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5-SPICE Community Health Worker Framework
The 5-SPICE framework is an instrument designed for global health practitioners to guide discussions about [health worker] (CHW) projects. Insights gleaned from this process can help to steer quality improvement efforts and influence community health research agendas. The 5-SPICE framework, developed by clinicians and researchers from Partners In Health, Harvard Medical School, and Brigham and Women’s Hospital in Boston, MA, allows for all stakeholders in a community health program to participate in discussions and analyses to strengthen the impact of CHWs. The name 5-SPICE is derived from Chinese cuisine emphasizing the balance between inputs and elements. The five main elements form an acronym: • Supervision (especially management plans and structures) • Partners (especially ownership and stewardship) • Incentives (part of the larger theme of motivation) • Choice (how CHWs are recruited to work and why they take the job) • Education (what CHWs bring to their job and how they are trained) [1] These elements are not a static list, but a way to holistically analyze how core programmatic elements affect each other in the field. In the Freirean tradition of awareness, the 5-SPICE model emphasizes facilitated discussion and contemplation among stakeholders, particularly CHWs, to maximize program outputs. Ultimately, the 5-SPICE framework allows program implementers to study the relationship between the health system and the local community.
Other CHW program frameworks exist, such as the USAID Assessment and Improvement Matrix. 5-SPICE is meant to complement these other frameworks by providing an acronym that condenses the many elements discussed in other frameworks into an easy-to-remember heuristic. This hopefully will provide the users a heuristic that will aid in more effective and efficient assessments and conversations that are exploratory instead of prescriptive.
The 5-SPICE framework was first formally introduced in an April 2013 publication in Global Health Action, in an article entitled “5-SPICE: the application of an original framework for community health worker program design, quality improvement and research agenda setting.”[2] The framework was subsequently presented at the 2013 Consortium of Universities for Global Health Conference[3] , and the 2013 Swedish Society of Medicine’s annual conference, Global Health—Beyond 2015[4] . The article has also been accepted for presentation at the 2013 Annual Meeting of the American Public Health Association.
References
- ^ Palazuelos, Daniel (April 3). "5-SPICE: the application of an original framework for community health worker program design, quality improvement and research agenda setting". Global Health Action. 6. doi:10.3402/gha.v6i0.19658. Retrieved 17 July 2013.
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ignored (|author=
suggested) (help) - ^ "5-SPICE: An Original Framework for Community Health Worker Program Design, Quality Improvement and Research Agenda Setting". Consortium of Universities for Global Health. Retrieved 17 July 2013.
- ^ "Beyond 2015". Swedish Medical Society. Retrieved 17 July 2013.
- ^ Palazuelos, Daniel (April 3). "5-SPICE: the application of an original framework for community health worker program design, quality improvement and research agenda setting". Global Health Action. 6. doi:10.3402/gha.v6i0.19658. Retrieved 17 July 2013.
{{cite journal}}
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and|year=
/|date=
mismatch (help); Unknown parameter|coauthors=
ignored (|author=
suggested) (help) - ^ "5-SPICE: An Original Framework for Community Health Worker Program Design, Quality Improvement and Research Agenda Setting". Consortium of Universities for Global Health. Retrieved 17 July 2013.
- ^ "Beyond 2015". Swedish Medical Society. Retrieved 17 July 2013.