This cross-sectional study found that many of the auxiliary midwives were unable to recognize the majority of critical danger signs for childbirth. The paper also found a low level of knowledge about safe childbirth and immediate newborn care practices.
This paper investigates the impact of community-based newborn care package in Nepal. The research found that significant improvements in newborn care practices had not yet occurred, though the study represents an early assessment. The study's findings were taken into account upon revision of the package.
This paper tested a qualitative evaluative framework and tool to understand CHW performance in rural Uganda. The authors found that supportive supervision and bonds between healthcare workers affected performance outcomes.
This paper used a cluster randomized controlled trial in South Africa to determine the effectiveness of improved training and continuous quality improvement based mentoring. The authors found that these methods improved the CHW-mother interactions.
In this article, mPowering reflects on learning from pre-existing CHW programs. First, they recognize CHWs who have support are more likely to make an impact on the communities they serve. In addition, the introduction of technology into many programs has presented opportunities to improve communication and data collection. The reflection concludes by stating current CHW programs need to be strengthened, which can be done by increased investment in health systems.
This paper explores the factors that shaped the acceptability and adoption of community health assistants (CHAs) into the health system at the district level in Zambia. Using thematic analysis, data was collected through a review of documents, 6 focus group discussions with community leaders, and 12 key informant interviews with CHA trainers, supervisors and members of the District Health Management Team. Results found a perceived relative advantage of CHAs over existing community-based health workers in terms of their quality of training and scope of responsibilities.