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Under-five mortality before and after implementation of the Liberia National Community Health Assistant (NCHA)
Dominik Jockers1, Richard Ngafuan2, Till Baernighausen1,3,4
1Institute of Global Health, University Hospital Heidelberg, Heidelberg, Germany.
Plos One
|March 1, 2024
Summary
Liberia
Area of Science:
- Global Health
- Public Health
- Health Services Research
Background:
- Liberia's National Community Health Assistant (NCHA) program aimed to enhance maternal and child healthcare in rural areas.
- Community health worker (CHW) programs show promise, but large-scale governmental impact on child mortality remains understudied.
Purpose of the Study:
- To evaluate the impact of Liberia's NCHA program on under-5 child mortality.
- To provide evidence on the effectiveness of scaled governmental CHW initiatives.
Main Methods:
- A cluster-sampled, community-based survey in Grand Bassa District, Liberia.
- Retrospective assessment of births and deaths using landmark event calendars.
- Mixed-effects Cox proportional hazards model comparing pre- and post-NCHA implementation periods, utilizing staggered rollout.
Main Results:
- This section is to be populated upon study completion.
Conclusions:
- This study will be the first to quantify the effect of the Liberian NCHA program on under-5 mortality.
- Findings will inform future public health strategies in similar low-resource settings.
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