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Healthcare Steady

Community Health Extension Worker

Bring healthcare to villages and neighbourhoods close to home

💡 Why it matters: Local health centres are where most people first meet healthcare, and trained community health workers keep those centres running and bring care to people who live far from hospitals.

🌍 Around the world

💰 What it can pay

🇳🇬 Nigeria

Starting out
₦900k – ₦2M
Mid-career
₦2M – ₦4M
Senior
₦4M – ₦8M

≈ ₦167k – ₦333k a month mid-career. Indicative estimate by Incusim.

🇬🇧 United Kingdom

£24k – £30k

Closest UK profile: Health trainer (community health role). Typical starter to experienced salary. National Careers Service, 2026

🇺🇸 United States

$51.9k typical
Range $38.8k – $77.2k

Median pay; low and high are the 10th and 90th percentiles. US Bureau of Labor Statistics, May 2025

🇨🇦 Canada

CA$54.1k typical
Range CA$39.5k – CA$75k

Hourly wage low/median/high x 2,080 hours. Job Bank (Government of Canada), 2023-2024

Yearly pay before tax. UK, US and Canada figures come from the official sources named on each card. Nigeria has no official salary survey, so those are our indicative estimates. Real pay depends on the employer, the place, your skills and experience.

🛠️ What you actually do

⚡ Skills you'll need

Get ready at school

🇳🇬 Nigeria

Subjects to be good at
BiologyEnglish LanguageChemistryMathematicsCivic Education
Qualifications
Diploma in Community Health (Community Health Extension Worker) from a school of health technologyOND or HND in Community HealthRegistration with the Community Health Practitioners Registration Board of Nigeria
Other ways in
  • Public Health or Community Health degree at a university
  • Nursing Science (BNSc) then move into community health

🇬🇧 United Kingdom

Subjects to be good at
GCSE EnglishGCSE MathsGCSE Biology or Combined ScienceHealth and Social Care (BTEC or GCSE)
Qualifications
Level 2 or 3 Diploma in Healthcare SupportDegree in public health or health promotion (optional, UCAS)
Other ways in
  • Healthcare support worker or healthcare assistant apprenticeship
  • Start as a health trainer or care worker, with training on the job
  • Volunteer with a local health charity or community group

🇺🇸 United States

Subjects to be good at
High school BiologyEnglishHealth or Health SciencePsychology or SociologySpanish or another community language (helpful)
Qualifications
High school diploma or equivalentCommunity health worker certificate (requirements vary by state)Associate or bachelor's degree in public health (optional)
Other ways in
  • Short on-the-job training with a clinic or community group
  • Community college certificate in community health
  • Volunteer work in a health clinic

🇨🇦 Canada

Subjects to be good at
Grade 12 EnglishGrade 12 BiologyHealth or social studies coursesMath (requirements vary by province)
Qualifications
Community health worker or community health representative certificate (college)Diploma in community or social services (college)
Other ways in
  • Indigenous community health representative programs
  • Start as a health care aide and move into community roles
  • Volunteer with a local health organization

🗺️ Your path to this career

  1. 1Finish school with good grades in English and Biology
  2. 2Join a community health or health technology training programme
  3. 3Complete the community health worker course with placements
  4. 4Get any registration or certificate your country requires
  5. 5Work in a local health centre, then grow into a supervisor

⏰ A day in the life

You open the health centre, weigh babies and give vaccines. At midday you visit a nearby compound to teach families about clean water. You finish by recording the day's cases in your register.

🔗 Related careers

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