One Million Community Healthcare Workers

Partnership objective

Close the gap on achieving systematic rural healthcare coverage across rural Sub-Saharan Africa by supporting governments, global partners and national actors dedicated to CHW scale-up in the context of primary health care systems.

HIV/AIDS testing in MVP, Sauri. HIV/AIDS testing in MVP, Sauri. Copyright One Million Community Health Workers Campaign

What are the health needs and challenges?

In sub-Saharan Africa (SSA), 10-20% of children die before the age of 5. Maternal death rates are high and many people suffer from preventable and treatable diseases, including malaria, diarrhea,tuberculosis, and HIV/AIDS.

Description of partnership activities and how they address needs and challenges

Community health workers have been recognized for their success in reducing morbidity and averting mortality in mothers, newborns and children. These workers are most effective when supported by a clinically skilled health workforce, and deployed within the context of an appropriately financed primary health care system. However, they have proven crucial in settings where the overall primary health care system is weak. They also represent a strategic solution to address the growing realization that shortages of highly skilled health workers will not meet the growing demands of the rural population.

The campaign works with governments and aid agencies to finance and train the cadre of health workers, each of whom would serve a few hundred rural inhabitants, at a cost per year which falls within projected governmental health budgetary constraints and within the boundaries of donor assistance already pledged.

The campaign uses:

  • Point-of-care diagnostics to expand healthcare services in rural areas;
  • Scalable supervision through smartphones to link health workers to national health systems;
  • Standardized care set by rigorous guidelines to allow for the easy flow of treatment protocol;
  • Rapid training of healthcare workers without a large lag time between recruitment and deployment.

Summary of impact and forward looking information

Visit 1 Million Health Workers for the campaign’s progress reports. 


Community Health Worker Overview - Ruhiira Cluster, Uganda

Partnership information

Company(ies) GlaxoSmithKline , Johnson & Johnson

Partner(s) Africa Coalition on Maternal Newborn & Child Health, Africa Population Health Research Center (APHRC), African Development Bank, African Health, Human & Social Development (Afri-Dev) Alliance, African Medical and Research Foundation (AMREF), African Union, Airtel, Broadband Commission for Digital Development, BT, CapacityPlus, Center for Disease Control and Prevention (CDC), ChangeCorp, Cisco, College of Medicine, Johns Hopkins University, CORE Group, Digicel Foundation, Dimagi, Earth Institute at Columbia University, Economic Community Of West African States (ECOWAS), Ericsson, European Commission, Fondation Alcatel-Lucent, Frontline Health Workers, GAVI Alliance, Global AIDS Interfaith Alliance, Global Fund to Fight AIDS, Tuberculosis and Malaria, Global Health Media Project, Global Health Partnerships Forum, Global Health Workforce Alliance (GHWA), GSM Association, Healthcare Information For All (HIFA) 2015, iHeed, Initiatives Inc., Intel, International Telecommunication Union (ITU), International Telecommunications Satellite Organization (ITSO), IntraHealth International, Last Mile Health, Management Sciences for Health (MSH), MDG Health Alliance, Medic Mobile, mHealth Alliance, mHealthEd, Millennium Promise, Qualcomm, RESULTS, Roll Back Malaria Partnership (RBM), Rwanda Development Board, Save the Children, Sony, Southern African Development Community, Stop TB Partnership, The Open University, Translators without Borders, UN Sustainable Development Solutions Network (UNSDSN), UNAIDS, UNFPA, UNICEF, United Nations, United Nations Every Woman Every Child Initiative, United Nations Foundation, US Agency for International Development (USAID), US President´s Emergency Plan for AIDS Relief (PEPFAR), World Health Organization (WHO)

Type of Partner(s) Academia / Hospitals, Government, IGOs, Multilaterals, NGOs, Other Business, PDPs, Professional Associations

Therapeutic Focus Vaccine-Preventable Diseases, Women and Children's Health, Other, Infectious Diseases

Disease(s) Children's Health, Family Planning, Sexual & Reproductive Health, General Health, HIV/AIDS, Influenza, Malaria, Malnutrition, Obstetrics, Pneumonia, Tuberculosis, Women's Health

Program Type(s) Health System Infrastructure - Development of Physical Infrastructure, Health System Infrastructure - Outreach & Medical Services, Health System Infrastructure - Training, Prevention Programs - Vaccines

Targeted Population(s) Children, Elderly, General population, Health professionals, Marginalised / Indigenous People, Men, Mothers, Patients in needs of treatment, People with low income, Women

Region(s) Sub-Saharan Africa

Number of Countries 9

Country(ies) Burkina Faso, Comoros, Ghana, Kenya, Liberia, Malawi, Nigeria, Senegal, Tanzania

Start Date 2013

More information 1 Million Health Workers

Completed date 2015