Examining the policy context and implementation of community health worker programmes in South Africa: Implications for Universal Health Coverage Reforms:

Although South Africa is in the process of health system reforms towards universal health coverage, the policy position regarding the role of community health workers (CHWs) as part of this process remains unclear. Moreover, although they make up one third of the health workforce in the country, they remain outside of the public service and in unstable employment. This study aims explore the policy context and implementation of the national CHW programme, particularly focusing on the governance model of the CHW programme and CHWs’ relationships with health professionals as part of their integration into the health care system. The findings will generate knowledge on the strengths and weaknesses of implementation of the programme and on the implications of these aspects for Universal Health Coverage reforms. This three year study is funded by the South African Medical Research Council’s Self-Initiated Research grant. The research leader is Dr Nonhlanhla Nxumalo: +27 11 717 3432; Email: nonhlanhla.nxumalo@wits.ac.za