Tightly Focused Interventions Limit Flexibility

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Two women talking.
Earlier, we discussed the tendency to fund CHW services in narrowly focused interventions on specific health issues, a practice that runs against the natural tendency of CHWs to move fluidly between roles in their interactions with community members.

Tightly focused interventions limit flexibility in the CHW workforce as:

  • CHWs play multiple roles and move fluidly among them
  • There is a need for flexibility: CHWs tend to “do whatever it takes”
  • Limiting CHW roles can undermine their credibility
  • CHWs often spend extra time per client/patient