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Role of CHWs in Building Resilient Health Systems: Learnings from Covid-19…
Role of CHWs in Building Resilient Health Systems: Learnings from Covid-19 
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what is resilience?
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repsonse to every day and also changes in policy, not just things like pandemics
system level resillience is collective and requires collective action by the health system. individuals are important when thinking about who comes together to have convos and make decisions
strategies
absorption - no changes to deal with stress. Often based on individuals, they tackle challenges as they arise. individuals can protect the system but will not work in the long term
Front line: CHW telling people not to stress when the pandemic started. Went to work despite being scared. delivered
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Front line; a sense of duty and initial view of them as "corona warriors" helped with stress experienced by HCWs
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you know this will happen, it's already part of your routine work
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strategies are not linear, they may occur at the same time and be engaged at different times
There are negative consequences of resilience - for ignoring lived experiences of individuals in the systems and increasing/not addressing inequalities
For example drug stock outs... there might be an increase at average level but increased inequities between rural and urban
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Scalability?
nurture internal actors to do things differently. do not take 1 change somewhere and apply it to another place
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POWER
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ensure CHWs and Community leaders are part of the conversation to rebalance the power dynamic which is important for resilience
CHWs
Overlooked and treated in a mechanical way (replaceable) --> power to think and act must be supported
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resilience of HCWs must be recognised, but we must also recognise that it's a political (caste, race, gender).
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relying a lot on them to implement changes to deal with pandemics and not recognising or supporting them adequately
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