Role of the Female Community Health Volunteers (FCHVs) for Continued Improvement in Primary Healthcare in Nepal

Keywords: Community health workers, Female community health volunteers, Nepal, FCHV in Nepal

Abstract

Community health workers (CHWs) have played a vital role in improving primary healthcare services in different parts of the world, in particular, for those services related to the prevention and control of communicable diseases, immunization services, reproductive health, maternal and child health, HIV/AIDS prevention and care and nutrition promotion. The Female Community Health Volunteers (FCHVs) program, which was introduced in 1988 in Nepal, has now reached over 51,000 FCHVs. They are key community level CHWs in Nepal and have contributed significantly in achieving several health and related outcomes and meeting several Millennium Development Goals. In such, there is also a potential and needs for engaging them to prevent and control emerging health challenges such as non-communicable diseases prevention and control and re-emerging health issues. Their effective involvement to ongoing health programs would be critical to achieving Sustainable Development Goals, agenda in particular “SDG 3 – Health and Wellbeing” by 2030.

References

Scott K, Beckham SW, Gross M, Pariyo G, Rao KD, Cometto G, Perry HB. What do we know about community-based health worker programs? A systematic review of existing reviews on community health workers. Human resources for health. 2018 Dec 1;16(1):39. doi:https://doi.org/10.1186/s12960-018-0304-xSpringer [Link][Google Scholar]

Hannay J, Heroux J. Community health workers and a culture of health: lessons from U.S. and global models - a learning report. Robert Wood Johnson Foundation; 2016. [Link]

Shahi P. Female Community Health Volunteers’(FCHVs) Involvement in Improving Maternal Health, Nepal. Journal of Karnali Academy of Health Sciences. 2019 Dec 10;2(3):250-2. doi:https://doi.org/10.3126/jkahs.v2i3.26664[Google Scholar]

Panday S, Bissell P, Van Teijlingen E, Simkhada P. The contribution of female community health volunteers (FCHVs) to maternity care in Nepal: a qualitative study. BMC health services research. 2017 Dec;17(1):623.doi:https://doi.org/10.1186/s12913-017-2567-7[Google Scholar][Springer Link]

Abdullah AS, Rawal LB, Choudhury SR, Baral S, Jiang L, Sha T et al. Use of community health workers to manage and prevent noncommunicable diseases. New Delhi: World Health Organization Regional Office for South-East Asia; 2019. [Link]

Mistry SK, Harris-Roxas B, Yadav UN, Shabnam S, Rawal LB, Harris MF. Community health workers can provide psychosocial support to the people during COVID-19 and beyond in Low-and Middle-Income Countries. Frontiers in Public Health. 2021;9. [Google Scholar] [PubMed]

Perry HB et al. “Community Health Workers in Low-, Middle-, and High-Income Countries: An Overview of their History, Recent Evolution, and Current Effectiveness.” Annual Review of Public Health, 35: 399-42, 2014.doi:0.1146/annurev-publhealth-032013-182354. [Google Scholar]

Hostetter M and Klein S. In Focus: Integrating Community Health Workers into Care Teams. Commonwealth Fund, December 2015. [Link]

CDC, Addressing Chronic Disease through Community Health Workers: A Policy and Systems-Level Approach. Atlanta: Centers for Disease Control and Prevention, page 5, April 2015. [Link]

Ministry of Health and Population, D.O.H.S, Annual Report. Department of Health Science, Nepal, Kathmandu. 2019/20 [Link]

Ministry of Health and Population, D.O.H.S, Annual Report. Department of Health Science, Nepal, Kathmandu. 2018[Link]

Ahmed SM, Rawal LB, Chowdhury SA, Murray J, Arscott-Mills S, Jack S, Hinton R, Alam PM, Kuruvilla S. Cross-country analysis of strategies for achieving progress towards global goals for women’s and children’s health. Bulletin of the World Health Organization. 2016 May 1;94(5):351.doi:10.2471/BLT.15.168450 [Google Scholar] [Link]

Nepal NE. Nepal: health facility survey 2015. Nepal: health facility survey 2015.. 2017. [Link]

Ministry of Health and Population, DOHS, FHD, Female Community Health Volunteer National Survey, Nepal, Kathmandu. 2014. [Link]

Ministry of Health, New ERA, ICF. Nepal Demographic and Health Survey 2016. Kathmandu: Ministry of Health, Nepal; 2017. [Link]

Kassebaum NJ, Barber RM, Bhutta ZA, Dandona L, Gething PW, Hay SI, Kinfu Y, Larson HJ, Liang X, Lim SS, Lopez AD. Global, regional, and national levels of maternal mortality, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. The Lancet. 2016 Oct 8;388(10053):1775-812.

WHO, UNICEF, UNFPA, the World Bank and the United Nations Population Division. Trends in Maternal Mortality: 1990 to 2015. Geneva: World Health Organization; 2015. [Link]

Thapa S (2014) High and Equitable Coverage of Vitamin ASupplementation Program in Nepal. J Community Med Health Educ 4: 272.doi:10.4172/2161-0711.100027

Glenton C, Scheel IB, Pradhan S, Lewin S, Hodgins S, Shrestha V. The female community health volunteer programme in Nepal: decision makers’ perceptions of volunteerism, payment and other incentives. Social science & medicine. 2010 Jun 1;70(12):1920-7. doi:https://doi.org/10.1016/j.socscimed.2010.02.034[Google Scholar]

Miyaguchi M, Yasuoka J, Poudyal AK, Silwal RC, Jimba M. Female community health volunteers service utilization for childhood illness-improving quality of health services only is not enough: a cross-sectional study in mid-western region, Nepal. BMC health services research. 2014 Dec 1;14(1):383. doi:https://doi.org/10.1186/1472-6963-14-383 [Google Scholar] [Spriger Link]

Published
2021-12-10
How to Cite
1.
Shahi P, Tamang P, Bhatta S, Rawal L. Role of the Female Community Health Volunteers (FCHVs) for Continued Improvement in Primary Healthcare in Nepal. Europasian J Med Sci. [Internet]. 2021Dec.10 [cited 2024May13];3(2):116-9. Available from: https://www.europasianjournals.org/ejms/index.php/ejms/article/view/364

Most read articles by the same author(s)