In July 2013, members of Johns Hopkins University’s Bloomberg School of Public Health (JHU/JHSPH) and Muhimbili University of Health and Allied Sciences (MUHAS) engaged in discussions with members of the CHW Task Force to brief them on the JHU-MUHAS mandate given from the USAID Tanzania mission to support the scale-up of Tanzania’s integrated CHW program. At this time, JHU and MUHAS were invited by USAID to develop a landscaping research agenda around CHWs to facilitate policy and program discussions on CHW programs in Tanzania (initially with vision to describe the variety of programs supported by USAID). However, the needs of the Task Force were greater than those projects supported by USAID, and, therefore, it was strategized that JHU-MUHAS research support would aim to be more comprehensive. The CHW Task Force invited the JHU-MUHAS team to work with them on developing an analytic and learning agenda to help inform the work of the Task Force as efforts to develop and implement this national cadre were in effect.

Research Aims & Objectives
To provide research assistance to the Task Force and the MOHSW, the CHW Learning Agenda Project (CHW LAP) emerged through a collaborative partnership between MUHAS, JHU, and the Task Force. The aim of the CHW LAP has been to support the MOHSW and the CHW Task Force in the implementation of a national CHW cadre. To achieve this aim, four objectives have been proposed, which have included:

Objective 1: CHW Mapping

Objective 2: Stakeholder Analysis

Objective 3: Discrete Choice Experiments
Objective 4: Costing

The CHW-LAP primarily aims to support different sections of the MOHSW (RCHS, the CHW Task Force, PMTCT program, and NACP) with the information and evidence required to support the development of an integrated community program, and make recommendations to the MOHSW through the CHW Task Force regarding a long-term approach for an integrated CHW cadre that will serve the needs of Tanzanian populations. Research analysts from MUHAS and JHU have provided technical assistance in the attainment of the aforementioned objectives. The following Phase 1 Report consolidates findings from Objective 1-CHW mapping.