The Workforce Issues Subgroup of the iCCM Task Force strengthens iCCM program implementation by supporting countries with tools to strengthen the management of  the frontline health worker, notably the community health worker (CHW), within iCCM policy and practice.


  1. 1. To consolidate, reinforce and promote sharing of lessons learned and human resources for health (HRH) best practices to strengthen and sustain the iCCM workforce.
  2. 2. To explore alternative and innovative approaches to strengthen both structural (e.g., linkages with the formal health system) and functional (e.g., scope of practice, package of services delivered) elements of the iCCM workforce.
  3. 3. To disseminate and advocate for uptake of innovative policies, practices, and models to strengthen and sustain the iCCM workforce, including leveraging funding for this work.
  4. 4. To identify alternative and innovative approaches to competency-based CHW training, practical experience, and certification schemes.

Governance and Structure

The Workforce Issues Subgroup is co-chaired by Dyness Kasungami of MCSP/JSI and Karen Waltensperger of Save the Children.  The group holds monthly meetings over the phone and schedules face-to-face meetings when opportunities arise.


The following organizations are current members of the Workforce Issues Subgroup:

  • • ICFI
  • • Johns Hopkins University
  • • John Snow, Inc. (JSI)
  • • Living Goods
  • • Malaria Consortium
  • • Maternal and Child Survival Program (MCSP)
  • • Save the Children
  • • United Nations’ Children’s Fund (UNICEF)
  • • USAID
  • • World Vision

Each member organization is responsible for designating (a) representative(s) to this Task Force subgroup and for covering their participation costs.

To indicate interest, please email Dyness Kasungami at


To meet these objectives, the Working Group will aim to achieve a series of results over the upcoming seven quarters. These will be further developed, with targets set, and included as part of an actionable work plan for FY16-FY17.

  1. 1. Improved representation of iCCM workforce issues and in future high-level iCCM forums, including future evidence-review meetings.
  2. 2. Case studies of different approaches to (a) building and maintaining CHW competencies through practical experience, (b) mentoring and supervising public sector CHWs, (c) including managing and/or implications of paid vs. unpaid CHWs in same system, and (d) certifying CHWs to deliver iCCM services developed and disseminated.
  3. 3. Quarterly events/meetings and webinars organized by the Subgroup to disseminate experiences and lessons learned (e.g., from the case studies) about iCCM workforce challenges and solutions, as well as alternative models (e.g., iCCM private providers).
  4. 4. Technical guidance to optimize HRH management components of iCCM programs developed and/or strengthened through documentation of best practices and development of tools.
  5. 5. Gathered and shared promising practices in e.g., recruitment, deployment, retention, training, supervision, mentoring/coaching, performance evaluation, certification, and career ladders.
  6. 6. A list of research questions on the impact of competency-based training combined with practical experience and certification developed and shared with the operations research and other iCCM Task Force subgroups.

Normative Guidance, Guidelines, Protocols and Other Technical Documents

NIGRAAN Case Study from Badin, Pakistan September 2016

CHW Incentives Webinar CCM Workforce Issues April 2016

CHW Incentives, Lessons and Best Practices for Madagascar

CHW Incentives, Lessons and Best Practices for Malawi

CHW incentives Madagascar Summary Brief

CHW incentives Malawi Summary Brief

Financing CHW Systems at Scale in sub-Saharan Africa: Workshop Report September 2015

Frontline Health Workers Coalition: Advocating for greater and more strategic U.S. investment in frontline health workers for over 3 years

Living Goods Overview: October 2015

Meeting Minutes