ArticleGlobal health, science and practice2015
Female health workers at the doorstep: a pilot of community-based maternal, newborn, and child health service delivery in northern Nigeria.
Article in Global health, science and practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Integrated maternal, newborn and child-health strategies and interventions for reducing maternal and child mortality in Nigeria: a systematic review.BMC public health · 2026Pooled it
- Leading from behind the scenes: Community birth attendants, the unsung heroines of childhood vaccination in Ibadan urban slum communities.PLOS global public health · 2026Article
- The impact of fear of cancer recurrence on anxiety and depression in women with cancer: The chain mediating roles of financial toxicity and psychological distress - A multicenter investigative study.Asia-Pacific journal of oncology nursing · 2025Article
- Conceptualising hardship areas in Sub-Saharan Africa: a scoping review.International journal for equity in health · 2025Article
- Men as Midwifery Professionals: A Scoping Review.Birth (Berkeley, Calif.) · 2025Article
- A cross-sectional assessment of expanding basic healthcare services to rural and underserved communities through proprietary patent medicine vendors in Northern Nigeria.PLOS global public health · 2024Article
- Breaking the silence on gendered harassment and assault of community health workers: an analysis of ethnographic studies.BMJ global health · 2023Article
- Community Health Worker programmes' integration into national health systems: Scoping review.African journal of primary health care & family medicine · 2023Article
- Examining the gender imbalance in the National Community Health Assistant Programme in Liberia: a qualitative analysis of policy and Programme implementation.Health policy and planning · 2023Article
- Do health service contacts with community health workers influence the intention to use modern contraceptives among non-users in rural communities? Findings from a cross-sectional study in Nigeria.BMC health services research · 2023Article
- Review
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- Safety, Quality, and Acceptability of Contraceptive Implant Provision by Community Health Extension Workers versus Nurses and Midwives in Two States in Nigeria.Studies in family planning · 2021Article
- Engaging traditional barbers to identify and refer newborns for routine immunization services in Sokoto, Nigeria: a mixed methods evaluation.International journal of public health · 2020Article
- The effect of the community midwifery model on maternal and newborn health service utilization and outcomes in Busia County of Kenya: a quasi-experimental study.BMC pregnancy and childbirth · 2020Article
- Opportunities for gender transformative approaches in a community-based drowning reduction program in Bangladesh.International journal for equity in health · 2020Article
- Inequities in the use of sulphadoxine-pyrimethamine for malaria prophylaxis during pregnancy in Nigeria.Malawi medical journal : the journal of Medical Association of Malawi · 2020Article
- Why do women deliver where they had not planned to go? A qualitative study from peri-urban Nairobi Kenya.BMC pregnancy and childbirth · 2020Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionNigeria has one of the highest maternal mortality ratios in the world. Poor health outcomes are linked to weak health infrastructure, barriers to service access, and consequent low rates of service utilization. In the northern state of Jigawa, a pilot study was conducted to explore the feasibility of deploying resident female Community Health Extension Workers (CHEWs) to rural areas to provide essential maternal, newborn, and child health services.
methodsBetween February and August 2011, a quasi-experimental design compared service utilization in the pilot community of Kadawawa, which deployed female resident CHEWs to provide health post services, 24/7 emergency access, and home visits, with the control community of Kafin Baka. In addition, we analyzed data from the preceding year in Kadawawa, and also compared service utilization data in Kadawawa from 2008-2010 (before introduction of the pilot) with data from 2011-2013 (during and after the pilot) to gauge sustainability of the model.
resultsFollowing deployment of female CHEWs to Kadawawa in 2011, there was more than a 500% increase in rates of health post visits compared with 2010, from about 1.5 monthly visits per 100 population to about 8 monthly visits per 100. Health post visit rates were between 1.4 and 5.5 times higher in the intervention community than in the control community. Monthly antenatal care coverage in Kadawawa during the pilot period ranged from 11.9% to 21.3%, up from 0.9% to 5.8% in the preceding year. Coverage in Kafin Baka ranged from 0% to 3%. Facility-based deliveries by a skilled birth attendant more than doubled in Kadawawa compared with the preceding year (105 vs. 43 deliveries total, respectively). There was evidence of sustainability of these changes over the 2 subsequent years.
conclusionCommunity-based service delivery through a resident female community health worker can increase health service utilization in rural, hard-to-reach areas.
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