1994
Whither community health workers in the age of structural adjustment?
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“…However, it declined during the 1990s due to poor programme management, policy shifts and inadequate demonstrated evidence of their contribution and effectiveness [14] . Although CHWs evolved with community based health care programmes, and were strengthened by the PHC approach after Alma Ata, the understanding of the concept and the subsequent use of CHWs have tended to vary across countries and organisations, being influenced by the economic capacity and aspirations of those engaging them [15] . In some places, CHWs have mainly been engaged with a focus on community development approaches by trying to bridge the gap between communities and formal health services.…”
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confidence: 99%