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dc.contributor.authorAger, Alastair
dc.contributor.authorUzondu, C. A.
dc.contributor.authorDoctor, H. V.
dc.contributor.authorFindley, S. E.
dc.contributor.authorAfenyadu, G. Y.
dc.date.accessioned2018-06-29T22:02:10Z
dc.date.available2018-06-29T22:02:10Z
dc.date.issued2015-09
dc.identifierER4228
dc.identifier.citationUzondu, C., Doctor, H., Findley, S., Afenyadu, G. & Ager, A. (2015) Female Health Workers at the Doorstep: A Pilot of Community-Based Maternal, Newborn, and Child Health Service Delivery in Northern Nigeria, Global Health: Science and Practice, vol. 3, , pp. 97-108,
dc.identifier.issn2169-575X
dc.identifier.urihttp://dx.doi.org/10.9745/GHSP-D-14-00117
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/4228
dc.description.abstractIntroduction: Nigeria has one of the highest maternal mortality ratios in the world. Poor health outcomes are linked to weak health infrastructure, barriers to service access, and consequent low rates of service utilization. In the northern state of Jigawa, a pilot study was conducted to explore the feasibility of deploying resident female Community Health Extension Workers (CHEWs) to rural areas to provide essential maternal, newborn, and child health services. Methods: Between February and August 2011, a quasi-experimental design compared service utilization in the pilot community of Kadawawa, which deployed female resident CHEWs to provide health post services, 24/7 emergency access, and home visits, with the control community of Kafin Baka. In addition, we analyzed data from the preceding year in Kadawawa, and also compared service utilization data in Kadawawa from 2008-2010 (before introduction of the pilot) with data from 2011-2013 (during and after the pilot) to gauge sustainability of the model. Results: Following deployment of female CHEWs to Kadawawa in 2011, there was more than a 500% increase in rates of health post visits compared with 2010, from about 1.5 monthly visits per 100 population to about 8 monthly visits per 100. Health post visit rates were between 1.4 and 5.5 times higher in the intervention community than in the control community. Monthly antenatal care coverage in Kadawawa during the pilot period ranged from 11.9% to 21.3%, up from 0.9% to 5.8% in the preceding year. Coverage in Kafin Baka ranged from 0% to 3%. Facility-based deliveries by a skilled birth attendant more than doubled in Kadawawa compared with the preceding year (105 vs. 43 deliveries total, respectively). There was evidence of sustainability of these changes over the 2 subsequent years. Conclusion: Community-based service delivery through a resident female community health worker can increase health service utilization in rural, hard-to-reach areas.
dc.format.extent97-108
dc.relation.ispartofGlobal Health: Science and Practice
dc.titleFemale Health Workers at the Doorstep: A Pilot of Community-Based Maternal, Newborn, and Child Health Service Delivery in Northern Nigeria
dc.typearticle
dcterms.accessRightspublic
dc.description.facultysch_iih
dc.description.volume3
dc.identifier.doihttp://doi:10.9745/GHSP-D-14-00117
dc.description.ispublishedpub
dc.description.eprintid4228
rioxxterms.typearticle
refterms.dateFCA2016-11-02
refterms.dateFCD2016-11-02
qmu.authorAger, Alastair
qmu.centreInstitute for Global Health and Development
dc.description.statuspub
dc.description.number1


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