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Int Health. 2014 Dec;6(4):339-41. doi: 10.1093/inthealth/ihu016. Epub 2014 Apr 7.

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

Author information

1
Ifakara Health Institute, Plot 463 Kiko Avenue, Mikocheni Dar es Salaam, Tanzania emkumbo@ihi.or.tz.
2
Ifakara Health Institute, Plot 463 Kiko Avenue, Mikocheni Dar es Salaam, Tanzania Department of Public Health Sciences, Karolinska Institutet, Widerströmska Huset, 17177 Stockholm, Sweden Department of Disease Control, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK.
3
Department of Disease Control, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK.
4
Ifakara Health Institute, Plot 463 Kiko Avenue, Mikocheni Dar es Salaam, Tanzania.

Abstract

BACKGROUND:

Home visits by community health workers may help to improve newborn survival, but sustained high-quality supervision of community volunteers is challenging.

OBJECTIVES:

To compare facility-led and community-linked supervision approaches of 824 community health volunteers working to improve newborn care in Southern Tanzania.

METHODS:

Using a before-after design, we compared 6 months of supervision reports from each approach.

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.

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.

KEYWORDS:

Community health workers; Newborn health; Supervision; Tanzania

PMID:
24711599
DOI:
10.1093/inthealth/ihu016
[Indexed for MEDLINE]

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