ArticleBMC health services research2020
Remuneration systems of community health workers in India and promoted maternal health outcomes: a cross-sectional study.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of measures taken by governments to support hand hygiene in community settings: a systematic review.BMJ global health · 2025Pooled it
- Exploring supplemental immunization strategies to reach zero-dose children in low- and middle-income countries: a scoping review.Therapeutic advances in vaccines and immunotherapy · 2026Article
- Financial motivation models for community health workers in low- and middle-income countries: a scoping review.Global health action · 2025Article
- Effects of financial compensation structures on community health worker performance, motivation, and retention: evidence from a multi-arm quasi-experiment in Uganda.Frontiers in health services · 2025Article
- Association between the use of Accredited Social Health Activist (ASHA) services and uptake of institutional deliveries in India.PLOS global public health · 2024Article
- Article
- Design, Development, and Testing of BEST4Baby, an mHealth Technology to Support Exclusive Breastfeeding in India: Pilot Study.JMIR formative research · 2022Article
- Review
- Facilitating behavioral change: A comparative assessment of ASHA efficacy in rural Bihar.PLOS global public health · 2022Article
- Charting the Rights of Community Health Workers in India: The Next Frontier of Universal Health Coverage.Health and human rights · 2021Article
- The architecture of the primary mental healthcare system for older people in India: what public policies tell us.International journal of mental health systems · 2021Article
- Does engagement with frontline health workers improve maternal and child healthcare utilisation and outcomes in India?Human resources for health · 2021Article
- From direct engagement to technical support: a programmatic evolution to improve large community health worker programs in Bihar, India.BMJ global health · 2021Article
- Designing a mobile health smokeless tobacco cessation intervention in Odisha, India: User and provider perspectives.Digital healthArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study assessed the association of remuneration systems of paid-for-performance Accredited Social Health Activists (ASHAs) and salaried Anganwadi workers (AWWs) on seven maternal health outcomes in four states in India: Andhra Pradesh (AP), Chhattisgarh, Odisha (Orissa), and Uttar Pradesh (UP).
methodsThe cross-sectional study surveyed mothers of children aged 6-23 months. A total of 3455 mothers were selected via multistage cluster sampling. The seven health outcomes related to the community health worker (CHW) visits were: institutional delivery, complete immunization, exclusive breastfeeding for six months, timely introduction of complementary feeding, continued breastfeeding during child's illness, handwashing, and awareness of Nutrition and Health Days (NHDs).
resultsThe results varied by state. Mothers who received ASHA visits were significantly less likely to have an institutional delivery, timely introduction of complementary feeding, awareness of Nutrition and Health Days (NHDs), proper handwashing, and exclusive breastfeeding for the first six months in at least one of the four states. Conversely, AWW's home visits were positively predictive of the following health outcomes in certain states: complete immunization for index child, continued breastfeeding during the child's illness, handwashing, and awareness of NHDs.
conclusionsASHAs' home visits were not more strongly associated with health outcomes for which they were paid than outcomes for which they were unpaid. AWWs' home visits were positively associated with awareness of NHDs, and associations varied for other recommended health behaviors. Further research could elucidate the causes for successes and failures of CHW programs in different states of India.
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