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The Impact of Paraprofessional versus Volunteer-Driven Home Visiting Programs on the Wellbeing of Orphans and Vulnerable Children: Evidence from a Longitudinal Evaluation in KwaZulu-Natal, South Africa

by

Authors: Thurman TR, Kidman R, and TM Taylor

This brief describes the findings and program implications from a study designed to develop critical knowledge on “what works” to improve the well-being of children affected by HIV and AIDS.  Community-based home visiting, in which care workers provide a range of support services during regular visits to the child’s home, is an increasingly popular service delivery approach in South Africa. However, there is enormous variation in how home visiting programs are implemented.  The aim of the study is to evaluate the relative impact on child wellbeing of a range of home visiting models. We hypothesized greater improvement among children enrolled in program models that are implemented by well-trained and compensated home visitors rather than lay volunteers. The findings in this report can be used to identify home visiting models that are likely to have the greatest impact on children’s wellbeing, and subsequently inform program improvement and resource allocation decisions.

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Resource Topic: CHW Role, Care Teams, Community Health Workers/Volunteers, HIV and AIDS, Integrated Management of Childhood Illness/IMCI

Resource Type: Evaluation, Issue papers, Research

Year: 2013

Region:

Country: South Africa

Publisher May Restrict Access: No

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