Gaps in human resources for health are among the most influential factors underlying poor health systems performance. Community health workers have positively impacted health outcomes by providing health services and linking the community to the health system. While there is evidence to support capacity development and successful deployment of community health workers, evidence of effective quality assurance mechanisms is lacking. Chaguo la Maisha—a three-year, anonymously-funded project implemented by Pathfinder International in Dar es Salaam, Tanzania—aimed to create an enabling environment for women to choose whether and when to bear children. Community health workers are integral to achieving this goal. This technical brief explores the project components designed to support quality in community health worker services and to support community health workers to build service-seeking behaviors as well as mutual accountability and shared responsibility for health between the community and the facility.


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