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Effect of trust in village health workers on the use of facility-based follow-up postnatal care services in two districts in the Lao People’s Democratic Republic

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Authors: Noudéhouénou Credo Adelphe Ahissou, Manami Uehara, Daisuke Nonaka, Inthanomchanh Vongphoumy, Tiengkham Pongvongsa, Khamtoun Ounlienvongsack, Khampheng Phongluxa, Sengchanh Kounnavong, Jun Kobayashi

In Lao People’s Democratic Republic (Lao PDR), despite high rates of antenatal care and facility births, only 19% of mothers return for follow-up postnatal care. This study found that mothers who had high trust in village health volunteers were over 12 times more likely to seek follow-up care. Key factors that helped included having an older baby and getting immediate care after birth, while barriers included long distances to health centers, traditional gender roles, and mere contact with volunteers without quality support. Strengthening trust and support from local health volunteers and addressing access and gender issues could improve follow-up care use.

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Resource Topic: CHW programs, Reproductive health, Trust

Resource Type: Cross-sectional mixed methods

Year: 2025

Region: Asia

Country: Laos

Publisher May Restrict Access: No

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