Conducted in India, this study assessed a ‘Team-Based Goals and Incentives’ intervention aimed to enhance frontline (community health) worker (FLW) performance and promote healthier behaviors. The results revealed a significant rise in antenatal home visits and iron-folic acid tablet ingestion, along with progress in teamwork among FLWs. Changes in other health behaviors were … [Read more...] about Effects of team-based goals and non-monetary incentives on front-line health worker performance and maternal health behaviours: a cluster randomised controlled trial in Bihar, India
‘Our village is dependent on us. That’s why we can’t leave our work’. Characterizing mechanisms of motivation to perform among Accredited Social Health Activists (ASHA) in Bihar
This study aimed to identify factors that inspire Accredited Social Health Activists (ASHAs) in India. The results highlight the importance of self-empowerment, adequate financial compensation, and connection to the community’s health system as a few motivating factors for ASHAs. Conversely, implementation and management challenges are sources of ASHA discontent. … [Read more...] about ‘Our village is dependent on us. That’s why we can’t leave our work’. Characterizing mechanisms of motivation to perform among Accredited Social Health Activists (ASHA) in Bihar
The fidelity of implementation of recommended care for children with malaria by community health workers in Nigeria
Conducted in Nigeria, this study measured the fidelity of implementation (FOI) for CHWs performing a recommended malaria treatment. The evidence found that CHW adherence was highest for following malaria treatment guidelines and lowest for post-treatment counseling. verall CHW adherence to guidelines was 83%. … [Read more...] about The fidelity of implementation of recommended care for children with malaria by community health workers in Nigeria
Implementation research on community health workers’ provision of maternal and child health services in rural Liberia
This study conducted in rural Liberia examined changes in maternal and child health after the implementation of an upgraded CHW intervention. Results indicated increased percentages of children receiving care, facility-based delivery, and formal sector care for acute respiratory infection and diarrhea. The percentage of mothers that received antenatal and postnatal care, … [Read more...] about Implementation research on community health workers’ provision of maternal and child health services in rural Liberia
Piloting a participatory, community-based health information system for strengthening community-based health services: findings of a cluster-randomized controlled trial in the slums of Freetown, Sierra Leone
This operations research study in Sierra Leone observed the impact of a participatory community-based health information system (PCBHIS) approach to community engagement. The study showed improved results on selected CHW performance indicators at intervention sites, but more limited improvements in ward development committee and health management committee capacity. … [Read more...] about Piloting a participatory, community-based health information system for strengthening community-based health services: findings of a cluster-randomized controlled trial in the slums of Freetown, Sierra Leone