FEATURED PUBLICATION
Clinical Epidemiology and Global Health, 2025
VALUING COMMUNITY HEALTH WORKERS (CHWS): OPPORTUNITY COSTS AND OUT-OF-POCKET SPENDING AMONG CHWS IN THE INDONESIAN STUNTING PREVENTION PROGRAM
Community health workers in Indonesia bear significant opportunity costs and out-of-pocket expenses, receive inadequate incentives, and remain undervalued, highlighting the urgent need for better compensation to strengthen stunting-prevention efforts.
Contribution Analysis (Independent Evaluation/Mixed Methods Research), 2025
EVALUATING THE IMPACT OF THE 1000 DAYS FUND MODEL IN MANGGARAI BARAT & ROTE NDAO: A CONTRIBUTION ANALYSIS
Between 2021 and 2024, the 1000 Days Fund set out to answer this core question: Did our model actually move the needle on reducing childhood stunting in Manggarai Baratand Rote Ndao, East Nusa Tenggara (Nusa Tenggara Timur or NTT). We commissioned the services of an independent researcher and embraced a contribution analysis approach, to surface what changed, why, and how we can do better. Childhood stunting is not a single-response issue. It cannot be solved by one intervention alone, but through the convergence of multiple, reinforcing solutions. From household behaviours and community health systems to local governance and data use. This evaluation assesses the contribution of the 1000 Days Fund to reducing childhood stunting in Manggarai Barat and Rote Ndao, East Nusa Tenggara. The evaluation draws on triangulated evidence from internal monitoring data, secondary analysis of government surveys, and independent external review by some members of the Research Advisory Board. Together, these sources provide a credible picture of how 1000 Days Fund interventions have influenced maternal and child health outcomes, community health worker (CHW) capacity, and stunting prevalence.
The Lancet, 2024
ONE TERM TO TRANSFORM: UNIVERSAL HEALTH COVERAGE THROUGH PROFESSIONAL COMMUNITY HEALTH WORKERS
Global health worker shortages demand action. Professional CHWs (proCHWs) offer a transformative, cost-effective solution to achieve universal healthcare. Skilled, salaried, and well-supported, proCHWs save lives, boost economies, and ensure access, even during crises. National proCHW programs are feasible with resources and political will, empowering ministers to rapidly strengthen health systems.
The International Journal of Health Planning and Management, 2025
PROFESSIONALISATION OF COMMUNITY HEALTH WORKERS: TIME FOR A FORMAT CONTRACT
Community health workers (CHWs) are vital to effective primary healthcare, yet often lack adequate support. While skilled, supplied, supervised, and salaried CHW programs ("proCHW") enhance healthcare access, this study proposes adding 'security' – formal contracts – to that framework. Currently, many CHWs volunteer without contracts, risking arbitrary replacement. Formal contracts offer legal safeguards, ensuring fair employment with minimum wage and career paths. Securing CHW contracts requires political will, public-private partnerships, and tailored funding strategies aligned with local administration. Sustainable funding maximizes CHW program impact, strengthening primary care worldwide.
