This research shows that CHWs are playing a crucial role in the Covid-19 response, and that where they are active, there are correlating positive outcomes. Public Service International commissioned this research as part of their ongoing work to fight for the formalisation of CHWs, and for the better working conditions of CHWs. CHWs play a central role in access to health care particularly in vulnerable and poor communities. CHWs are an essential element in a Primary Health Care system attempting to achieve Universal Health Coverage. Their involvement is especially significant in low and middle income countries where there is a severe shortage of health professionals. In addition, CHWs are trusted members of the community they work in, and play an important role in health promotion and disease prevention, strategies that are critical to contain a pandemic.