From Community Health Workers to Community Health Systems: Time to Widen the Horizon?

Figures & data

FIGURE 1. Representation of a Community Health System Source.³⁰ © 2011 CORE Group. Reproduced by permission of CORE Group. Permission to reuse must be obtained from the rightsholder. Available at http://www.slideshare.net/COREGroup1/5102011-ch-ws-on-the-move

TABLE 1. Summary of the Key Features of the Community Health System

• Actors include the wide range of formal and informal health providers and volunteers, household caregivers, organizational intermediaries, other government sectors, and representative structures

• Health providers have mixed identities as belonging to both community and health system and have to meet expectations of both

• There is a relative absence of formal bureaucratic structures and relationships are based on networking and reciprocity, relying on trust and acceptability as well as the support of the formal health system

• Community health systems are context specific and are influenced by local histories, economic and political systems, and social–cultural norms

• The governance of interventions engaging the community health system is complex and relational

Community Health Network. Hot topics, fresh insights, and ways forward. Meeting Report. Washington, DC: CORE Group; 2011. Available at http://www.coregroup.org/resources/meetingreports/228-core-group-spring-meeting-2011 (accessed 11 January 2016)

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