Maternal, Newborn and Child Health

Effects of team-based goals and non-monetary incentives on front-line health worker performance and maternal health behaviours: a cluster randomised controlled trial in Bihar, India

Conducted in India, this study assessed a ‘Team-Based Goals and Incentives’ intervention aimed to enhance frontline (community health) worker (FLW) performance and promote healthier behaviors. The results revealed a significant rise in antenatal home visits and iron-folic acid tablet ingestion, along with progress in teamwork among FLWs. Changes in other health behaviors were … [Read more...] about Effects of team-based goals and non-monetary incentives on front-line health worker performance and maternal health behaviours: a cluster randomised controlled trial in Bihar, India

Conducted in Nigeria, this study measured the fidelity of implementation (FOI) for CHWs performing a recommended malaria treatment. The evidence found that CHW adherence was highest for following malaria treatment guidelines and lowest for post-treatment counseling. verall CHW adherence to guidelines was 83%. … [Read more...] about The fidelity of implementation of recommended care for children with malaria by community health workers in Nigeria

This study conducted in rural Liberia examined changes in maternal and child health after the implementation of an upgraded CHW intervention. Results indicated increased percentages of children receiving care, facility-based delivery, and formal sector care for acute respiratory infection and diarrhea. The percentage of mothers that received antenatal and postnatal care, … [Read more...] about Implementation research on community health workers’ provision of maternal and child health services in rural Liberia

To address the issue of high maternal mortality in Malawi, the Healthy Mothers, Healthy Communities intervention trained CHWs to conduct household visits to locate pregnant women and accompany them to perinatal care. Results indicate an 18% increase in antenatal care attendance, a 200% increase in antenatal care attendance in the first trimester and an increase of 37% in … [Read more...] about Increasing utilisation of perinatal services: estimating the impact of community health worker program in Neno, Malawi

This study used a retrospective cost analysis to assess the effectiveness of a randomized control trial of CHW support for pregnant women and women with infants <1 year of age in South Africa. Exclusive breastfeeding and women’s knowledge of childcare practices improved significantly in intervention sites. This intervention cost $7,647.88 per additional mother practicing … [Read more...] about The cost of the training and supervision of community health workers to improve exclusive breastfeeding amongst mothers in a cluster randomised controlled trial in South Africa