Innovation in supervision and support of community health workers for better newborn survival in southern Tanzania

被引：11

作者：

Mkumbo, Elibariki ^{[1
]}

Hanson, Claudia ^{[1
,2
,3
]}

Penfold, Suzanne ^{[3
]}

Manzi, Fatuma ^{[1
]}

Schellenberg, Joanna ^{[3
]}

机构：

[1] Ifakara Hlth Inst, Mikocheni Dar Es Salaam, Tanzania

[2] Karolinska Inst, Dept Publ Hlth Sci, S-17177 Stockholm, Sweden

[3] London Sch Hyg & Trop Med, Dept Dis Control, London WC1E 7HT, England

来源：

International Health | 2014年 / 6卷 / 04期

基金：

比尔及梅琳达.盖茨基金会;

关键词：

Community health workers; Newborn health; Supervision; Tanzania;

D O I：

10.1093/inthealth/ihu016

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Home visits by community health workers may help to improve newborn survival, but sustained high-quality supervision of community volunteers is challenging. Objectives: To compare facility-led and community-linked supervision approaches of 824 community health volunteers working to improve newborn care in Southern Tanzania. Methods: Using a before-after design, we compared 6 months of supervision reports from each approach. Results: During the community-linked approach over 50 times more supervision contacts were recorded than during the facility-only supervision approach (1.04 contacts per volunteer per month vs 0.02), and the volunteer-supervisor ratio reduced from 7.8 to 1.6. Conclusion: Involving community leaders has the potential to improve supervision of community health volunteers.

引用

页码：339 / 341

页数：3

共 6 条

[1]

Borghi J, 2013, STUDY PROTOCOL IMPRO

[2] Increasing community health worker productivity and effectiveness: a review of the influence of the work environment [J].