ArticleInternational journal for equity in health2017
Differential effects of community health worker visits across social and economic groups in Uttar Pradesh, India: a link between social inequities and health disparities.
Article in International journal for equity in health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Health extension service utilization in Ethiopia: systematic review and meta-analysis.BMC health services research · 2024Pooled 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
- Effects of community health worker interventions on socioeconomic inequities in maternal and newborn health in low-income and middle-income countries: a mixed-methods systematic review.BMJ global health · 2019Pooled it
- Evaluation of community health worker's performance at home-based newborn assessment supported by mHealth in rural Bangladesh.BMC pediatrics · 2022Trial
- Knowledge and Perceptions of the Healthcare Providers Related to Sickle Cell Disease: A Qualitative Study from Chhotaudepur District of Gujarat.Journal of racial and ethnic health disparities · 2026Article
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- Community members' perceptions of community health workers in Melusi, Tshwane, South Africa.African journal of primary health care & family medicine · 2024Article
- Towards achievement of Sustainable Development Goal 3: multilevel analyses of demographic and health survey data on health insurance coverage and maternal healthcare utilisation in sub-Saharan Africa.International health · 2023Article
- Indigenous population and major depressive disorder in later life: a study based on the data from Longitudinal Ageing Study in India.BMC public health · 2022Article
- Evaluating the moderating role of accredited social health activists on adverse birth outcomes in rural India.Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives · 2022Article
- Accessing Antenatal Care (ANC) services during the COVID-19 first wave: insights into decision-making in rural India.Reproductive health · 2022Article
- Peripheral health workers' knowledge and experience related to sickle cell disease: an in-depth interview study in six tribal-dominated districts of India.Journal of community genetics · 2022Article
- Barriers in reaching new-borns and infants through home visits: A qualitative study using nexus planning framework.Frontiers in public health · 2022Article
- Association of identification of facility and transportation for childbirth with institutional delivery in high priority districts of Uttar Pradesh, India.BMC pregnancy and childbirth · 2021Article
- Heterogeneity of Modern Contraceptive Use among Urban Slum and Nonslum Women in Kinshasa, DR Congo: Cross-Sectional Analysis.International journal of environmental research and public health · 2021Article
- Article
- Understanding Implementation and Improving Nutrition Interventions: Barriers and Facilitators of Using Data Strategically to Inform the Implementation of Maternal Nutrition in Uttar Pradesh, India.Current developments in nutrition · 2021Article
- Does engagement with frontline health workers improve maternal and child healthcare utilisation and outcomes in India?Human resources for health · 2021Article
- Evaluating the effectiveness of Community Health Worker home visits on infant health: A quasi-experimental evaluation of Home Based Newborn Care Plus in India.Journal of global health · 2021Article
- From the frontlines to centre stage: resilience of frontline health workers in the context of COVID-19.Sexual and reproductive health matters · 2020Article
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Authors and funding
12 authors at 6 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUttar Pradesh (UP) accounts for the largest number of neonatal deaths in India. This study explores potential socio-economic inequities in household-level contacts by community health workers (CHWs) and whether the effects of such household-level contacts on receipt of health services differ across populations in this state.
methodsA multistage sampling design identified live births in the last 12 months across the 25 highest-risk districts of UP (N = 4912). Regression models described the relations between household demographics (caste, religion, wealth, literacy) and CHW contact, and interactions of demographics and CHW contact in predicting health service utilization (> = 4 antenatal care (ANC) visits, facility delivery, modern contraceptive use).
resultsNo differences were found in likelihood of CHW contact based on caste, religion, wealth or literacy. Associations of CHW contact with receipt of ANC and facility delivery were significantly affected by religion, wealth and literacy. CHW contact increased the odds of 4 or more ANC visits only among non-Muslim women, increased the odds of both four or more ANC visits and facility delivery only among lower wealth women, increased the odds of facility delivery to a greater degree among illiterate vs. literate women.
conclusionCHW visits play a vital role in promoting utilization of critical maternal health services in UP. However, significant social inequities exist in associations of CHW visits with such service utilization. Research to clarify these inequities, as well as training for CHWs to address potential biases in the qualities or quantity of their visits based on household socio-economic characteristics is recommended.
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