ArticlePublic health nutrition2021
Factors associated with home visits by volunteer community health workers to implement a home-fortification intervention in Bangladesh: a multilevel analysis.
Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- High adherence and its influencing factors on multiple micronutrient powders (MNPs).Maternal & child nutrition · 2022Pooled it
- Assessing the value-added contributions of community health workers and communities to early child development: a longitudinal study in a low-income setting.BMJ public health · 2025Article
- Prevalence and correlates of knowledge and practices regarding infection prevention and control, and triage in primary healthcare settings: A cross-sectional study in Bangladesh.Infection prevention in practice · 2023Article
- Article
- Impact of market-based home fortification with micronutrient powder on childhood anemia in Bangladesh: a modified stepped wedge design.Frontiers in nutrition · 2023Article
- Assessing sustainment of health worker outcomes beyond program end: Evaluation results from an infant and young child feeding intervention in Bangladesh.Frontiers in health services · 2022Article
- Making programmes worth their salt: Assessing the context, fidelity and outcomes of implementation of the double fortified salt programme in Uttar Pradesh, India.Maternal & child nutrition · 2022Article
- The Effects of Deworming and Multiple Micronutrients on Anaemia in Preschool Children in Bangladesh: Analysis of Five Cross-Sectional Surveys.Nutrients · 2021Article
- Strengthening the role of community health workers in supporting the recovery of ill, undernourished children post hospital discharge: qualitative insights from key stakeholders in Bangladesh and Kenya.BMC health services research · 2021Review
- What is the impact of removing performance-based financial incentives on community health worker motivation? A qualitative study from an infant and young child feeding program in Bangladesh.BMC health services research · 2021Article
- Implementation science in nutrition: a summary and synthesis.Public health nutrition · 2021Article
- Unintended consequences of programmatic changes to infant and young child feeding practices in Bangladesh.Maternal & child nutrition · 2021Article
- Evaluation of a training program for life skills education and financial literacy to community health workers in India: a quasi-experimental study.BMC health services research · 2021Article
- Caregiver perceived barriers to the use of micronutrient powder for children aged 6-59 months in Bangladesh.PloS one · 2021Article
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8 authors.
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Abstract
objectiveBRAC, an international development organization based in Bangladesh, engages community health workers called Shasthya Shebikas (SS) to implement home fortification of foods with micronutrient powders (MNP). We identified factors associated with home visits by SS, at different levels of the BRAC programme-delivery hierarchy, to implement home-fortification interventions.
designWe conducted a cross-sectional survey, semi-structured interviews, and collected programme-related data from sub-districts included in the caregiver survey of BRAC's home-fortification programme and performed multilevel logistic regression modelling to investigate factors associated with home visits by SS. SETTINGS: Sixty-eight sub-districts in Bangladesh.
participantsCaregivers of children aged 6-59 months (n 1408) and BRAC's SS (n 201).
resultsHouseholds with older children (0·55; 0·42, 0·72; P < 0·001) and located >300 m from the SS's house (0·67; 0·50, 0·89; P = 0·006) were less likely to have been visited by the SS, whereas those with caregivers who had ≥5 years of schooling (1·53; 1·10, 2·12; P = 0·011) were more likely to have been visited by the SS (adjusted OR; 95 % CI). Households in the catchment area of older SS aged >50 years (0·44; 0·21, 0·90; P = 0·025) were less likely to have been visited by the SS, whereas those with SS who received incentives of >800 BDT (3·00; 1·58, 5·58; P = 0·001) were more likely to have been visited by the SS (adjusted OR; 95 % CI).
conclusionsThe number of home visits is a function of the characteristics of SS, factors that characterize the households they serve and characteristics of their organizational context, particularly to implement home fortification of foods with MNP.
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