Community Health Extension Workers, often called CHEWs, play an important role in Nigeria’s healthcare system.
They work closely with doctors, nurses, and other medical staff to ensure people in rural and urban areas get the medical help they need. Their work focuses on primary health care, preventive medicine, and community awareness.
In 2025, the demand for CHEWs has continued to rise due to the need for accessible healthcare services.
Government health facilities, NGOs, and private health centers are hiring more CHEWs to bridge the healthcare gap.
This makes the role not only important but also a secure career path for those interested in healthcare.
Who is a Community Health Extension Worker
A Community Health Extension Worker is a trained healthcare professional who focuses on delivering basic health services at the community level. They are often the first point of contact for people seeking healthcare in rural or underserved areas.
Their responsibilities range from administering immunizations, educating communities on health matters, carrying out home visits, and assisting in minor medical procedures.
CHEWs are trained to identify health risks early and refer patients to higher medical facilities when necessary.
Salary Structure for Community Health Extension Workers in Nigeria
The salary of a CHEW in Nigeria depends on factors like location, employer, level of experience, and qualification.
Those working in government health facilities often earn based on the Consolidated Health Salary Structure (CONHESS), while private facilities set their own pay rates.
As of 2025, entry-level CHEWs in government hospitals can expect a monthly salary between ₦50,000 and ₦80,000.
More experienced workers with years of service can earn up to ₦120,000 or more monthly. In private health facilities, salaries are often lower, ranging from ₦30,000 to ₦60,000 per month.
Government vs Private Sector Pay Differences
Government-employed CHEWs generally enjoy higher salaries, job security, and additional benefits like pension contributions and health insurance. They also receive regular training to update their skills.
On the other hand, private sector CHEWs may earn less but often have more flexible work arrangements.
Some private employers offer performance bonuses, free accommodation, or transportation allowances to make the job more attractive.
Factors Influencing CHEW Salaries
Several factors determine how much a CHEW earns in Nigeria. Experience is one of the biggest factors, as workers with over five years of service earn significantly more than fresh recruits.
Location also plays a major role. CHEWs working in urban areas or high-cost cities like Lagos, Abuja, and Port Harcourt often earn higher salaries compared to those in rural areas. Additionally, qualifications and extra certifications can lead to better pay.
Career Growth for CHEWs in Nigeria
Working as a CHEW can be a stepping stone to other healthcare careers. Many workers use the experience to further their studies and become nurses, midwives, or public health officers.
Some also move into administrative positions in healthcare organizations. With the right qualifications, a CHEW can advance to senior roles like Community Health Officer (CHO) or even head a primary healthcare center.
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Training and Qualification for CHEWs
To become a CHEW in Nigeria, one needs to attend a School of Health Technology accredited by the government. The training usually lasts for three years, after which the graduate is awarded a Diploma in Community Health.
Graduates must also register with the Community Health Practitioners Registration Board of Nigeria before they can work legally in the country. This ensures that all practitioners meet the required standards.
Job Opportunities for CHEWs in 2025
The need for primary healthcare services in Nigeria means there are many opportunities for CHEWs. Jobs are available in local government health centers, state and federal hospitals, NGOs, and private clinics.
International health organizations also recruit CHEWs for health campaigns, vaccination drives, and emergency relief programs. Those who are willing to work in remote areas often have a better chance of securing jobs quickly.
Challenges Faced by CHEWs
While the job is rewarding, it comes with challenges. Many CHEWs work in areas with limited medical equipment, drugs, and facilities. This can make it difficult to provide quality healthcare services.
They also face risks of contracting infectious diseases due to frequent contact with sick patients. Long working hours and low pay in some sectors can also affect job satisfaction.
Ways to Increase CHEW Salaries in Nigeria
Improving salaries for CHEWs will require government intervention and better funding for the healthcare sector. Increasing health budgets will help recruit more workers and improve their welfare.
Private sector employers can also help by offering competitive pay and benefits to retain skilled CHEWs. More training and career advancement opportunities will also encourage better performance and motivation.
Frequently Asked Questions
How much does a CHEW earn in Nigeria in 2025?
Entry-level salaries range from ₦50,000 to ₦80,000 in government hospitals, while private facilities may pay ₦30,000 to ₦60,000 monthly.
What is the qualification for a CHEW in Nigeria?
You must complete a three-year diploma program in Community Health from an accredited School of Health Technology.
Do CHEWs work in private hospitals?
Yes, many CHEWs are employed in private clinics, health centers, and NGO projects.
Can a CHEW become a nurse?
Yes, with further studies and qualifications, a CHEW can become a registered nurse or midwife.
Is the CHEW profession in high demand in 2025?
Yes, the demand is high due to Nigeria’s growing population and need for primary healthcare services.
Conclusion
Community Health Extension Workers are the backbone of Nigeria’s primary healthcare system. They work in both rural and urban areas to bring medical services closer to the people.
In 2025, their salaries vary depending on experience, location, and employer, but the profession remains a secure and rewarding choice.
With more government support and better pay structures, the role of CHEWs will only grow in importance.