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Essential aid made fully visible

Understanding the proCHW financing landscape analysing accessible donor data sources

Bibliographic Data

ID21881129
AuthorsCleo Baskin (0000-0001-6254-8707, Community Health Impact Coalition, London, UK), Carey Westgate (0000-0003-4435-1286, Community Health Impact Coalition, London, UK), Laura Shellaby (Global Fund to Fight AIDS, Tuberculosis and Malaria), Madeleine Ballard (0000-0003-0107-4047, Icahn School of Medicine at Mount Sinai), Ash Rogers (0000-0002-7480-930X, Tennessee Orthopaedic Alliance), Rachel Hofmann (D-Tree International), Mallika Raghavan (Last Mile Health, Monrovia, Liberia), Daniel Palazuelos (0000-0003-3701-0707, Brigham and Women's Hospital), Sarah Lindsay (Community Living), Pauline Picho Keronyai (Nama Wellness Community Centre, Mukono, Uganda), Pauline Keronyai, Matthew French (0000-0003-0175-3488, Nama Wellness Community Centre, Mukono, Uganda), Niloofar Ganjian (Men's Health Boston), Stephanie Rapp (Mali-Folkecenter), Sonia Tiedt (0000-0002-1967-6436, Imperial College London), Carla López Castañeda (London Ambulance Service NHS Trust), Diana Nambatya Nsubuga (TIP Global Health, Kigali, Rwanda), Jude Aidam (Catholic Relief Services), Benedicte Razafinjato (PIVOT), James O’Donovan (0000-0002-7248-5436, Community Impact)
Year2025
Volume10
Issue7
Pagese017453
Publication date2025-07-01
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2024-017453
PMID40664431
OpenAlexW4412420115
LanguageCA
References cited21

INTRODUCTION: Community health workers (CHWs) play a critical role in extending healthcare services to underserved populations, especially in low-income and middle-income countries. Professional CHWs (proCHWs), who are salaried, skilled, supplied and supervised, are essential for achieving Universal Health Coverage and other global health goals. Despite the growing recognition of proCHWs, there is limited understanding of the global financing landscape for these workers. This study analyses the availability of data detailing the allocation of funding from major global development organisations for proCHWs. METHODS: The study was conducted by the Community Health Impact Coalition (CHIC) using a two-stage approach. First, eight major global funders were selected through a consultative process with CHIC members, chosen based on their perceived influence, leadership in community health and scale of financial commitments. The second stage involved mapping and analysing the funding availability of these organisations through desk reviews, brief consultations and analysis of public funding databases. The transparency of proCHW-specific funding data was assessed using a classification system: 'yes' (full availability), 'partial' (moderate availability) and 'no' (low/no availability). RESULTS: The analysis revealed a gap in accessible data required to quantify the funding for CHWs, particularly proCHWs, across the eight organisations. Only two organisations, The Global Fund and the President's Malaria Initiative, provided partial data visibility, while none fully disclosed specific funding amounts for proCHW programmes. Most organisations did not systematically track or report CHW investments, making it challenging to assess global funding flows. CONCLUSIONS: The study highlights gaps in the availability of data related to funding for proCHWs, hampering the ability to track and evaluate investments in proCHW programmes. The study recommends global funders improve the specificity of their data reporting and integrate proCHW indicators into standard reporting tools. Enhanced data reporting is essential for optimising investments in proCHW programmes and advancing global health equity

Business · Desk · Economic growth · Economics · Geography · Global health · Health care · Political science · Public relations · Global Health and Surgery · Global Health Workforce Issues · Global Maternal and Child Health

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