Evidence map›Paper›PMID 29361926›Full record

ArticleBMC public health2018

Exploring the care provided to mothers and children by community health workers in South Africa: missed opportunities to provide comprehensive care.

A Wilford, S Phakathi, L Haskins, N A Jama, N Mntambo, C Horwood

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
6.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Barriers and enablers to postnatal care utilization in the Oshana region of Namibia: A qualitative study.European journal of obstetrics & gynecology and reproductive biology: X · 2025
    Article
  7. Community caregivers' perceptions: Family-centred postnatal care in KwaZulu-Natal, South Africa.African journal of primary health care & family medicine · 2025
    Article
  8. Article
  9. Article
  10. Home visits for preterm/low birthweight infants in South Africa: Qualitative evidence synthesis.African journal of primary health care & family medicine · 2024
    Article
  11. Article
  12. A call for linguistic and culturally congruent family-centred early hearing detection and intervention programmes in South Africa.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

A WilfordCentre for Rural Health, University of KwaZulu-Natal, 4th Floor George Campbell Building, Howard College campus, Durban, 4041, South Africa.
S PhakathiCentre for Rural Health, University of KwaZulu-Natal, 4th Floor George Campbell Building, Howard College campus, Durban, 4041, South Africa.
L HaskinsCentre for Rural Health, University of KwaZulu-Natal, 4th Floor George Campbell Building, Howard College campus, Durban, 4041, South Africa. haskins@ukzn.ac.za.
N A JamaCentre for Rural Health, University of KwaZulu-Natal, 4th Floor George Campbell Building, Howard College campus, Durban, 4041, South Africa.
N MntamboCentre for Rural Health, University of KwaZulu-Natal, 4th Floor George Campbell Building, Howard College campus, Durban, 4041, South Africa.
C HorwoodCentre for Rural Health, University of KwaZulu-Natal, 4th Floor George Campbell Building, Howard College campus, Durban, 4041, South Africa.
University of KwaZulu-Natal · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunity health workers (CHWs) provide maternal and child health services to communities in many low and middle-income countries, including South Africa (SA). CHWs can improve access to important health interventions for isolated and vulnerable communities. In this study we explored the performance of CHWs providing maternal and child health services at household level and the quality of the CHW-mother interaction.

methodsA qualitative study design was employed using observations and in-depth interviews to explore the content of household interactions, and experiences and perceptions of mothers and CHWs. Fifteen CHWs and 30 mothers/pregnant women were purposively selected in three rural districts of KwaZulu-Natal, SA. CHW household visits to mothers were observed and field notes taken, followed by in-depth interviews with mothers and CHWs. Observations and interviews were audio-recorded. We performed thematic analysis on transcribed discussions, and content analysis on observational data.

resultsCHWs provided appropriate and correct health information but there were important gaps in the content provided. Mothers expressed satisfaction with CHW visits and appreciation that CHWs understood their life experiences and therefore provided advice and support that was relevant and accessible. CHWs expressed concern that they did not have the knowledge required to undertake all activities in the household, and requested training and support from supervisors during household visits.

conclusionsKey building blocks for a successful CHW programme are in place to provide services for mothers and children in households but further training and supervision is required if the gaps in CHW knowledge and skills are to be filled.

Indexed as

Community Health WorkersHouse CallsQuality of Health CareClinical CompetenceComprehensive Health CareFemaleHumansInfantInfant, NewbornMaternal-Child Health ServicesObservationPregnancyQualitative ResearchRural PopulationSouth Africachild healthcommunity health workersmaternal healthSouth Africa

Identifiers

PMID29361926
PMCPMC5781263
OpenAlexW2792052679

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.