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Community Health Worker Assessment and Improvement Matrix (CHW AIM)

Updated Program Functionality  Matrix for Optimizing Community Health Programs

Contributing Authors:

Community Health Impact Coalition: Madeleine Ballard, Matthew Bonds (PIVOT), Jodi-Ann Burey (Village Reach), Jennifer Foth (Living Goods), Kevin Fiori (Integrate), Isaac Holeman (Medic Mobile), Ari Johnson (Muso), Serah Malaba (Living Goods), Daniel Palazuelos (PIH), Mallika Raghavan (Last Mile Health), Ash Rogers (Lwala), and Ryan Schwarz (Possible) Initiatives Inc.: Rebecca Furth and Joyce Lyons (CHW Central)

UNICEF: Hannah Sarah F. Dini and Jérôme Pfaffmann Zambruni

USAID: Troy Jacobs and Nazo Kureshy

This toolkit builds on the original work (“Community Health Worker Assessment and Improvement Matrix (CHW AIM): A Toolkit for Improving CHW Programs and Services”) prepared by Initiatives Inc. and University Research Co., LLC (URC) for review by the United States Agency for International Development (USAID). It was authored by Lauren Crigler, Initiatives Inc. Kathleen Hill, University Research Co., LLC, Rebecca Furth, Initiatives Inc., and Donna Bjerregaard,

Initiatives Inc. 

CHW AIM was originally developed under the USAID Health Care Improvement Project, made possible by the generous support of the American people.

Design: Sonder Design

Released: December 2018

 CHW Central is an online community of practice that brings together program managers, experts, practitioners, researchers, and supporters of CHW programs. The website is a virtual meeting place to share resources and experiences and to discuss and develop questions and ideas on CHW programs and policy.

We envision a world in which everyone in need has access to a trained and supported community health worker.

At CHW Central, our mission is to be the preeminent global resource on CHW and CHW programs. CHW Central aims to increase access to information on CHWs and to promote CHW workforce development, self-determination, and institutionalization.

CHW Central believes that community health workers are key to achieving universal health coverage and reducing global health inequities. As the preeminent global resource on CHWs and CHW programs, CHW Central increases access to online information to improve the quality of CHW programs and services. We advocate for CHWs to be appropriately integrated into the global health workforce and represented and connected through strong networks and associations.

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Community Health Workers 

At PIH, we define accompaniment as being there, together, for as long as it takes. Community health workers are pivotal to that promise.  

As PIH provides medical and social support, strengthens health systems, and accompanies vulnerable communities around the world, we turn to local residents—the people who know their communities best—for leadership and expertise. 

Our community health worker program draws on the linguistic, cultural, and technical expertise of local residents, equipping them with the resources and training to drive our health programs and deepen our impact. From Haiti’s accompagnateurs to Mexico’s acompañantes, community health workers are known by different names, but have one mission: offer compassionate care to those who need it most. 

PIH’s approach is one of accompaniment; we work side-by-side with our friends and colleagues at the community, local health authority, and global advocacy levels to show what is possible in global health delivery. We take our best practices and conduct research to demonstrate our impact and to educate current and future leaders at the local, national, and global levels. We are an organization that is diverse, nimble, and rises to the challenges we encounter with optimism, compassion, and tenacity

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