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Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
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Published on: August 22, 2012

Can volunteer community health workers decrease child morbidity and mortality in southwestern Uganda? An impact

Jennifer L Brenner1, Jerome Kabakyenga, Teddy Kyomuhangi

  • 1Faculty of Medicine, Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada. hcu@ucalgary.ca

Plos One
|December 24, 2011
PubMed
Summary
This summary is machine-generated.

Volunteer community health workers significantly reduced child illness and mortality in rural Uganda. This sustainable, low-cost model shows high volunteer retention and potential for scalability in resource-limited regions.

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Area of Science:

  • Global Health
  • Public Health Interventions
  • Child Health in Sub-Saharan Africa

Background:

  • Limited understanding of community health worker (CHW) impact on child health in sub-Saharan Africa.
  • Healthy Child Uganda implemented a volunteer CHW model in rural Uganda.
  • Impact evaluation focused on child morbidity, mortality, and volunteer retention.

Purpose of the Study:

  • To assess the effect of volunteer CHWs on child morbidity and mortality.
  • To determine the retention rate of volunteer CHWs.
  • To evaluate a low-cost child health promotion model.

Main Methods:

  • Household surveys (baseline and post-intervention) in intervention and control areas.
  • Retrospective review of CHW reports on births and child deaths.
  • Focus group discussions to assess perceived effects.
  • Calculation of volunteer retention from administrative records.

Main Results:

  • 86% volunteer retention after 18-36 months.
  • Significant reductions in diarrhea (10.2%) and fever/malaria (5.8%) prevalence in intervention areas.
  • 5.1% reduction in underweight prevalence.
  • 53% relative decline in child deaths (<5 years) within the first 18 months.

Conclusions:

  • A low-cost volunteer CHW model effectively decreased child morbidity and mortality.
  • The model demonstrated high volunteer retention and sustainability.
  • This approach is scalable for resource-limited sub-Saharan African communities with high child health needs.