Video Spotlight

"'I'm a Health Worker' - Abduaraman Gidi" made by IntraHealth International.

The impact of paid community health worker deployment on child survival: the connect randomized cluster trial in rural Tanzania

This paper presents the results of a non-masked cluster randomized trail conducted in three districts in rural Tanzania. The study  looked at the impact of deploying paid community health workers (CHWs) to provide door-to-door services on child survival. The services provided included preventive, promotional and curative antenatal, newborn child and reproductive health care.  

The effect of a community health worker intervention on public satisfaction: evidence from an unregistered outcome in a cluster-randomized controlled trial in Dar es Salaam, Tanzania

The effect of different care delivery approaches on health system satisfaction has not been monitored extensively. This article focuses on public satisfaction with regards to a community health worker (CHW) program targeted at maternal care among pregnant women or women who have recently delivered.

Improving Access to Antenatal Care in Ngara, Tanzania Through Implementation of the Lady Health Worker Programme

Combatting maternal mortality is a major public health challenge in Tanzania. This problem persists due to lack of providers, poor quality of care and inaccessibility to care. This analysis looks at the effectiveness of implementing the Lady Health Worker Program (LHWP) across three healthcare facilities in the Ngara district of Tanzania. The analysis involves a comparison of outcomes before and after program implementation.

Community health workers to improve uptake of maternal healthcare services: A cluster-randomized pragmatic trial in Dar es Salaam, Tanzania

In addition to quality of care of maternal health services, increased uptake of antenatal care (ANC) and facility- based delivery are key contributors to improved maternal and neonatal health in resource limited settings. This cluster randomized trial attempted to assess the impact of a community health worker (CHW) intervention on the proportion of women who visit ANC less than 4 times during pregnancy and deliver at home.

Community Health Worker Assessment and Improvement Matrix (CHW AIM): Updated Program Functionality Matrix for Optimizing Community Health Programs

To support quality CHW program design and implementation, USAID, UNICEF, the Community Health Impact Coalition, and Initiatives Inc. have updated and adapted the Community Health Worker Assessment and Improvement Matrix (CHW AIM) Program Functionality Matrix tool. This tool can be applied at district, regional, and national levels to identify and close gaps in design and implementation and, ultimately, enhance program performance.

The Community Health Systems (CHS) Catalog

The Community Health Systems (CHS) Catalog is a one-stop ‘shop’ for information on community health policies and programs across 25 countries, including extensive information on CHWs. Developed in 2014 and updated in 2017, it provides policymakers, program managers, researchers and donors with policy data to advance community health research, programming, and advocacy efforts. The CHS Catalog includes 25 country profiles, a set of infographics, and a summary of cross-country policy and program trends.

The potential of task-shifting in scaling up services for prevention of mother-to-child transmission of HIV: a time and motion study in Dar es Salaam, Tanzania

This paper looks at the potential to shift prevention of mother-to-child transmission of HIV tasks from nurses to community health workers (CHWs). This study measures the time nurses dedicate to these activities in Dar es Salaam, Tanzania, in order to estimate the potential cost savings of having CHWs take up these tasks. The paper found that task-shifting could allow nurses to focus on more specialized tasks, while reducing the average cost per patient. 

Unit cost analysis of training and deploying paid community health workers in three rural districts of Tanzania

This paper estimates the cost of training and deploying paid community health workers in Tanzania. The authors found the estimated cost to be sustainable on a large scale. 

Can formalizing links among community health workers, accredited drug dispensing outlet dispensers, and health facility staff increase their collaboration to improve prompt access to maternal and child care? A qualitative study in Tanzania

An intervention brought together community health workers, health facility staff, and accredited drug dispensing outlet (ADDO) dispensers to improve maternal and newborn health through a mechanism of collaboration and referral. This study explored barriers, successes, and promising approaches to increasing timely access to care by linking the three levels of health care provision.

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