Assessing the Impact of Community Health Workforce on the Efficiency and Accessibility of Healthcare Delivery
Saidu Malgwi Hassan *
UNICEF Health Section, UNICEF Nigeria, Maiduguri, Nigeria.
Ernest Chinedu Okoli
UNICEF Health Section, UNICEF Nigeria, Maiduguri, Nigeria.
Chidimma Anthonia Azike *
Department of Medical Laboratory Science, Rivers State University, Nigeria.
Nelyn Akunna Okoye
Rivers State University Hospital Services Department, Nigeria.
Nelson Keclechi ADINDU
University of Chester, UK.
*Author to whom correspondence should be addressed.
Abstract
The role of Community Health Workers (CHWs) in improving healthcare delivery, particularly in low- and middle-income countries (LMICs), has garnered increased attention due to their ability to bridge the gap between formal health systems and underserved communities. This study assesses the impact of CHWs on healthcare accessibility, efficiency, and quality. CHWs have been instrumental in expanding healthcare access, especially in rural and remote areas, by providing primary care, maternal and child health services, and chronic disease management. Additionally, CHWs enhance health system efficiency by alleviating the burden on overworked health professionals, enabling them to focus on more specialized care. However, challenges remains regarding the sustainability of CHW programs, including inadequate training, compensation, and integration into formal healthcare systems, which can affect the quality of care. Addressing these challenges through sustained investment, political support, and better integration is critical for maximizing the potential of CHWs to transform healthcare delivery, reduce health disparities, and promote health equity.
Keywords: Accessibility, community health workers, efficiency, health equity, quality of care