Development assistance for community health workers in 114 low- and middle-income countries, 2007–2017
Open accessAbstract
OBJECTIVE: To estimate the level and trend of development assistance for community health worker-related projects in low- and middle-income countries between 2007 and 2017. METHODS: We extracted data from the Organisation for Economic Co-operation and Development's creditor reporting system on aid funding for projects to support community health workers (CHWs) in 114 countries over 2007-2017. We produced estimates for projects specifically described by relevant keywords and for projects which could include components on CHWs. We analysed the pattern of development assistance by purpose, donors, recipient regions and countries, and trends over time. FINDINGS: Between 2007 and 2017, total development assistance targeting CHW projects was around United States dollars (US$) 5 298.02 million, accounting for 2.5% of the US$ 209 277.99 million total development assistance for health. The top three donors (Global Fund to Fight AIDS, Tuberculosis and Malaria, the government of Canada and the government of the United States of America) provided a total of US$ 4 350.08 million (82.1%) of development assistance for these projects. Sub-Saharan Africa received a total US$ 3 717.93 million, the largest per capita assistance over 11 years (US$ 0.39; total population: 9 426.25 million). Development assistance to projects that focused on infectious diseases and child and maternal health received most funds during the study period. CONCLUSION: The share of development assistance invested in the CHW projects was small, unstable and decreasing in recent years. More research is needed on tracking government investments in CHW-related projects and assessing the impact of investments on programme effectiveness.
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Two thirds of the global public health donor assistance devoted specifically to CHW programmes over the past decade was for vertical programmes related to HIV/AIDS, malaria, tuberculosis, reproductive health, or family planning.
“Only 2.5% of global public health donor assistance over the past decade has been devoted specifically to CHW programmes, and two thirds of this was for vertical programmes related to HIV/AIDS, malaria, tuberculosis, reproductive health, or family planning [37].”
From Community health workers at the dawn of a new era: 11. CHWs leading the way to “Health for All” (2021) · cites this paper as [37]
Over the past decade, 2.5% of global public health donor assistance was devoted specifically to CHW programmes.
“Only 2.5% of global public health donor assistance over the past decade has been devoted specifically to CHW programmes, and two thirds of this was for vertical programmes related to HIV/AIDS, malaria, tuberculosis, reproductive health, or family planning [37].”
From Community health workers at the dawn of a new era: 11. CHWs leading the way to “Health for All” (2021) · cites this paper as [37]
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- Authors
- Lu, C., Palazuelos, D., Luan, Y., Sachs, S. E., Mitnick, C. D., Rhatigan, J., & Perry, H. B.
- Affiliations
- Brigham and Women's Hospital (US)
- Brandeis University (US)
- Columbia University (US)
- Harvard University (US)
- Johns Hopkins University (US)
- Corresponding author
- Lu, Chunling
- Venue
- Bulletin of the World Health Organization
- Publisher
- WHO Press
- Published
- 2019-11-01
- Volume
- 98
- Issue
- 1
- Pages
- 30-39
- ISSN
- 0042-9686 (ISSN-L)
- PMC
- PMC6933433
- OpenAlex
- W2998191550
- Cited by
- 36
- References
- 34
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 2 · 2023: 6 · 2022: 4 · 2021: 12 · 2020: 1 · 2019: 1
- FWCI
- 13.61
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Bulletin of the World Health Organization (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Stryker
- Topics
- Social Sciences › Development › International Development and Aid
- Health Sciences › Health Professions › Emergency Medical Services › Global Health Workforce Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
- Keywords
- community health workers, development aid, foreign aid, low- and middle-income countries, Global Fund, donor funding, sub-Saharan Africa, infectious disease control, maternal and child health, aid trends
- MeSH terms
- Community Health Workers, Developing Countries, Financing, Organized, Humans, International Cooperation, Global Health
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