This study examined how accountability systems and human resource practices affect the effectiveness of Community Health Units (CHUs) in delivering child immunization services in Nairobi's urban informal settlements. Data from 354 Community Health Workers showed that clear accountability and proper human resource practices significantly improved CHU performance. The findings … [Read more...] about Determinants of Effective Child Immunization Delivery: A Study of Community Health Units in Informal Settlements in Nairobi County, Kenya
Kenya
Preliminary efficacy of a community health worker home based intervention for the control and management of hypertension in Kiambu County, Kenya- a randomized control trial
This study tested if community health workers (CHWs) could help control blood pressure (BP) among hypertensive patients in low-income areas of Kiambu County, Kenya. In a 6-month trial, 80 patients were randomly assigned to either a CHW home-based intervention group or a usual care group. CHWs provided monthly home visits with health education and lifestyle advice. Results … [Read more...] about Preliminary efficacy of a community health worker home based intervention for the control and management of hypertension in Kiambu County, Kenya- a randomized control trial
The impacts of task shifting on the management and treatment of malnourished children in Northern Kenya
This study tested whether community health volunteers in northern Kenya could effectively treat children with acute malnutrition at home using simple tools. The study compared two groups: one where volunteers treated malnourished children at home and another where they only screened and referred children to health facilities. The results showed that children treated at home by … [Read more...] about The impacts of task shifting on the management and treatment of malnourished children in Northern Kenya
Treatment of moderate acute malnutrition through community health volunteers is a cost-effective intervention: Evidence from a resource-limited setting
This study evaluates the cost-effectiveness of treating moderate acute malnutrition (MAM) by integrating community health volunteers (CHVs) into routine community case management (iCCM). The researchers compared the costs and outcomes of the integrated approach, which included CHV sites and health facilities, to standard facility-based treatment alone. The integrated strategy … [Read more...] about Treatment of moderate acute malnutrition through community health volunteers is a cost-effective intervention: Evidence from a resource-limited setting
Exploring acceptability, opportunities, and challenges of community-based home pregnancy testing for early antenatal care initiation in rural Kenya
This study investigated the impact of home pregnancy testing, facilitated by community health volunteers (CHVs), on antenatal care (ANC) initiation in rural Kenya. Results showed that home pregnancy testing was widely accepted, providing early pregnancy detection and promoting early ANC uptake. Women appreciated the convenience and privacy, especially adolescents, who faced … [Read more...] about Exploring acceptability, opportunities, and challenges of community-based home pregnancy testing for early antenatal care initiation in rural Kenya