This report shows the preliminary results of the USAID SQALE Program model for quality improvement at a community level. Community health volunteers have improved reporting, community engagement with the health care system, and efficiency and performance.
This qualitative study looks at the perceptions of community health workers on the outcomes of the Home-Based Neonatal Care Program in India. The authors found that having local women participate in development programs results in both the potential for self-development and the program objective.
This study investigate the impact of two umbilical cord cleansing regimens on neonatal morality and morbidity in a rural region in the Sylhet District of Bangladesh. The study used data from a previously performed community-based cluster-randomized trail. Community health workers checked the newborns for the first nine days of life for infections. The authors found that identifying and following up with high-risk mothers and newborns along with clean cord care can decrease the rate of neonatal infections and deaths.
This study tested a 10 week home-based intervention by promotoras to promote a healthy weight in Latino preschool children. The intervention involved weekly 90 minute sessions to Latin families in Allegheny County, Pennsylvania. At the follow-up, overweight and obese children had a significnat decrease in BMI. Post-intervention showed an increase in fruit and vegetable intake and decrease in screen time for children and parents, an increase in physical activity for parents, and a decrease in saturated fat and added-sugar intake for children (p's<0.05).
While community health workers (CHWs) often identify and screen for severe acute malnutrition (SAM), this study looks at incorporating SAM treatment into the work of CHWs. The results from a randomized intervention study in Kita, Southwest Mali, indicated that with minimal training CHWs can treat SAM appropriately, which could result in lower defaulter ratios and improve access to treatment.
This study protocol outlines the type 2 hybrid effectiveness-implementation study that was used to test an integrated maternal and child health intervention based in the community health worker system in rural Nepal.
This analysis covers a 7-year interrupted time series that investigated early access to care and under-five morality during a proactive community case management intervention in periurban Mali. Prevalence of febrile illness in children under 5 years went from 39.7% to 22.6% in 7 years. Early antimalarial treatment more than doubled for young children under 5. Under-five mortality lowered to 7/1000 in 2015.
This paper examines the perspective of community members on the Children's Oral Health Initiative (COHI) who have children enrolled in the program through interviews. The authors found that local, community-based oral health prevention programs are perceived by the community to be beneficial.