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A global resource for and about Community Health Workers

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Birth Preparedness

CHW Defies Culture and Encourages Women to Give Birth in Hospital

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Lochuch, a CHW in Kenya, faces many challenges in her job as she tries to protect the health of those in her community.  She has dealt with angry husbands and ambulance denials;  actions that could lead to harm of pregnant women. Lochuch is working to ensure that women can deliver in a hospital.  This article details her personal experience overcoming … [Read more...] about CHW Defies Culture and Encourages Women to Give Birth in Hospital

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

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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 … [Read more...] about Effect of Community Health Strategy on Focused Antenatal Care Coverage: A Pretest-Posttest Experimental Study in Rural Mwingi West Sub-County; Kenya

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

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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. This study aimed to explore the safety and effectiveness of training 2 cadres of community health workers—traditional birth attendants (TBAs) and agentes … [Read more...] about Safety and Acceptability of Community-Based Distribution of Injectable Contraceptives: A Pilot Project in Mozambique

Effect on participatory women’s groups facilitated by Accredited Social Health Activists on birth outcomes in rural eastern India: a cluster-randomized controlled trial

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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 … [Read more...] about Effect on participatory women’s groups facilitated by Accredited Social Health Activists on birth outcomes in rural eastern India: a cluster-randomized controlled trial

The Movement For Change

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It is a cold rainy day, and a pregnant mother’s water has just broken. A young man stares at the pouring rain hitting the muddy path and sighs. He has no way of getting his wife to the health center that is a two hour walk from his mud-thatched house. He has no money, his bicycle tires are worn out, and they both have no idea what to do! She dies as a result of obstructed … [Read more...] about The Movement For Change

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