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Household coverage, quality and costs of care provided by community health worker teams and the determining factors: findings from a mixed methods study in South Africa

by

Authors: Jane Goudge, Julia de Kadt, Olukemi Babalola, Michel Muteba, Yu-hwei Tseng, Hlologelo Malatji, Teurai Rwafa, Nonhlanhla Nxumalo, Jonathan Levin, Margaret Thorogood, Emmanuelle Daviaud, Jocelyn Watkins, and Frances Griffiths

Insufficient supervision prevents CHWs from realizing their potential to achieve universal health coverage. Jane Goudge and colleagues evaluated the impacts of various configurations of supervisors on CHW coverage, quality of care, and costs of service provision in Sedibeng, South Africa. CHWs visited 17% of households in the last year, conducting one-to-two visits per day and asking an average of half of required questions during each visit. CHWs performed most effectively when receiving supervision from a senior nurse supervisor. The researchers estimate that increasing visits by four visits per day could increase household coverage by as much as 90% of all households.

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Link: Household coverage, quality and costs of care provided by community health worker teams and the determining factors: findings from a mixed methods study in South Africa

Resource Topic: CHW Funding

Resource Type: Research

Year: 2020

Region: Sub-Saharan Africa (SSA)

Country: South Africa

Publisher May Restrict Access: No

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