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Essential aid made fully visible: understanding the proCHW financing landscape analysing accessible donor data
Cleo Baskin1, Carey Carpenter Westgate1, Laura Shellaby2,3
1Community Health Impact Coalition, London, UK.
BMJ Global Health
|July 15, 2025
Summary
Global funders lack transparent data on funding for professional community health workers (proCHWs). Improved data reporting is crucial for optimizing investments and achieving health equity.
Area of Science:
- Global Health
- Health Systems Strengthening
- Health Financing
Background:
- Professional community health workers (proCHWs) are vital for healthcare access in low- and middle-income countries.
- Understanding the global financing for proCHWs is limited, hindering progress towards Universal Health Coverage.
- This study investigates data availability on proCHW funding from major global development organizations.
Purpose of the Study:
- To analyze the transparency and availability of funding data for professional community health workers (proCHWs).
- To identify gaps in financial reporting by major global development organizations concerning proCHW programs.
Main Methods:
- A two-stage approach was used, involving selection of eight major global funders.
- Funding availability was assessed through desk reviews, consultations, and analysis of public databases.
- Data transparency was classified as 'yes', 'partial', or 'no' for proCHW-specific funding.
Main Results:
- A significant gap exists in accessible data for quantifying proCHW funding across the analyzed organizations.
- Only two organizations (The Global Fund, President's Malaria Initiative) offered partial data visibility; none provided full disclosure.
- Most organizations do not systematically track or report investments in community health workers, impeding assessment of global funding flows.
Conclusions:
- Gaps in data availability hinder the tracking and evaluation of investments in proCHW programs.
- Global funders must enhance data specificity and integrate proCHW indicators into standard reporting.
- Improved data reporting is essential for optimizing proCHW investments and advancing global health equity.
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