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dc.contributor.authorLuckow, Peter Wen_US
dc.contributor.authorKenny, Avien_US
dc.contributor.authorWhite, Emilyen_US
dc.contributor.authorBallard, Madeleineen_US
dc.contributor.authorDorr, Lorenzoen_US
dc.contributor.authorErlandson, Kirbyen_US
dc.contributor.authorGrant, Benjaminen_US
dc.contributor.authorJohnson, Aliceen_US
dc.contributor.authorLorenzen, Breannaen_US
dc.contributor.authorMukherjee, Subarnaen_US
dc.contributor.authorLy, E Johnen_US
dc.contributor.authorMcDaniel, Abigailen_US
dc.contributor.authorNowine, Netusen_US
dc.contributor.authorSathananthan, Vidiyaen_US
dc.contributor.authorSechler, Gerald Aen_US
dc.contributor.authorKraemer, John Den_US
dc.contributor.authorSiedner, Mark Jen_US
dc.contributor.authorPanjabi, Rajeshen_US
dc.date.accessioned2017-04-06T03:18:56Z
dc.date.issued2017en_US
dc.identifier.citationLuckow, P. W., A. Kenny, E. White, M. Ballard, L. Dorr, K. Erlandson, B. Grant, et al. 2017. “Implementation research on community health workers’ provision of maternal and child health services in rural Liberia.” Bulletin of the World Health Organization 95 (2): 113-120. doi:10.2471/BLT.16.175513. http://dx.doi.org/10.2471/BLT.16.175513.en
dc.identifier.issnen
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:32072009
dc.description.abstractAbstract Objective: To assess changes in the use of essential maternal and child health services in Konobo, Liberia, after implementation of an enhanced community health worker (CHW) programme. Methods: The Liberian Ministry of Health partnered with Last Mile Health, a nongovernmental organization, to implement a pilot CHW programme with enhanced recruitment, training, supervision and compensation. To assess changes in maternal and child health-care use, we conducted repeated cross-sectional cluster surveys before (2012) and after (2015) programme implementation. Findings: Between 2012 and 2015, 54 CHWs, seven peer supervisors and three clinical supervisors were trained to serve a population of 12 127 people in 44 communities. The regression-adjusted percentage of children receiving care from formal care providers increased by 60.1 (95% confidence interval, CI: 51.6 to 68.7) percentage points for diarrhoea, by 30.6 (95% CI: 20.5 to 40.7) for fever and by 51.2 (95% CI: 37.9 to 64.5) for acute respiratory infection. Facility-based delivery increased by 28.2 points (95% CI: 20.3 to 36.1). Facility-based delivery and formal sector care for acute respiratory infection and diarrhoea increased more in agricultural than gold-mining communities. Receipt of one-or-more antenatal care sessions at a health facility and postnatal care within 24 hours of delivery did not change significantly. Conclusion: We identified significant increases in uptake of child and maternal health-care services from formal providers during the pilot CHW programme in remote rural Liberia. Clinic-based services, such as postnatal care, and services in specific settings, such as mining areas, require additional interventions to achieve optimal outcomes.en
dc.language.isoen_USen
dc.publisherWorld Health Organizationen
dc.relation.isversionofdoi:10.2471/BLT.16.175513en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC5327932/pdf/en
dash.licenseLAAen_US
dc.subjectTheme Issueen
dc.titleImplementation research on community health workers’ provision of maternal and child health services in rural Liberiaen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalBulletin of the World Health Organizationen
dash.depositing.authorErlandson, Kirbyen_US
dc.date.available2017-04-06T03:18:56Z
dc.identifier.doi10.2471/BLT.16.175513*
dash.authorsorderedfalse
dash.contributor.affiliatedErlandson, Kirby
dash.contributor.affiliatedPanjabi, Rajesh
dash.contributor.affiliatedSiedner, Mark


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