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Table 6 Summary of national scale programmes

From: Integrating national community-based health worker programmes into health systems: a systematic review identifying lessons learned from low-and middle-income countries

Country CBHW programme Roles Incentives Supervision
Brazil Community Health Assistants (CHAs) Promoting breastfeeding as well as providing prenatal, child care, immunizations, screening and treatment of infectious diseases services From $100 to $228 per month - Done through family health care teams
- About 240,000 CHAs - Teams consist of nurses and physicians from the local clinics
- Launched in 1991 - 33,000 family health care teams
Pakistan Lady Health Worker (LHWs) Supporting maternal and child health services, which include family planning, HIV/AIDS and treatment of minor illnesses. Providing health education, essential drugs for minor ailments, contraceptives, vaccination and making referrals $343 per year Conducted by Lady Health Worker supervisor
- About 90,000 LHWs
- Launched in 1992.
Ethiopia Health Extension Workers (HEWs) Providing basic first aid, contraceptives, and immunizations, as well as diagnosing and treating malaria, diarrhoea, and intestinal parasites About $84 monthly Conducted by district team comprising health officer, a public health nurse, an environmental technician and health education expert
- About 34,000 HEWs
- Launched in 2003
India Accredited Social Health Activists (ASHAs) Community mobilisation, motivating women to give birth at health posts, promoting immunisations, family planning, treating basic illness, keeping demographic records, and improving village sanitation. About 600 rupees ($10) for facilitating an institutional delivery, and 150 rupees ($2.50) for each child that successfully completes immunisation session Conducted by ASHA facilitators
- About 800,000 (ASHAs)
  - Launched in 2005