Community health worker home visiting in deeply rural South Africa: 12-month outcomes
Home visiting by community health workers (CHW) improves child outcomes in efficacy trials, there is however limited evidence of impact evaluating CHW programmes when operating outside of a research project. A CHW programme, previously demonstrated efficacious in a peri-urban township, was evaluated...
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| Veröffentlicht in: | Global public health 2021-11, Vol.16 (11), p.1757-1770 |
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| creator | Stansert Katzen, Linnea le Roux, Karl W. Almirol, Ellen Hayati Rezvan, Panteha le Roux, Ingrid M. Mbewu, Nokwanele Dippenaar, Elaine Baker, Venetia Tomlinson, Mark Rotheram-Borus, Mary Jane |
| description | Home visiting by community health workers (CHW) improves child outcomes in efficacy trials, there is however limited evidence of impact evaluating CHW programmes when operating outside of a research project. A CHW programme, previously demonstrated efficacious in a peri-urban township, was evaluated in a deeply rural context in a non-randomised comparative cohort study. Two non-contiguous, rural areas in the Eastern Cape of South Africa of about equal size and density were identified and 1469 mother-infant pairs were recruited over 33 months. In one area, CHWs conducted perinatal home visits (intervention group). Mothers in the comparison group received standard clinic care. Maternal and child outcomes were compared between the groups at one year. Mothers in the intervention group had significantly fewer depressive symptoms than mothers in the comparison group. Children of intervention mothers attained a higher proportion of their developmental milestones, compared to children in the comparison group. There were no other significant differences between mothers and children in the two groups. It is important to establish key parameters for implementing efficacious CHW programmes, especially as the numbers of CHWs are rapidly increased and are becoming critical components of task-shifting strategies of health departments in low and middle income countries (LMIC). |
| doi_str_mv | 10.1080/17441692.2020.1833960 |
| format | Article |
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A CHW programme, previously demonstrated efficacious in a peri-urban township, was evaluated in a deeply rural context in a non-randomised comparative cohort study. Two non-contiguous, rural areas in the Eastern Cape of South Africa of about equal size and density were identified and 1469 mother-infant pairs were recruited over 33 months. In one area, CHWs conducted perinatal home visits (intervention group). Mothers in the comparison group received standard clinic care. Maternal and child outcomes were compared between the groups at one year. Mothers in the intervention group had significantly fewer depressive symptoms than mothers in the comparison group. Children of intervention mothers attained a higher proportion of their developmental milestones, compared to children in the comparison group. There were no other significant differences between mothers and children in the two groups. It is important to establish key parameters for implementing efficacious CHW programmes, especially as the numbers of CHWs are rapidly increased and are becoming critical components of task-shifting strategies of health departments in low and middle income countries (LMIC).</description><identifier>ISSN: 1744-1692</identifier><identifier>EISSN: 1744-1706</identifier><identifier>DOI: 10.1080/17441692.2020.1833960</identifier><identifier>PMID: 33091320</identifier><language>eng</language><publisher>England: Taylor & Francis</publisher><subject>Children ; Clinical outcomes ; Cohort analysis ; Community health workers ; Critical components ; Density ; Domiciliary visits ; Efficacy ; Health ; Health planning ; Health visiting ; HIV ; home visiting programmes ; Infants ; Intervention ; Low income groups ; malnutrition ; Maternal and infant welfare ; maternal depression ; Medical workers ; Mental depression ; Mothers ; Perinatal ; Program implementation ; Research projects ; Rural areas ; Rural communities ; Workers</subject><ispartof>Global public health, 2021-11, Vol.16 (11), p.1757-1770</ispartof><rights>2020 Informa UK Limited, trading as Taylor & Francis Group 2020</rights><rights>2020 Informa UK Limited, trading as Taylor & Francis Group</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c394t-65d8247e123a0e809ec981de7cddda7cc20fc83910a3148dab199d5a640f50843</citedby><cites>FETCH-LOGICAL-c394t-65d8247e123a0e809ec981de7cddda7cc20fc83910a3148dab199d5a640f50843</cites><orcidid>0000-0001-9340-8635 ; 0000-0001-6360-8388 ; 0000-0001-6395-5187 ; 0000-0002-0938-5109 ; 0000-0002-9864-6488 ; 0000-0001-5846-3444 ; 0000-0002-0554-2111</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/17441692.2020.1833960$$EPDF$$P50$$Ginformaworld$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/17441692.2020.1833960$$EHTML$$P50$$Ginformaworld$$H</linktohtml><link.rule.ids>314,776,780,27845,27903,27904,30978,33753,59623,60412</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33091320$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stansert Katzen, Linnea</creatorcontrib><creatorcontrib>le Roux, Karl W.</creatorcontrib><creatorcontrib>Almirol, Ellen</creatorcontrib><creatorcontrib>Hayati Rezvan, Panteha</creatorcontrib><creatorcontrib>le Roux, Ingrid M.</creatorcontrib><creatorcontrib>Mbewu, Nokwanele</creatorcontrib><creatorcontrib>Dippenaar, Elaine</creatorcontrib><creatorcontrib>Baker, Venetia</creatorcontrib><creatorcontrib>Tomlinson, Mark</creatorcontrib><creatorcontrib>Rotheram-Borus, Mary Jane</creatorcontrib><title>Community health worker home visiting in deeply rural South Africa: 12-month outcomes</title><title>Global public health</title><addtitle>Glob Public Health</addtitle><description>Home visiting by community health workers (CHW) improves child outcomes in efficacy trials, there is however limited evidence of impact evaluating CHW programmes when operating outside of a research project. A CHW programme, previously demonstrated efficacious in a peri-urban township, was evaluated in a deeply rural context in a non-randomised comparative cohort study. Two non-contiguous, rural areas in the Eastern Cape of South Africa of about equal size and density were identified and 1469 mother-infant pairs were recruited over 33 months. In one area, CHWs conducted perinatal home visits (intervention group). Mothers in the comparison group received standard clinic care. Maternal and child outcomes were compared between the groups at one year. Mothers in the intervention group had significantly fewer depressive symptoms than mothers in the comparison group. Children of intervention mothers attained a higher proportion of their developmental milestones, compared to children in the comparison group. There were no other significant differences between mothers and children in the two groups. It is important to establish key parameters for implementing efficacious CHW programmes, especially as the numbers of CHWs are rapidly increased and are becoming critical components of task-shifting strategies of health departments in low and middle income countries (LMIC).</description><subject>Children</subject><subject>Clinical outcomes</subject><subject>Cohort analysis</subject><subject>Community health workers</subject><subject>Critical components</subject><subject>Density</subject><subject>Domiciliary visits</subject><subject>Efficacy</subject><subject>Health</subject><subject>Health planning</subject><subject>Health visiting</subject><subject>HIV</subject><subject>home visiting programmes</subject><subject>Infants</subject><subject>Intervention</subject><subject>Low income groups</subject><subject>malnutrition</subject><subject>Maternal and infant welfare</subject><subject>maternal depression</subject><subject>Medical workers</subject><subject>Mental depression</subject><subject>Mothers</subject><subject>Perinatal</subject><subject>Program implementation</subject><subject>Research projects</subject><subject>Rural areas</subject><subject>Rural communities</subject><subject>Workers</subject><issn>1744-1692</issn><issn>1744-1706</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp9kE9v2yAYh9G0aWnTfoROSLv04uzlj23oaVXUdpMi9dDmjAjghsw2Kdir8u1LlKSHHcYF9NPze4EHoSsCMwICfpCac1JJOqNAcyQYkxV8Qmf7vCA1VJ9P5wxN0HlKGwCeV_UVTRgDSRiFM7Sch64bez_s8NrpdljjtxD_uIjXoXP4r09-8P0L9j22zm3bHY5j1C1-CmNGb5vojb7BhBZd6HOQU5N76QJ9aXSb3OVxn6Ll_d3z_FexeHz4Pb9dFIZJPhRVaQXltSOUaXACpDNSEOtqY63VtTEUGiOYJKAZ4cLqFZHSlrri0JQgOJui68PcbQyvo0uD6nwyrm1178KYFOUlz8PL_Nkp-v4Puglj7PPrFC0Fo1RKKDNVHigTQ0rRNWobfafjThFQe-_q5F3tvauj99z7dpw-rjpnP1on0Rn4eQB834TY6Wy5tWrQuzbEJure-KTY_-94B3fjkHk</recordid><startdate>20211102</startdate><enddate>20211102</enddate><creator>Stansert Katzen, Linnea</creator><creator>le Roux, Karl W.</creator><creator>Almirol, Ellen</creator><creator>Hayati Rezvan, Panteha</creator><creator>le Roux, Ingrid M.</creator><creator>Mbewu, Nokwanele</creator><creator>Dippenaar, Elaine</creator><creator>Baker, Venetia</creator><creator>Tomlinson, Mark</creator><creator>Rotheram-Borus, Mary Jane</creator><general>Taylor & Francis</general><general>Taylor & Francis Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TQ</scope><scope>7U3</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DHY</scope><scope>DON</scope><scope>FQK</scope><scope>JBE</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9340-8635</orcidid><orcidid>https://orcid.org/0000-0001-6360-8388</orcidid><orcidid>https://orcid.org/0000-0001-6395-5187</orcidid><orcidid>https://orcid.org/0000-0002-0938-5109</orcidid><orcidid>https://orcid.org/0000-0002-9864-6488</orcidid><orcidid>https://orcid.org/0000-0001-5846-3444</orcidid><orcidid>https://orcid.org/0000-0002-0554-2111</orcidid></search><sort><creationdate>20211102</creationdate><title>Community health worker home visiting in deeply rural South Africa: 12-month outcomes</title><author>Stansert Katzen, Linnea ; 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| ispartof | Global public health, 2021-11, Vol.16 (11), p.1757-1770 |
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| source | PAIS Index; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); Taylor & Francis |
| subjects | Children Clinical outcomes Cohort analysis Community health workers Critical components Density Domiciliary visits Efficacy Health Health planning Health visiting HIV home visiting programmes Infants Intervention Low income groups malnutrition Maternal and infant welfare maternal depression Medical workers Mental depression Mothers Perinatal Program implementation Research projects Rural areas Rural communities Workers |
| title | Community health worker home visiting in deeply rural South Africa: 12-month outcomes |
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