In Zanzibar and Burundi, healthcare access is significantly lower than in more developed regions due to geographical barriers and economic constraints. The study employed a mixed-methods approach, including surveys, focus groups, and interviews with CHWs and patients to assess programme impact. Community health workers reported an increase of 40% in patient attendance at clinics where CHWPs were implemented compared to areas without such programmes. CHWPs significantly enhanced healthcare access by bridging the gap between underserved communities and healthcare services, particularly in rural areas. Continued support for CHWPs is recommended, along with expanded training opportunities and coordination with government health systems. Community Health Workers, Healthcare Access, Quality Improvement, Zanzibar, Burundi