proCHW priorities amongst global norm setters and funders

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Purple quadrilateral

ACTIVATE

We mobilize in-country networks to win national proCHW policy.

  • Train and connect CHW Advocates with opportunities for action
  • Track and affect national proCHW policy change
  • Seed national NGO coalitions and CHW associations

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CHAMPIONS OF THE HEALTH SYSTEM

Community health workers have been a global cornerstone of primary healthcare for a century. 70% are women. Yet professional CHWs remain the exception, not the norm.

CHWs are essential to realizing a first-class health system worldwide. And central to pandemic preparedness, prevention, and response. proCHWs are the most powerful force for achieving health for all. The proCHW model is remarkably simple, but the impact is immense. Now, governments have an opportunity to institutionalize this critical cadre of the health workforce.

Get the facts

Two Community Health Workers in orange t-shirts that read
Partners in Health

PROFESSIONAL, DEFINED

Eight proCHW best practices.

These best practices drive results but are currently rare. So we’ll crusade until they’re not.

1

Accredited

Assess the health knowledge and competencies of CHWs to ensure minimum standards are met before carrying out work.

2

Accessible

Avoid point-of-care user fees when possible to improve accessibility, timeliness, and equity of care.

3

Proactive

Conduct disease surveillance by going door-to-door to find sick patients and teach them how to identify danger signs, then quickly contact a CHW.

4

Continuously trained

Make continuing medical education available to and required of CHWs through modular delivery or another type of in-service learning.

5

Supported by a dedicated supervisor

Provide CHWs with a dedicated supervisor to evaluate the patient experience and give 1:1 coaching on a frequent, regular basis.

6

Paid

Compensate CHWs financially at a rate that’s competitive relative to the respective market.

7

INTEGRATED INTO A ROBUST HEALTH SYSTEM

Invest in increasing the capacity, accessibility, and quality of the primary healthcare facilities, providers, and pharmacies to which CHWs link.

8

Part of data feedback loops

Collect data via CHWs, report it to public sector monitoring and evaluation systems, and train CHWs to use it to improve programs and performance.

Or in summary, professional means:

salaried, skilled, supervised, and supplied.

THEORY OF CHANGE

Identifying the playbook, calling it out, and doing it in.

We’re committed to learning more about what drives impact and quality in CHW-delivered care. A paradigm shift will be required to make all CHWs professional. Then accelerate progress toward achieving global health goals and reaching health for all.

While we regret what we’re doing is innovative, we look forward to the day it becomes the norm.

See our blueprint

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Dimagi

WHY SYSTEMS CHANGE?

CHWs are people, not infrastructure.

Solving intractable global health problems will require changing complex systems. And doing so on a scale commensurate with the size of the issues. In other words, collective action is needed.

The entities driving this collective action are called multi-stakeholder initiatives (MSIs) or field catalysts. These organizations align, coordinate, and influence stakeholders in an ecosystem to achieve systems change.

When creating Community Health Impact Coalition, we relied on reports examining why some field catalysts succeed and others don’t. Then took inspiration from the characteristics of the high-performing MSIs.

We determined that sustained cooperation and collaboration are the essences of how we win. Together our voices are stronger; our resources go further. And we can do more for patients.