I’m not Nick, but it might be helpful to clarify what you mean by “community health workers”—your TL;DR suggests you may be referring to nurses. (ETA: Nick’s comment above explains the difference in scope of practice.)
Wikipedia (usual disclaimers apply) describes Uganda’s levels of public non-hospital care as follows:[1]
The lowest rung of the district-based health system consists of Village Health Teams (VHTs). These are volunteer community health workers who deliver predominantly health education, preventive services, and simple curative services in communities. They constitute level 1 health services. The next level is Health Center II, which is an out patient service run by a nurse. It is intended to serve 5000 people. Next in level is Health Center III (HCIII) which serves 10,000 people and provides in addition to HC II services, in patient, simple diagnostic, and maternal health services. It is managed by a clinical officer. Above HC III is the Health Center IV, run by a medical doctor and providing surgical services in addition to all the services provided at HC III. HC IV is also intended to provide blood transfusion services and comprehensive emergency obstetric care.
I’m not Nick, but it might be helpful to clarify what you mean by “community health workers”—your TL;DR suggests you may be referring to nurses. (ETA: Nick’s comment above explains the difference in scope of practice.)
Wikipedia (usual disclaimers apply) describes Uganda’s levels of public non-hospital care as follows:[1]
The lowest rung of the district-based health system consists of Village Health Teams (VHTs). These are volunteer community health workers who deliver predominantly health education, preventive services, and simple curative services in communities. They constitute level 1 health services. The next level is Health Center II, which is an out patient service run by a nurse. It is intended to serve 5000 people. Next in level is Health Center III (HCIII) which serves 10,000 people and provides in addition to HC II services, in patient, simple diagnostic, and maternal health services. It is managed by a clinical officer. Above HC III is the Health Center IV, run by a medical doctor and providing surgical services in addition to all the services provided at HC III. HC IV is also intended to provide blood transfusion services and comprehensive emergency obstetric care.
Cf. The Guardian here, but dated.