Evaluating the Impact and Cost-Effectiveness of Deploying Community Health Workers to Improve Maternal, Newborn, and Child Health in Zambia

Project Description

The Zambian health sector continues to face major human resource challenges due to a critical shortage of health workers. In response to this crisis and in line with its vision of taking basic healthcare as close to the family as possible, the Ministry of Health (MOH) has decided to implement a National Community Health Strategy (CHWS). The goal of the CHWS is to have an adequately trained and motivated community-based health workforce, contributing towards improved service delivery, the attainment of the Millennium Development Goals (MDGs) and National Health priorities.

Before embarking on full scale implementation of the CHWS, the Zambian government, through the Ministry of Health, has decided to implement a pilot project in seven of the nine provinces. The goal of the Pilot project is to test whether using community health workers is a cost effective way of delivering maternal and child health outcomes in rural areas of Zambia. The Center for Global Health & Development (CGHD), managed through the Zambia Country Office, is carrying out a rigorous evaluation of the community health worker strategy pilot project. The aim of the evaluation is to:

  • Assess the contribution of CHWs to the management of primary healthcare in the community by evaluating their effect on key maternal and child health indicators at the community level in Zambia.
  • Evaluate the cost effectiveness of using CHWs for improving health indicators specifically focused on maternal and child health.

Project Details

Principal Investigator Godfrey Biemba
Boston University
David Hamer, Kojo Yeboah-Antwi, Bruce Larson
Collaborators ZCAHRD
Country(ies) Zambia
Dates of Research 2011-2014
  • Clinton Health Access Initiative
  • DFID