Authors: Bénédicte Razafinjato, Luc Rakotonirina, Laura F Cordier, Anna Rasoarivao, Mamy Andrianomenjanahary, Lanto Marovavy, Feno Hanitriniaina, Isaïe Jules Andriamiandra, Alishya Mayfield, Daniel Palazuelos, Giovanna Cowley, Andriamanolohaja Ramarson, Felana Ihantamalala, Rado J L Rakotonanahary, Ann C Miller, Andres Garchitorena, Meg G McCarty, Matthew H Bonds, Karen E Finnegan
This study evaluates the impact of an Enhanced Community Health (ECH) model implemented by Pivot and the Ministry of Public Health in rural Madagascar. The model aimed to improve access to healthcare by professionalizing community health workers (CHWs) and enhancing supervision. Over 18 months, the ECH model led to significant increases in utilization and quality of care compared to areas with traditional CHW programs. The findings highlight the effectiveness of proactive household visits and the importance of dedicated CHW supervision. However, sustaining intensive supervision remains a challenge. Financial incentives for CHWs improved job satisfaction and may enhance program sustainability. This evaluation contributes to global evidence on optimizing CHW programs and offers insights for scaling up similar interventions nationally.
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Resource Topic: Community health care
Resource Type: Evaluation
Year: 2024
Region: Africa
Country: Madagascar
Publisher May Restrict Access: No