Evidence map›Paper›PMID 38427671›Full record

ArticlePloS one2024

Under-five mortality before and after implementation of the Liberia National Community Health Assistant (NCHA) program: A study protocol.

Dominik Jockers, Richard Ngafuan, Till Baernighausen, Albert Kessley, Emily E White, Avi Kenny, John Kraemer, John Geedeh, Jeffrey Rozelle, Leah Holmes and 7 more

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

17 authors.

Dominik JockersInstitute of Global Health, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0001-7352-2772
Richard NgafuanLast Mile Health, Monrovia, Liberia.
Till BaernighausenInstitute of Global Health, University Hospital Heidelberg, Heidelberg, Germany.
Albert KessleyLast Mile Health, Monrovia, Liberia.
Emily E WhiteLast Mile Health, Boston, Massachusetts, United States of America.
Avi KennyDepartment of Biostatistics, University of Washington School of Public Health, Seattle, WA, United States of America.
John KraemerDepartment of Health Management and Policy, Georgetown University School of Health, Washington, D.C., United States of America.
John GeedehGrand Bassa County Health Team, Buchanan, Liberia.
Jeffrey RozelleLast Mile Health, Boston, Massachusetts, United States of America.
Leah HolmesLast Mile Health, Boston, Massachusetts, United States of America.
Hawa ObajeLast Mile Health, Monrovia, Liberia.
Sylvester WhehMinistry of Health, Monrovia, Liberia.
Jon PedersenMikro, Oslo, Norway.
Mark J SiednerAfrica Health Research Institute (AHRI), KwaZulu-Natal, Durban, South Africa.
Savior MendinLast Mile Health, Monrovia, Liberia.
Marion SubahLast Mile Health, Monrovia, Liberia.
Lisa R HirschhornDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Between 2018 and 2022 the Liberian Government implemented the National Community Health Assistant (NCHA) program to improve provision of maternal and child health care to underserved rural areas of the country. Whereas the contributions of this and similar community health worker (CHW) based healthcare programs have been associated with improved process measures, the impact of a governmental CHW program at scale on child mortality has not been fully established. We will conduct a cluster sampled, community-based survey with landmark event calendars to retrospectively assess child births and deaths among all children born to women in the Grand Bassa District of Liberia. We will use a mixed effects Cox proportional hazards model, taking advantage of the staggered program implementation in Grand Bassa districts over a period of 4 years to compare rates of under-5 child mortality between the pre- and post-NCHA program implementation periods. This study will be the first to estimate the impact of the Liberian NCHA program on under-5 mortality.

Indexed as

Infant MortalityPublic HealthChildChild MortalityCommunity Health WorkersFemaleHumansLiberiaRetrospective Studies

Identifiers

PMID38427671
PMCPMC10906894

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Registered trials

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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.