Home visits by community health workers for pregnant mothers and newborns
Coverage plateau in Malawi
Bibliographic Data
| ID | 19552131 |
|---|---|
| Authors | Tanya Guenther (0000-0002-5192-2983, Save the Children), Humphreys Nsona (Ministry of Health), Regina Makuluni (0000-0001-9368-5456), Mike Chisema, Gomezgani Jenda, Jenda Gomezgani, Emmanuel Chimbalanga (Public Health Institute of Malawi), Salim Sadruddin (0000-0001-6023-2477, World Health Organization) |
| Year | 2019 |
| Volume | 9 |
| Issue | 1 |
| Pages | 010808-010808 |
| Publication date | 2019-06-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Global Health (JOURNAL) |
| Journal identifiers | ISSN: 2047-2978 • E-ISSN: 2047-2986 |
| Publisher | International Society of Global Health (PUBLISHER • GB) |
| DOI | 10.7189/jogh.09.010808 |
| PMID | 31275568 |
| OpenAlex | W2955493878 |
| Language | EN |
| Citations received | 8 |
| References cited | 16 |
BACKGROUND: Home visits by community health workers (CHWs) during pregnancy and soon after delivery are recommended to improve newborn survival. However, as the roles of CHWs expand, there are concerns regarding the capacity of community health systems to deliver high effective coverage of home visits. The WHO's Rapid Access Expansion (RAcE) program supported the Malawi Ministry of Health to align their Community-Based Maternal and Newborn Care (CBMNC) package with the latest WHO guidelines and to implement and evaluate the feasibility and coverage of home visits in Ntcheu district. METHODS: A population-based survey of 150 households in Ntcheu district was conducted in July-August 2016 after approximately 10 months of CBMNC implementation. Thirty clusters were selected proportional-to-size using the most recent census. In selected clusters, five households with mothers of children under six months of age were randomly selected for interview. The Health Surveillance Assistants (HSAs) providing community-based services to the same clusters were purposively selected for a structured interview and register review. RESULTS: = 0.00). Most HSAs had the necessary equipment and supplies and were active in CBMNC: 83.9% (95% CI = 70.2%-97.6%) of HSAs had pregnancy home visits and 77.4% (95% CI = 61.8%-93.0%) had postnatal home visits documented in their registers for the previous three months. CONCLUSIONS: We found low coverage of home visits during pregnancy and soon after delivery in a well-supported program delivery environment. Most HSAs were conducting home visits, but not at the level needed to reach high coverage. These findings were similar to previous studies, calling into question the feasibility of the current visitation schedule. It is time to re-align the CBMNC package with what the existing platform can deliver and identify strategies to better support HSAs to implement home visits to those who would benefit most
Christian ministry · Community health · Confidence interval · Environmental health · Family medicine · House call · Population · Postnatal Care · Pregnancy · Public health · Demography · Global Maternal and Child Health · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Mobile Health and mHealth Applications · Nursing · Pediatrics
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| Unique citing works | 8 |
|---|---|
| Citations per year | 1,6 |
| Citation span | 2021 - 2024 (4) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 8 |