This study assessed whether or not community health workers maintain competency in malaria rapid diagnostic tests (RDTs) administration over a twelve-month period as well as the CHW characteristics, such as age or level of experience, that influence competencies. The results indicate that a majority of CHWs maintain RDT competency over at least a twelve-month period and that younger age and prior experience with RDT are associated with better RDT performance.
The authors conducted a cluster-randomized controlled trial in Nairobi to determine the effectiveness of a home-based intervention that used community health workers to provide nutritional counseling and support exclusive breastfeeding. The intervention resulted in exclusive breastfeeding rates significantly increasing.
This paper examines the impact of an intervention to improve maternal and newborn health in Nairobi, Kenya, through an mHealth application called mobile Partnership for Maternal, Newborn and Child Health.
In this PIH interview, Dan Palazuelos continues his vibrant roundtable series. He sat down with Ash Rogers, Executive Director of the Lwala Community Alliance in Kenya. Lwala is known for its excellence in service delivery, and perhaps more importantly, its practice of listening to and elevating the voice of the community.
Lochuch, a CHW in Kenya, faces many challenges in her job as she tries to protect the health of those in her community. She has dealt with angry husbands and ambulance denials; actions that could lead to harm of pregnant women. Lochuch is working to ensure that women can deliver in a hospital. This article details her personal experience overcoming barriers in her community and the resilience with which she and her co-workers advocate for their clients.
Kenya does not have a strong health infrastructure to support its people causing concern with current universal healthcare goals. Kenya worries it will not be able to deliver care without a strong CHW program such as Rwanda’s. Although Kenya already has CHWs working in certain areas, they are overwhelmed with large numbers of families per CHW and are not able to provide adequate care to everyone. This article cites Rwanda’s success with a larger CHW program and results of significantly better health, pushing for Kenya to do the same.
Amref Health Africa in Kenya has developed a replicable Community Health Units (CHUs) Functionality Scorecard for measuring and managing the functionality of CHUs. The scorecard was designed and piloted at 114 CHUs in Rift Valley province in Kenya. The scorecard categorized CHUs as Functional, Semi-functional, or Non-Functional. Before and after data was used to assess the functionality. From January 2012 to September 2013, the proportion of functional CHU increased from 3.5% to 82.9%, Semi-Functional reduced from 39% to 13% while Non-Functional reduced from 58% to 4%.
In Kenya, maternal and child mortality rates are still high despite government efforts aimed at improving MCH. This study’s objective was to determine the effect of a CHW led primary health care intervention, Community Health Strategy (CHS) on focused antenatal care (FANC) in Mwingi, Kenya. Researchers employed a pretest -posttest experimental study design with 1 pretest and 2 post-test surveys in intervention and control sites. Data was collected from 422 households in each survey and the main respondents were women with a child aged 9-12 months.