[1] The 5-SPICE framework was developed by clinicians and researchers from Partners In Health, Harvard Medical School, and Brigham and Women’s Hospital in Boston, MA.
[3] 5-SPICE draws upon experiences from Haiti, Rwanda, Lesotho, Liberia, Nepal, Mali, and elsewhere, where CHWs have been employed to improve patient outcomes and overcome personnel shortages.
[4] The framework allows for all stakeholders in a community health program to participate in discussions and analyses to strengthen the impact of CHWs.
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.