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

被引：20

作者：

Lu, Chunling ^{[1
]}

Palazuelos, Daniel ^{[1
]}

Luan, Yiqun ^{[2
]}

Sachs, Sonia Ehrlich ^{[3
]}

Mitnick, Carole Diane ^{[4
]}

Rhatigan, Joseph ^{[1
]}

Perry, Henry B. ^{[5
]}

机构：

[1] Harvard Med Sch, Brigham & Womens Hosp, 641 Huntington Ave, Boston, MA 02115 USA

[2] Brandeis Univ, Heller Sch Social Policy & Management, Waltham, MA USA

[3] Columbia Univ, Earth Inst, New York, NY USA

[4] Harvard Med Sch, Dept Global Hlth & Social Med, Boston, MA 02115 USA

[5] Johns Hopkins Univ, Dept Int Hlth, Baltimore, MD USA

来源：

BULLETIN OF THE WORLD HEALTH ORGANIZATION | 2020年 / 98卷 / 01期

关键词：

CHILD HEALTH; PROGRAMS; CARE; COUNTDOWN; NEWBORN;

D O I：

10.2471/BLT.19.235499

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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.

引用

页码：30 / 39

页数：10

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