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

Barriers and facilitators to the implementation of lay health worker programmes to improve access to maternal and child health: qualitative evidence synthesis.

This article synthesizes the qualitative evidence of the effectiveness of lay health workers (LHWs) as well as the factors affecting implementation of LHW programs for maternal and child health. 53 studies were included primarily describing the experiences of LHWs, program recipients, and other health workers. Results from the review suggest that rather than being seen as a lesser trained health worker, LHWs may represent a different and sometimes preferred type of health worker. The close relationship between LHWs and recipients is a program strength.

Effect of Community Health Strategy on Focused Antenatal Care Coverage: A Pretest-Posttest Experimental Study in Rural Mwingi West Sub-County; Kenya

In Kenya, maternal and child mortality rates are still high despite government efforts aimed at improving MCH. This study’s objective was to determine the effect of a CHW led primary health care intervention, Community Health Strategy (CHS) on focused antenatal care (FANC) in Mwingi, Kenya. Researchers employed a pretest -posttest experimental study design with 1 pretest and 2 post-test surveys in intervention and control sites. Data was collected from 422 households in each survey and the main respondents were women with a child aged 9-12 months.

Implementation research on community health workers’ provision of maternal and child health services in rural Liberia

This paper assesses the change in the use of essential maternal and child health services in Konobo, Liberia after the implementation of an enhanced CHW program. Last Mille Health, a nongovernmental organization, partnered with the Liberian Ministry of Health to pilot the CHW program. The program had enhanced recruitment, training, supervision, and compensation. Researchers conducted cross-sectional cluster surveys before and after the program implementation.

A comprehensive description of three national community health worker programs and their contributions to maternal and child health and primary health care

This is an in-depth review of the effectiveness of CHW programs in Ethiopia, Brazil, and Nepal. The main objective of this report is to provide insight and examples of successful CHW programs for other countries that are looking to build and strengthen their own CHW programs, specifically in the maternal and child health field. 

Barriers and facilitators to the implementation of lay health worker programs to improve access to maternal and child health: qualitative evidence synthesis

The chronic shortage of health workers globally is a major obstacle when trying to provide crucial health care delivery in areas of the world where it is needed the most. A way to approach this issue has been to “task shift” health professional roles to providers such as lay health workers (LHW), a “lay person” that has been trained to provide health services but is not a conventional health professional. This review seeks to assess the effectiveness of LHWs and explore factors that can influence the success of LHW programs in maternal and child health programs. 
 

Assessing Early Access to Care and Child Survival during a Health System Strengthening Intervention in Mali: A Repeated Cross Sectional Survey

In 2012, 6.6 million children under age five died worldwide, most from diseases with known means of prevention and treatment. A delivery gap persists between well-validated methods for child survival and equitable, timely access to those methods. A health systems strengthening intervention was implemented in peri-urban Mali designed to improve child survival by improving rapid access to prevention and treatment.

Safety and Acceptability of Community-Based Distribution of Injectable Contraceptives: A Pilot Project in Mozambique

Mozambique has witnessed a climbing total fertility rate in the last 20 years. Nearly one-third of married women have an unmet need for family planning, but the supply of family planning services is not meeting the demand.

Study protocol: realist evaluation of effectiveness and sustainability of a community health workers programme in improving maternal and child health in Nigeria

Community health workers can increase access to, and coverage of, health services – particularly maternal and child health (MCH) outcomes in Nigeria and other sub-Saharan African countries. This 5 year study aimed to evaluate the Nigerian CHW scheme using a mixed-methods realist approach will make an important contribution to health systems strengthening in Nigeria. 

Effectiveness of the Home Based Life Saving Skills training by community health workers on knowledge of danger signs, birth preparedness, complication readiness and facility delivery, among women in Rural Tanzania

Community health workers in Tanzania are trained in Home Based Life Saving Skills to educate communities on danger signs, birth preparedness, and complication readiness regarding childbirth. However, maternal mortality is currently greater than 400 per 100,000 live births, leading to the question of the effectiveness of this training program.

Monitoring iCCM referral systems: Bugoye Integrated Community Case Management Initiative (BIMI) in Uganda

Integrated community case management (iCCM) trains village health workers (VHWs) to provide treatment to the most common childhood diseases in Uganda, including malaria, pneumonia, and diarrhea. One of iCCM’s key features is a referral system for treatment at health facilities, but these referrals are difficult to monitor. A study was conducted to evaluate the referral system by reviewing quantitative data sources, revealing that a need for improvement.

 

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