CHW Central

A global resource for and about Community Health Workers

Antenatal Care

Perception and reasons for the choice of informal provider among women receiving antenatal care services from traditional birth attendants in rural communities of Lagos state, Nigeria

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Unskilled delivery, especially with traditional birth attendants (TBAs), poses a major risk to reducing maternal mortality in Africa. This study examined why pregnant women in rural Lagos, Nigeria, continue to use TBA services. Among 347 pregnant women surveyed, 70.3% used only TBA services, while 29.7% used both TBA and healthcare facilities. Positive perceptions of TBAs were … [Read more...] about Perception and reasons for the choice of informal provider among women receiving antenatal care services from traditional birth attendants in rural communities of Lagos state, Nigeria

Effect of community health worker home visits on antenatal care and institutional delivery: an analysis of secondary outcomes from a cluster randomised trial in Mali

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This study sought to report upon secondary outcomes of the Proactive Community Case Management cluster randomized trial conducted between December 2016 and April 2020 in Mali. This study evaluated whether proactive home visits can improve antenatal care (ANC) access at a population level compared with passive site-based care. CHWs in the intervention arm proactively visited all … [Read more...] about Effect of community health worker home visits on antenatal care and institutional delivery: an analysis of secondary outcomes from a cluster randomised trial in Mali

Community Health Worker Impact on Knowledge, Antenatal Care, And Birth Outcomes: A Systematic Review

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CHW interventions have been associated with improved birth outcomes. Through a systematic review, the authors of this study explore the relationship between birth outcomes and patient health knowledge and attitudes. The review suggests that CHW interventions have increased antenatal care utilization, enhanced knowledge of pregnancy-related danger signs, and contributed to … [Read more...] about Community Health Worker Impact on Knowledge, Antenatal Care, And Birth Outcomes: A Systematic Review

Community- based maternal and newborn interventions in Africa: Systematic review

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 Most neonatal deaths occur in low- and middle-income countries (LMIC), particularly in Sub-saharan Africa. CHWs often encourage delivery in healthcare facilities and ensure timely referral of mothers and newborns. Through a systematic review, the authors of this paper found that the main components of the antenatal, delivery and postnatal care interventions were inadequate, … [Read more...] about Community- based maternal and newborn interventions in Africa: Systematic review

Cost-effectiveness of community health systems strengthening: quality improvement interventions at community level to realise maternal and child health gains in Kenya

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In Kenya, researchers wanted to know how community health workers were being engaged to improve antenatal care and skilled delivery outcomes to determine what quality improvement interventions would be most beneficial. The authors found that community quality improvement interventions were a cost-effective way to  increase the identification, referral and follow-up of pregnant … [Read more...] about Cost-effectiveness of community health systems strengthening: quality improvement interventions at community level to realise maternal and child health gains in Kenya