Improving access to care and community health in Haiti with optimized community health worker placement.

ABSTRACT: The national deployment of polyvalent community health workers (CHWs) is a constitutive part of the strategy initiated by the Ministry of Health to accelerate efforts towards universal health coverage in Haiti. Its implementation requires the planning of future recruitment and deployment activities for which mathematical modelling tools can provide useful support by exploring optimised placement scenarios based on access to care and population distribution. We combined existing gridded estimates of population and travel times with optimisation methods to derive theoretical CHW geographical placement scenarios including constraints on walking time and the number of people served per CHW. Four national-scale scenarios that align with total numbers of existing CHWs and that ensure that the wa

SUBMITTER: Champagne C 

PROVIDER: S-EPMC10022239 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature