Innovation in supervision and support of community health workers for better newborn survival in southern Tanzania.


Mkumbo, E; Hanson, C; Penfold, S; Manzi, F; Schellenberg, J; (2014) Innovation in supervision and support of community health workers for better newborn survival in southern Tanzania. Int Health, 6 (4). pp. 339-41. ISSN 1876-3405 DOI: https://doi.org/10.1093/inthealth/ihu016

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Abstract

BACKGROUND: Home visits by community health workers may help to improve newborn survival, but sustained high-quality supervision of community volunteers is challenging.<br/> OBJECTIVES: To compare facility-led and community-linked supervision approaches of 824 community health volunteers working to improve newborn care in Southern Tanzania.<br/> METHODS: Using a before-after design, we compared 6 months of supervision reports from each approach.<br/> RESULTS: During the community-linked approach over 50 times more supervision contacts were recorded than during the facility-only supervision approach (1.04 contacts per volunteer per month vs 0.02), and the volunteer-supervisor ratio reduced from 7.8 to 1.6.<br/> CONCLUSION: Involving community leaders has the potential to improve supervision of community health volunteers. ClinicalTrials.gov Identifier: NCT01022788; http://clinicaltrials.gov/ct2/show/NCT01022788?term=INSIST&rank=1.<br/>

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Disease Control
Research Centre: Centre for Maternal, Reproductive and Child Health (MARCH)
Tropical Epidemiology Group
PubMed ID: 24711599
Web of Science ID: 348824600013
URI: http://researchonline.lshtm.ac.uk/id/eprint/1898268

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