Prioritising the role of community health workers in the COVID-19 response

被引：143

作者：

Ballard, Madeleine ^{[1
,2
]}

Bancroft, Emily ^{[3
]}

Nesbit, Josh ^{[4
]}

Johnson, Ari ^{[5
,6
]}

Holeman, Isaac ^{[4
,7
]}

Foth, Jennifer ^{[8
]}

Rogers, Debbie ^{[9
]}

Yang, Jane ^{[5
]}

Nardella, James ^{[10
]}

Olsen, Helen ^{[4
]}

Raghavan, Mallika ^{[10
]}

Panjabi, Raj ^{[10
,11
]}

Alban, Rebecca ^{[3
]}

Malaba, Serah ^{[8
]}

Christiansen, Molly ^{[8
]}

Rapp, Stephanie ^{[5
]}

Schechter, Jennifer ^{[12
]}

Aylward, Patrick ^{[12
]}

Rogers, Ash ^{[13
]}

Sebisaho, Jacques ^{[14
]}

Ako, Clarise ^{[14
]}

Choudhury, Nandini ^{[2
,15
]}

Westgate, Carey ^{[1
]}

Mbeya, Julius ^{[13
]}

Schwarz, Ryan ^{[11
,15
]}

Bonds, Matthew H. ^{[16
,17
]}

Adamjee, Rehan ^{[18
]}

Bishop, Julia ^{[19
]}

Yembrick, Amanda ^{[4
]}

Flood, David ^{[20
,21
]}

McLaughlin, Meg ^{[22
]}

Palazuelos, Daniel ^{[11
,23
]}

机构：

[1] Community Hlth Impact Coalit, New York, NY 10001 USA

[2] Icahn Sch Med Mt Sinai, Dept Hlth Syst Design & Global Hlth, New York, NY 10029 USA

[3] VillageReach, Seattle, WA USA

[4] Med Mobile, San Francisco, CA USA

[5] Muso, Bamako, Mali

[6] Univ Calif San Francisco, Global Hlth Sci, San Francisco, CA 94143 USA

[7] Univ Washington, Dept Global Hlth, Seattle, WA 98195 USA

[8] Living Goods, Nairobi, Kenya

[9] Praekelt Org, Johannesburg, South Africa

[10] Last Mile Hlth, Monrovia, Liberia

[11] Harvard Med Sch, Brigham & Womens Hosp, Div Global Hlth Equ, Boston, MA 02115 USA

[12] Integrate Hlth, Lome, Togo

[13] Lwala Community Alliance, Rongo, Kenya

[14] Amani Global Works, Idjwi Isl, DEM REP CONGO

[15] POSSIBLE, New York, NY USA

[16] Harvard Med Sch, Dept Global Hlth & Social Med, Blavatnik Inst, Boston, MA 02115 USA

[17] PIVOT, Ranomafana, Madagascar

[18] VITAL Pakistan, Karachi, Pakistan

[19] One One Africa, Cape Town, South Africa

[20] Wuqu Kawoq, Santiago Sacatepequez, Sacatepequez, Guatemala

[21] Univ Michigan, Inst Healthcare Policy & Innovat, Ann Arbor, MI 48109 USA

[22] THINKMD, Burlington, VT USA

[23] Partners Hlth, Boston, MA USA

来源：

BMJ GLOBAL HEALTH | 2020年 / 5卷 / 06期

关键词：

health systems; health policy; public health; EBOLA OUTBREAK; MALARIA;

D O I：

10.1136/bmjgh-2020-002550

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

COVID-19 disproportionately affects the poor and vulnerable. Community health workers are poised to play a pivotal role in fighting the pandemic, especially in countries with less resilient health systems. Drawing from practitioner expertise across four WHO regions, this article outlines the targeted actions needed at different stages of the pandemic to achieve the following goals: (1) PROTECT healthcare workers, (2) INTERRUPT the virus, (3) MAINTAIN existing healthcare services while surging their capacity, and (4) SHIELD the most vulnerable from socioeconomic shocks. While decisive action must be taken now to blunt the impact of the pandemic in countries likely to be hit the hardest, many of the investments in the supply chain, compensation, dedicated supervision, continuous training and performance management necessary for rapid community response in a pandemic are the same as those required to achieve universal healthcare and prevent the next epidemic.

引用

页数：7

共 27 条

[1] Systematic review of interventions for improving the performance of community health workers in low-income and middle-income countries [J].