Optimizing Staffing Models and Team Structure
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World Bank, Washington, DC
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In low, and middle-income countries,
policymakers have long struggled to extend quality frontline
care to remote, rural communities. Confronting poor
infrastructure, health worker shortages, and limited fiscal
space, many countries have used expanded community-based
health worker cadres to improve ‘last mile’ access to
essential services. Yet to date, many such initiatives have
been hampered by poor service quality, insufficient support,
and lack of wider integration, ultimately yielding
disappointing results. To harness the potential of frontline
health staff in these settings, innovative staffing models
are needed to integrate community health workers (CHWs) and
mid-level cadres within effective frontline health teams.
Palabras clave
RURAL HEALTH SERVICES, HEALTH WORKERS, HEALTH SERVICE DELIVERY, PRIMARY HEALTH CARE, COMMUNITY HEALTH WORKERS, MOBILE HEALTH UNIT
