Cited by 36International Development and AidGlobal Health Workforce IssuesGlobal Health and Surgery

Development assistance for community health workers in 114 low- and middle-income countries, 2007–2017

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Lu, Chunling, Palazuelos, Daniel, Luan, Yiqun, Sachs, Sonia Ehrlich, Mitnick, Carole Diane, Rhatigan, Joseph, Perry, Henry B·2020·Bulletin of the World Health Organization

Abstract

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].”
  • 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].”

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Research works printed but not linked: 2

  1. [2]Bhutta ZA, Lassi ZS, Pariyo G, Huicho L. Global experience of community health workers for delivery of health related millennium development goals: a systematic review, country case studies, and recommendations for integration into national health systems. Geneva: World Health Organization and Global Health Workforce Alliance; 2010.
  2. [8]WHO guideline on health policy and system support to optimize community health worker programmes. Geneva: World Health Organization; 2018. Available from: https://apps.who.int/iris/bitstream/handle/10665/275474/9789241550369-eng.pdf?ua=1 [cited 2019 Apr 15]. 30431747

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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)
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
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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