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Transportation Issues for CHWs

By Stuart Mackenzie | 12 Jun, 2008

Are PIH Accompagnateurs furnished with bikes or given a transport allowance to perform their duties? Does PIH fund transport when a CHW needs to bring a patient to the clinic?

Attached resource:
  • Partners in Health Community Health Worker Program (external URL)

    Link leads to: http://model.pih.org/community_health_workers

    Summary: PIH’s community-based model of care is designed to strengthen and complement existing public health systems to assure universal and sustained access to high-quality health services. The key role played by community health workers, often referred to as accompagnateurs at PIH to reflect their role in accompanying patients through their illness, has been borne out by PIH’s success in treating AIDS in rural Haiti and multidrug-resistant tuberculosis (MDR TB) in the shantytowns of Lima, Peru: in both cases, CHWs oversee complex treatment regimens in patients’ homes. CHWs do much more than supervise the ingestion of pills, however; they provide social and emotional support, standing in solidarity with the poorest and most vulnerable members of the community, and help develop trust and confidence in the health sector. Today, PIH’s community-based approach has been adapted to programs in Rwanda, Lesotho, Malawi, Russia, and the United States. Please visit the link above for a detailed overview of PIH's CHW program.

    Source: Partners In Health - PIH

    Language: English

    Keywords: Community Health Workers

Replies

 

Evan Lyon Replied at 3:02 PM, 13 Jun 2008

The PIH community health workers are trained to recognize the side effects of AVRs and know the warning signs that an HIV or TB patient is getting sicker. The health workers tell the nurse at the clinic that their patient needs help. The clinical staff arranges to have the patient brought to the hospital or center for follow up.

PIH works in very rural areas, so it's better for the the clinical staff to drive out and get the patient than asking the CHW to bring them in.

In areas where public transportation is available, it makes sense to budget for emergency transportation so that the community health workers can bring very sick patients in to see a doctor.

Mona Haidar, MD, MPH Moderator Replied at 12:16 AM, 22 Jun 2008

Transportation means might differ from one site to another.

For example in Lesotho many times the acompagnateurs needed to hire a horse or a car to bring a sick patient to the clinic and the fee was always covered by the clinic.Also when a patient is referred to a hospital whether for xray or for admission the clinic covers the transportation fees.

This Community is Archived.

This community is no longer active as of December 2018. Thanks to those who posted here and made this information available to others visiting the site.