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In our setting CHW have been tasked with basic curative activities, such as treating simple malaria, uncomplicated acute respiratory infections, and diarrhea without signs of dehydration. This is to complement their task of searching lost to follow up cases of Tuberculosis, ANC, postpartum women and others
We are funding/funded 3 studies that use CHWs to: provide ART adherencecounseling within option b+, trace patience who have missed appointments orare lost to follow up for hiv treatment- also related to option b+ at RCHor MCH centers, and to deliver ARVs to stable patients- all in Tanzania.
Interesting question noticed that CHWs we worked with depending on recruitment and incentive were flexible in adapting and learning new things provided adequate training was available. Be it moving from vertical programs like malaria to a more integrated approach such as IMCI or to response activities like the Ebola response. Liberia initiated a new national community health programme involving CHWs, drawing upon lessons learnt from various partners in the field.