Video Spotlight

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

Socio-cultural contextual factors that contribute to the uptake of a mobile health intervention to enhance maternal health care in rural Senegal.

A notable amount of progress has been made in reducing maternal mortality rates over the past 25 years in Senegal. However, the national maternal mortality ratio remains unacceptably high. With mobile health (mHealth) interventions been used increasingly in rural and remote areas of the country, this study looks at the application of CommCare. CommCare is an application that runs on cell phones distributed to community health workers to enroll and track women through their pregnancy, birth and post-partum.

A Novel Mobile Health Tool for Home-Based Identification of Neonatal Illness in Uganda: Formative Usability Study.

This study aimed to assess the usability and acceptability of the NeMo system in rural Uganda. NeMo is an intuitive platform for neonatal assessment in a home setting. The study involved the application of the system by target users and volunteer community health workers (CHWs).

The impact of India’s accredited social health activist (ASHA) program on the utilization of maternity services: a nationally representative longitudinal modelling study

The accredited social health activist (ASHA) program was launched by the Indian government in 2006 as a means of reaching marginalized communities. This article looks at data from the Indian Human Development Surveys conducted in 2004-2005 and 2011-2012 to assess the effect of the ASHA program on the uptake of maternity services.

Do home pregnancy tests bring women to community health workers for antenatal care counselling? A randomized controlled trial in Madagascar

Provision of pregnancy tests by community health workers (CHWs) in low resource settings has the potential to reach a large proportion of women in these regions. This randomized control trial looks at the efficiency of an intervention which involves CHWs supplying home pregnancy tests and whether this approach brings in more clients for ante natal counselling (ANC).

Are community health workers effective in retaining women in the maternity care continuum? Evidence from India

The importance of maintaining a continuum of care with respect to health requirements of mothers and newborns has been recognized world over. This study looks at the example of the Accredited Social Health Activist (ASHA) program in India as a model intervention.  It uses the Indian Human Development survey data from between 2011 to 2012.

Effects of community health worker interventions on socioeconomic inequities in maternal and newborn health in low-income and middle-income countries: a mixed-methods systematic review

Maternal and newborn health programs in low- and middle-income countries are largely dependent on community health workers (CHWs). This study involves a mixed methods systematic review of qualitative and quantitative studies conducted between 1996 and 2017. It examines evidence on the effectiveness of CHW interventions in reducing socio economic inequities and the means through which this is achieved in varying contexts.

Assessment of the Knowledge of Brazilian Community Health Workers regarding prenatal care

The provision of routine prenatal care is a crucial step towards reduction of health risks in women and their children that is typically the responsibility of primary health providers, often carried out by community health workers (CHWs). This cross-sectional study ascertained CHW awareness regarding (1) their general responsibilities (2) initial contact with pregnant women (3) recommended examinations and vaccinations for pregnant women (4) pregnancy complications and signs of labor and (5) lifestyle considerations for pregnant women.

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.  

Home visits by community health workers for pregnant mothers and newborns: coverage plateau in Malawi

Globally, home visits by community health workers (CHWs) during pregnancy and soon after delivery are recommended to contribute to newborn survival. With the ever-expanding roles of CHWs can health systems ensure   sufficient home visit coverage? This study looks at the results of a population-based survey conducted in the Ntcheu district of Malawi. It focuses primarily on understanding the feasibility and coverage of home visits post the implantation of the Malawi Ministry of Health’s Community-Based Maternal and Newborn Care (CBMNC) package.

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.

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