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.
This paper presents the results of a study using trained CHWs to compare in-person auditory brainstem response (ABR). The intervention linked CHWs to a tele-medicine approach in a community-based pediatric hearing screening program; it concludes that a tele-medicine approach is viable.
This resource presents the results of a post-implementation survey of a 2016 community-based maternal, newborn, and child health (MNCH) surveillance activity using mobile phones in Kenge Health Zone (KHZ), Democratic Republic of Congo (DRC). The study assessed the perceptions of households, attitudes of community health volunteers, and opinions of nurses and administrative authorities towards the use of mobile phones for MNCH surveillance.