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Rajesh Ramesh Panjabi

Despite medical and technological advances, half of the world’s population lacks access to essential health services, and over 8.9 million preventable deaths occur every year. There is an acute global shortage of health workers, a gap that will grow to 18 million by 2030. Studies show that training high-performing community health workers can help close these gaps and save more than 3 million lives annually.

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Despite medical and technological advances, half of the world’s population lacks access to essential health services, and over 8.9 million preventable deaths occur every year. There is an acute global shortage of health workers, a gap that will grow to 18 million by 2030. Studies show that training high-performing community health workers can help close these gaps and save more than 3 million lives annually.

In the past few decades, many community health worker programs across the world have demonstrated their ability to save lives — including in the hardest-to-reach areas. Yet despite this progress, lessons on how to successfully scale these programs as part of national primary health systems are not widely shared.

This course, developed in collaboration with the Community Health Academy at Last Mile Health, introduces learners to the core concepts of community health worker programs, and explores what is needed to build and strengthen large-scale programs in order to improve access to high-quality health services. The curriculum highlights the key components of designing community health systems, addresses common management challenges, and showcases lessons learned from a range of contributors — from community-level practitioners to government leaders and other global health experts. Through case studies of exemplar countries (including Ethiopia, Bangladesh, and Liberia), participants will learn from leaders across the globe how to advocate for, build, and optimize community health worker programs.

This course was created by health systems leaders for health systems leaders. Whether you work in a Ministry of Health, lead or support a community health worker program, mobilize resources and advocate for increased investment in community health, or you are simply interested in knowing what it takes to deliver quality care through community health worker programs, learners will have the opportunity to advance their knowledge and skills to implement critical change. This course can be taken individually, but learners are also encouraged to convene their colleagues from within or across organizations to share insights and further enhance the learning experience.

About the Community Health Academy Last Mile Health launched the Community Health Academy in 2017 to revolutionize training for community health workers and health systems leaders. The Academy is equipping current and next-generation health systems leaders to build strong community health systems through university-quality courses that are delivered virtually and in-person through coaching, mentorship, and group discussion. The Academy is also supporting Ministries of Health to enhance the effectiveness of their health worker training by deploying mobile phones equipped with high-quality digital content to frontline and community health workers.

What's inside

Learning objectives

  • Core concepts in community health as part of primary health systems
  • Key components in the design and optimization of community health worker programs as exemplified through country case studies
  • How to advocate for community health worker programs with key stakeholders
  • The evidence demonstrating the impact and returns of community health workers
  • How to build coalitions to support government-led programs
  • How to break down silos and reduce duplicative efforts in the wider community health ecosystem
  • The common issues that arise in implementing community health worker programs at scale

Good to know

Know what's good
, what to watch for
, and possible dealbreakers
Provides a deep dive into the principles and practices of community health workforce programs, useful for health systems leaders, advocates, and policymakers
Taught by the instructors of the Community Health Academy, known for their expertise in building and strengthening community health systems
Explores successful implementation of community health worker programs in various countries, offering valuable case studies and lessons learned
Empowers learners to advocate for, design, and optimize community health worker programs, addressing a critical global health challenge

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Activities

Be better prepared before your course. Deepen your understanding during and after it. Supplement your coursework and achieve mastery of the topics covered in Strengthening Community Health Worker Programs with these activities:
Practice analyzing quantitative health data
Strengthens data analysis skills, allowing students to confidently handle and interpret health-related data.
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Show steps
  • Solve practice problems on data analysis
  • Use statistical software (e.g., SPSS, R) for data analysis exercises
Explore best practices in community health program design
Provides practical guidance on designing effective community health programs, enhancing students' project planning abilities.
Browse courses on Community Health
Show steps
  • Follow online tutorials on community health program design
  • Read articles and case studies on successful community health initiatives
Engage in discussions with peers on community health challenges
Fosters peer-to-peer learning and encourages students to exchange diverse perspectives on community health issues.
Browse courses on Community Health
Show steps
  • Join online forums or discussion groups
  • Participate in group discussions during live sessions or webinars
Three other activities
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Show all six activities
Volunteer at a community health organization
Provides hands-on experience and allows students to apply their knowledge in a practical setting.
Browse courses on Community Health
Show steps
  • Research local community health organizations
  • Contact organizations to inquire about volunteer opportunities
Contribute to open-source projects related to community health
Encourages students to engage with the community health ecosystem and contribute to real-world projects.
Browse courses on Community Health
Show steps
  • Identify open-source projects focused on community health
  • Contribute code, documentations, or other resources
Develop a proposal for a community health worker training program
Applies course concepts to a real-world scenario, enabling students to design and justify a comprehensive training program.
Browse courses on Community Health
Show steps
  • Identify a specific community health need
  • Research best practices in community health worker training
  • Develop a training curriculum including topics and assessment methods
  • Create a budget and sustainability plan for the training program

Career center

Learners who complete Strengthening Community Health Worker Programs will develop knowledge and skills that may be useful to these careers:
Community Health Specialist
This course provides an introduction to the core concepts needed to work as a CHS. It teaches the key components in the design and optimization of community health worker programs and how to build coalitions to support community-level healthcare initiatives. It will help you advocate for community health worker programs with key stakeholders and learn how to break down silos in the wider community health ecosystem. This course will also introduce you to the common issues that arise in implementing community health worker programs at scale -- which is a major component of working in this field.
Social Impact Manager
This course is designed for health systems leaders working in roles like Social Impact Manager. It will teach you foundational knowledge and optimization strategies for community health worker programs. You will learn how to design and optimize large-scale programs to improve access to high-quality health services and build coalitions to support government-led programs.
Health Policy Analyst
This course will teach the fundamentals of community health worker programs to Health Policy Analysts. You will learn about the key components in the design and optimization of these programs and how to strengthen large-scale programs in order to improve access to high-quality health services.
Clinical Project Manager
This course will help Clinical Project Managers to learn about the implementation of community health worker programs in low-income countries. You will gain foundational knowledge on the design, management, and evaluation of these programs. This course can be a stepping stone toward taking on leadership roles in global health and community health initiatives.
Nonprofit Executive Director
This course will be useful for Nonprofit Executive Directors working in healthcare or global health. It will teach you about the core concepts, design, implementation, and optimization of community health worker programs at scale. You will learn from case studies of exemplar countries and gain the knowledge and skills needed to effectively lead community health initiatives.
Program Manager
This course provides real-world optimization strategies that will be valuable for Program Managers working with community health worker programs. It will teach you how to build strong community health systems and design and optimize large-scale programs to improve access to high-quality health services. This course will likely be especially helpful for those managing programs in low and middle-income countries.
Global Health Consultant
Global Health Consultants may find this course valuable to deepen their understanding of community health worker programs, especially when working in low-income communities. It will help you learn about the different components needed for success and provide real-world examples of building and optimizing these programs at scale.
Health Systems Specialist
Health Systems Specialists may find this course helpful as it teaches the core concepts of community health worker programs. It will help you learn how to design and optimize large-scale programs to improve access to high-quality health services. You will learn by studying case studies of exemplar countries and gain the knowledge and skills needed to effectively lead community health initiatives.
Healthcare Consultant
This course will help Healthcare Consultants better understand the role of community health worker programs and how to strengthen them in low-resource settings. You will learn how to assess common challenges, identify optimization strategies, and advocate for the integration of community health workers into national health systems.
Epidemiologist
This course will be useful for Epidemiologists working in global health. It will help you develop a strong understanding of the role of community health worker programs in improving health outcomes. You will learn about the design, implementation, and evaluation of these programs, as well as the evidence demonstrating their impact.
Research Associate
This course will help build a solid foundation of knowledge about community health worker programs, which will be useful for Research Associates who work in global health. You will learn about the evidence demonstrating the impact and returns of community health workers at scale and some of the common issues and challenges that arise.
Policy Associate
Policy Associates who work in healthcare may find this course valuable. It can help build a foundation for understanding the importance of community health worker programs and how to optimize them. You will learn how to advocate for community health worker programs with key stakeholders and build coalitions to support government-led programs.
Primary Care Physician
This course will help build foundational knowledge for Primary Care Physicians who work in low-income or underserved communities to help integrate community health workers into their practice. You will learn the core concepts, challenges, and successes seen in community health worker programs in low-resource settings.
Development Officer
This course provides foundational knowledge that will help Development Officers learn about the core concepts, design, implementation, and optimization of community health worker programs. It will be helpful for those working in healthcare settings or global development who want to raise funds to support these programs.
Public Health Educator
This course may be helpful for Public Health Educators working in low-income countries. It can provide foundational knowledge about how to build and strengthen large-scale programs to improve access to high-quality health services. You'll learn about the specific challenges and strategies used to optimize programs at scale.

Reading list

We've selected eight books that we think will supplement your learning. Use these to develop background knowledge, enrich your coursework, and gain a deeper understanding of the topics covered in Strengthening Community Health Worker Programs.
A guide from the World Health Organization on the role of community health workers in expanding access to health services, particularly in underserved and rural communities. It provides best practices and strategies for implementing and managing community health worker programs.
A comprehensive statistical report by the World Health Organization providing an overview of the global health workforce, including data on community health workers. It highlights the challenges and opportunities in addressing the health worker shortage and ensuring equitable access to health services.
A guide developed by the World Health Organization, providing step-by-step guidance on the implementation of the WHO model for training community health workers. It covers the curriculum, training methods, and materials required for effective training programs.
A report by the World Health Organization on the role of community health workers in achieving universal health coverage. It provides recommendations and strategies for integrating community health workers into health systems and ensuring their effective contribution to improving health outcomes.
This textbook provides an overview of community health, including the social, economic, and environmental factors that affect health.
This guide provides practical guidance for program managers on how to scale up community health interventions.
This guide provides guidance for health professionals on the legal aspects of health care, including the role of community health workers.

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