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Home visits versus fixed-site care by community health workers and child survival: a cluster-randomized trial, Mali

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Authors: Jenny Liu, Emily Treleaven, Caroline Whidden, Saibou Doumbia, Naimatou Kone, Amadou Beydi Cisse, Aly Diop, Mohamed Berthé, Mahamadou Guindo, Brahima Mamadou Koné, Michael P Fay, Ari D Johnson, f and Kassoum Kayentao

This study tested whether proactive home visits by trained community health workers (CHWs) could improve child survival in rural Mali. Over three years, nearly 32,000 children were enrolled in a trial comparing two groups: one receiving regular home visits from CHWs and the other receiving care at a fixed location. Both groups benefited from improved health services and eliminated user fees. Although under-five mortality rates decreased in both groups, the study found no significant difference in mortality rates between the two approaches. The results suggest that while home visits did not lead to lower death rates, overall system improvements likely contributed to the decline in child mortality for both groups.

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Resource Topic: Child health, Home visits

Resource Type: Cluster Randomized Trial

Year: 2024

Region: Africa

Country: Mali

Publisher May Restrict Access: No

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