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Relationship of perinatal outcomes to the competence and quantity of contact with community health workers

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Authors: Mark Tomlinson, Mary Jane Rotheram-Borus, Linnea Stansert Katzen, William Gertsch, Ingrid le Roux, Elaine Dippenaar, Karl le Roux

This study examined how community health worker (CHW) behaviors impact maternal and child health outcomes in a rural home visit program. CHWs were assigned to either a standard care group or an intervention group with improved monitoring and supervision. Results showed that consistent home visits took 9–12 months to establish, with fewer visits due to COVID-19. More visits were linked to better antiretroviral therapy adherence and child grant access, but overall, CHW competency did not significantly affect outcomes. The study highlights the need for long-term investment, proper hiring, and strong management support to ensure the success of CHW programs.

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Resource Topic: CHW Role, Home visits, Maternal and Child Health

Resource Type: Mixed Methods

Year: 2025

Region: Sub-Saharan Africa (SSA)

Country: South Africa

Publisher May Restrict Access: No

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