Pre-eclampsia is one of the major contributors to maternal deaths in the Mozambique. This study looks to identify and review health policies associated with CHW management of pre-eclampsia and eclampsia.
This qualitative study compared the affects of two CHW supervision models – clinic-based supervision versus community-based supervision – on CHW team performance. It also examined CHW team performance when supervised by a senior nurse versus a junior nurse. The study outlines some of the characteristics of effective supervision and finds that CHWs supervised in facilities by senior nurses are better integrated with facility teams and more able to ensure continuity of care.
Health facilities are difficult to access in rural parts of Sub-Saharan Africa. For malaria, poor access contributes to delayed treatment. Community Health Workers provide a viable option for extending access to prompt malaria treatment. This study evaluated utilization of CHW service in relation distance from the CHW.
This study is a qualitative assessment of women’s preferences for preconception intervention strategies to promote physical and mental health in urban settings. The evaluation was carried out through focus group discussions in Soweto, South Africa.
A large number of common mental disorders often go undiagnosed at primary healthcare facilities. This study looks at the feasibility of integrating traditional birth attendants into maternal mental health care through an analysis of views from multiple key stakeholders in Kenya.
Village health worker programs in Uganda have met with limited success in the past partly due to a reliance on volunteerism and a lack of incentivization. Doctors for Global Health developed a performance-based incentive mechanism for village health workers (VHWs) in Uganda. The given paper looks at the feasibility and sustainability of the model.
This study evaluates the impact of a mobile phone (mHealth) monitoring system- RapidSMS on improving access to proven maternal and newborn health interventions. Using an interrupted time series design, the study looks at the effect of the mHealth intervention on antenatal care, health facility delivery and vaccination.
The Republic of Niger reports the highest rates of early marriage and adolescent fertility in the world. This study assesses cross-sectional data from household surveys to determine if the deployment of volunteer community health workers in rural settings has improved family planning services in adolescents and youth.
Since 2003, Ethiopia has been implementing a community health extension program (HEP). This systematic review assesses the improvements that the program has brought about particularly in terms of maternal and childcare, hygiene and sanitation, knowledge and healthcare seeking. It also looks at the weaknesses of this dynamic program with respect to productivity, efficiency, capacity and living conditions of health extension workers (HEWs).
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.