When trusted, Community Health Workers (CHWs) can contribute to improving maternal and newborn health outcomes in low- and middle-income countries through education. Issues of acceptability of CHWs by communities were explored through experiences gained in a qualitative study that is part of a cluster randomized trial in East Uganda.
CHWs provide critical health services to populations that lack access to services at health facilities. Well-trained and supplied CHWs can have positive impacts on health, but little is known about the adequacy, cost, or effectiveness of training models to prepare CHWs. This report analyzes key pieces of literature on CHW training and provides recommendations and next steps on how to improve CHW training.
This study provides evidence on rational use of antibiotics for treatment of pneumonia symptoms to inform future implementation of integrated community case management (iCCM), safeguarding effectiveness of current treatments whilst continuing to maximise access to care.
A quarter of the world's neonatal deaths and 15% of maternal deaths happen in India. Few community-based strategies to improve maternal and newborn health have been tested through the country's government-approved Accredited Social Health Activists (ASHAs). This study aimed to test the effect of participatory women's groups facilitated by ASHAs on birth outcomes, including neonatal mortality. The findings indicate that ASHAs can successfully reduce neonatal mortality through participatory meetings with women's groups.
Despite impressive decreases in under-five mortality, progress in reducing maternal and neonatal mortality in Tanzania has been slow. This study presents an evaluation of a cadre of maternal, newborn, and child health community health worker (MNCH CHW) focused on preventive and promotive services during the antenatal and postpartum periods in Morogoro Region, Tanzania. Study findings review the effect of several critical design elements on knowledge, time allocation, service delivery, satisfaction, and motivation.
The community health framework is intended to support Ministries of Health in developing and strengthening programs for improved community health outcomes. The intention is for USAID missions and other advisors to use the framework to structure a dialogue, develop recommendations, and foster continuous learning with Ministries of Health. This presentation is a fantastic resource for understanding and supporting community health programs and networks.
Male involvement in maternal health is recommended as one of the interventions to improve maternal and newborn health. The aim of this study was to evaluate the effect of Home Based Life Saving Skills training by CHWs on improving male involvement in maternal health in terms of knowledge of danger signs, joint decision-making, birth preparedness, and escorting wives to antenatal and delivery care in a rural community in Tanzania.
To improve access to contraceptives in remote and rural areas, sub-Saharan African countries are allowing community health workers (CHWs) to distribute hormonal contraceptives. Before offering hormonal contraceptives, CHWs must determine pregnancy status but often lack a reliable way to do so. This study design implemented a randomized experiment in Eastern Madagascar among CHWs who sell injectable and oral hormonal contraceptives. Results show that providing CHWs with free pregnancy test kits increases the number of new hormonal contraceptive clients.