Living Goods saves and improves lives across the developing world by connecting families with quality, door-to-door health care. Living Goods community health workers (CHWs) support pregnant mothers and newborns, assess and treat sick children, and educate families in their communities. They are empowered entrepreneurs who earn income from small impact-linked incentives and by selling health-focused products including fortified porridges and modern contraceptives.
Living goods works with CHWs who are healthcare workers in the community but not yet recognized in the government payroll. Community Health Workers (CHWs) in low income countries play a critical role in providing basic health care to the poorest families often in areas that do not have easy access to a health care facility, or where facilities are overburdened. CHWs usually come from the communities they serve and receive basic training to enable them to offer these services. While in some cases CHWs perform a wide range of different tasks that can be preventive, curative and/or developmental, in other cases CHWs are appointed for very specific interventions such as home-based care for TB patients. CHWs are increasingly seen to be essential in achieving universal health coverage, however the majority of CHWs in developing countries are still volunteers with some receiving a small stipend or compensation for travel, food etc. Supervision tends to be weak with supervisors either being facility staff who lack the skills or the time to provide active supervision to CHWs, or where supervisors who do not have the resources to make field visits.
Living Goods is keen to take its decade of experience directly employing supervisors and supporting 6000 CHWs and support government to adopt elements of our model that are integral to delivering high impact, low cost community health. Networks that we do not manage ourselves but where Living Goods provides technical support and coaching to other implementers and governments are called Assisted Networks. By the end of 2018 Living Goods and our partners will support over 11,000 community health workers (CHWs) across East Africa through both Direct and Assisted Networks.
Improving and sustaining the performance of all CHWs. As our model scales, we believe that improving the systems and structures around supervision and performance management are essential to for maintaining quality of care being delivered at the doorstep.
At Living Goods, we are passionate about using data to improve performance. At the community level our data is mostly from our mhealth solution which all CHWs use on their smartphones when they are in the field. Through the mhealth app (SmartHealth™) they can collect data by registering households, diagnosing sick children by completing specific workflows and recording treatments. With this data, supervisors can see on a daily basis from dashboards what CHWs are doing and track their performance over time. Supervisors should use this data to allocate their time to those CHWs that need the most support and on issues that CHWs are struggling with the most, but this is not always carried out in an optimal way. Moreover, as we scale we need to understand how we can structure staffing to maintain quality but enable scalability. Currently our model is heavily dependent on a high ratio of supervisors to CHWs which will become expensive and difficult to manage at scale.
Supervisors also have an app on tablets used to monitor supervisory visits and provide data on how CHWs are performing. Data collected includes CHW readiness for work and stock of essential medicines. From this data, the Managers of the Supervisors can also track supervisor performance. This data can be used to inform remuneration, because pay can be based on individual CHW and supervisor performance.
As we look to scale we are not only constantly trying to improve both what we do, but also how we can share best practise around the world with other organisations who work with CHWs. This is where we need your help to understand how to utilise our large quantities of data even more effectively, to help inform our staffing structures, how and when supervision is done and improve our performance management systems, processes and approaches.
What we need from you
Experience, Qualifications and Attributes
This work calls for a consultant(s) who is an expert in the field of CHW management. In addition, you
will have an in-depth understanding of best practices in other fields and be able to translate this
knowledge to our context.
Please send all expressions of interest to Rbulusu@livinggoods.org
Proposals can be as a group or as an individual and should include a
Proposals should be brief, no longer than 3 A4 pages or short PowerPoint deck (not including CVs or