ArticleBulletin of the World Health Organization2017
Implementation research on community health workers' provision of maternal and child health services in rural Liberia.
Article in Bulletin of the World Health Organization, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 4 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Analysis of the institutionalisation of Integrated Community Case Management and its implications for access to community healthcare since 2019 in Sub-Saharan Africa: a systematic review.BMC primary care · 2026Pooled it
- Factors Influencing Community Members' Perception of Primary Health Care Services Delivered by Community Health Workers in Rural Areas: A Systematic Review.The Australian journal of rural health · 2026Pooled it
- The role of community health worker-based care in post-conflict settings: a systematic review.Health policy and planning · 2023Pooled it
- Community health workers and health equity in low- and middle-income countries: systematic review and recommendations for policy and practice.International journal for equity in health · 2022Pooled it
- What makes embedded implementation research work? A multicountry synthesis of UNICEF-supported initiatives in low- and middle-income countries.Journal of global health · 2026Article
- Early impact of the Liberian National Community Health Assistant Program on under-five mortality in Grand Bassa County: A non-randomized stepped wedge evaluation.PLOS global public health · 2026Article
- Changes in child mortality and population health following 10 years of health systems strengthening in rural Madagascar: A longitudinal cohort study.PLoS medicine · 2025Article
- Implementation of antepartum preterm birth interventions: A scoping review.European journal of obstetrics & gynecology and reproductive biology: X · 2025Review
- Changing power narratives: an exemplar case study on the professionalisation of community health workers in Liberia.BMJ global health · 2024Article
- Inequalities in use of hospitals for childbirth among rural women in sub-Saharan Africa: a comparative analysis of 18 countries using Demographic and Health Survey data.BMJ global health · 2024Article
- Evaluation of a novel approach to community health care delivery in Ifanadiana District, Madagascar.PLOS global public health · 2024Article
- A repeated cross-sectional study of the association of community health worker intervention with the maternal continuum of care in rural Liberian communities.BMC pregnancy and childbirth · 2023Article
- Development of Prediction Models for Antenatal Care Attendance in Amhara Region, Ethiopia.JAMA network open · 2023Article
- A quality improvement approach in co-developing a primary healthcare package for raising awareness and managing female genital schistosomiasis in Nigeria and Liberia.International health · 2023Article
- Identifying Programmatic Factors that Increase Likelihood of Health Facility Delivery: Results from a Community Health Worker Program in Zanzibar.Maternal and child health journal · 2022Article
- Continuity of community-based healthcare provision during COVID-19: a multicountry interrupted time series analysis.BMJ open · 2022Article
- Article
- Impact of the Liberian National Community Health Assistant Program on childhood illness care in Grand Bassa County, Liberia.PLOS global public health · 2022Article
- Liberia's Community Health Assistant Program: Scale, Quality, and Resilience.Global health, science and practice · 2021Article
- Telehealth for Addressing Sexual and Reproductive Health and Rights Needs During the COVID-19 Pandemic and Beyond: A Hybrid Telemedicine-Community Accompaniment Model for Abortion and Contraception Services in Pakistan.Frontiers in global women's health · 2021Article
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18 authors.
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Abstract
objectiveTo 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.
methodsThe 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.
findingsBetween 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.
conclusionWe 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.
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