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.
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.
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.
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 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.
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.
In countries with a heavy burden of HIV, the demand for healthcare services is often met with a dearth of health workers. This has led to a need for task shifting of lay health workers (LHWs) to improve healthcare delivery. This approach has been particularly successful in the case of maternal and childcare (MCH). This review examines the impact of LHWs in improving health outcomes in Women Living with HIV (WLH) and their HIV exposed infants (HEIs).
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.
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.