Skip to main content
. 2015 Aug 3;93(9):631–639A. doi: 10.2471/BLT.14.144899

Table 1. Community-based practitioners programmes in Ethiopia, Indonesia and Kenya.

Feature Ethiopia Indonesia Kenya
Start, year 2004 1989 2006
Focus area Maternal and child health (including antenatal, safe and clean delivery at the health post, immunization, growth monitoring and nutritional advice), family planning, immunization, adolescent reproductive health and nutrition Maternal health: antenatal care, point-of-care tests e.g. malaria (in endemic regions) and HIV (only in Papua region), treatment such as for malaria, outreach care and providing safe delivery within a health facility and at home, postnatal checks, immunization Maternal and child health prevention and promotion activities that link community members to the health system (registration, education, referral, follow-up)
Name of community-based practitioner Health extension worker Village midwives Community health workers
Corresponding category in ILO’s ISCO 3253 (community health workers) 3222 (midwifery associate professional) 3253 (community health workers)
Type of volunteers Voluntary community health promoters Community health volunteers and traditional birth attendants None
Population catchment area 2 workers for 5000 people 1 worker per village of 500–1500 people 50 workers for 5000 people
Primary base of service delivery A local health post but spend 70% of their time on house-to-house visits Sub-health posts and village clinics Community (home visits)
Initial training 1 year (government funded) Nursing academy 3 years (self-funded) 10 days training (government funded)
One-off incentive kits Backpacks Motorbikes Backpacks
Salary Annual salary of approximately $2400 Annual salary of approximately $4250 Unpaid
Other financial incentives and allowances None Transport allowances; incentive per antenatal care, delivery assisted and postnatal care None
In-service training On-job training in relation to local interventions Refresher training offered (but none administered in the district in 2012) Quarterly updates (but none administered in the district in 2012)
Supervision structure Supervised by health centre and district health office personnel Supervised by health centre and district health office personnel Supervised by health centre personnel – community health extension workers at health centre level

HIV: human immunodeficiency virus; ILO: International Labour Organization; ISCO: International Standard Classification of Occupations.

Note: Categories of programme have been developed by the REACHOUT consortium http://www.reachoutconsortium.org.