Community Health Impact Coalition, Berlin, Germany.
Community Health Impact Coalition, Berlin, Germany; Possible, Achham, Nepal; Brigham and Women's Hospital, Department of Medicine, Division of Global Health Equity, Boston, MA, USA; Harvard Medical School, Department of Medicine, Boston, MA, USA.
Healthc (Amst). 2019 Sep;7(3):100334. doi: 10.1016/j.hjdsi.2018.08.003. Epub 2018 Aug 23.
To harness the potential of community health workers (CHWs) to extend health services to poor and marginalized populations and avoid the pitfalls of the post-Alma-Ata period, there is an urgent need to better understand how CHW programs can be optimized. Understanding that several operational questions are unresolved by current academic evidence, this viewpoint considers the role of practitioner expertise in optimizing community health systems and highlights findings from a recently published report that captures implementation experience from 15 countries. The viewpoint considers applications of the report's suggested community health design principles and implications for implementers, philanthropists, policymakers, and academic researchers.
为了利用社区卫生工作者（CHWs）的潜力，将卫生服务扩展到贫困和边缘化人群，并避免后阿尔马阿塔时期的陷阱，迫切需要更好地了解如何优化 CHW 计划。鉴于当前学术证据尚未解决若干运营问题，本观点考虑了从业者专业知识在优化社区卫生系统中的作用，并重点介绍了最近发布的一份报告的调查结果，该报告记录了来自 15 个国家的实施经验。本观点还考虑了报告中提出的社区卫生设计原则的应用，以及对实施者、慈善家、政策制定者和学术研究人员的影响。
