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Evaluating the implementation of community volunteer assessment and referral of sick babies: lessons learned from the Ghana Newhints home visits cluster randomized controlled trial.

Ansah Manu A, ten Asbroek A, Soremekun S, Gyan T, Weobong B, Tawiah-Agyemang C, Danso S, Amenga-Etego S, Owusu-Agyei S, Hill Z, Kirkwood BR - Health Policy Plan (2014)

Bottom Line: In Newhints, volunteers (CBSVs) were trusted by families, their visits were acceptable and they engaged mothers/families in decisions, resulting in unprecedented 86% referral compliance and increased (55-77%) care seeking for sick newborns.Poor facility care quality, characterized by poor health worker attitudes, limited the mortality reduction.The important implication for future implementation of home visits in similar settings is that, with 100% specificity but 80% sensitivity of referral decisions, volunteers might miss some danger signs but if successful implementation must translate into mortality reductions, concurrent improvement in facility newborn care quality is imperative.

View Article: PubMed Central - PubMed

Affiliation: Kintampo Health Research Centre, Ghana Health Service, P.O. Box 200, Kintampo, Brong Ahafo Region, Ghana, Department of Public Health, Academic Medical Centre, Amsterdam, The Netherlands, Department of Nutrition and Public Health Intervention Research, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK and Institute of Child Health, University College London, 30 Guilford Street, London WC1N 1EH, UK Kintampo Health Research Centre, Ghana Health Service, P.O. Box 200, Kintampo, Brong Ahafo Region, Ghana, Department of Public Health, Academic Medical Centre, Amsterdam, The Netherlands, Department of Nutrition and Public Health Intervention Research, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK and Institute of Child Health, University College London, 30 Guilford Street, London WC1N 1EH, UK alex.manu@kintampo-hrc.org.

No MeSH data available.


Map of the Ghana showing Newhints study districts and locations from where newborns were referred in Newhints.
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czu080-F1: Map of the Ghana showing Newhints study districts and locations from where newborns were referred in Newhints.

Mentions: Four main district hospitals located in urban centres (Figure 1) act as referral destinations for over 80 other facilities serving the area. All communities (populations of people living in a confined geographical area, either in villages or towns, but with the same chieftaincy or political administration) have community-based surveillance volunteers (CBSVs), selected by their communities to support district health management teams (DHMTs) in community mobilization for health programmes. They are predominantly male (∼80%) with at least primary education (>90%).Figure 1.


Evaluating the implementation of community volunteer assessment and referral of sick babies: lessons learned from the Ghana Newhints home visits cluster randomized controlled trial.

Ansah Manu A, ten Asbroek A, Soremekun S, Gyan T, Weobong B, Tawiah-Agyemang C, Danso S, Amenga-Etego S, Owusu-Agyei S, Hill Z, Kirkwood BR - Health Policy Plan (2014)

Map of the Ghana showing Newhints study districts and locations from where newborns were referred in Newhints.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4202912&req=5

czu080-F1: Map of the Ghana showing Newhints study districts and locations from where newborns were referred in Newhints.
Mentions: Four main district hospitals located in urban centres (Figure 1) act as referral destinations for over 80 other facilities serving the area. All communities (populations of people living in a confined geographical area, either in villages or towns, but with the same chieftaincy or political administration) have community-based surveillance volunteers (CBSVs), selected by their communities to support district health management teams (DHMTs) in community mobilization for health programmes. They are predominantly male (∼80%) with at least primary education (>90%).Figure 1.

Bottom Line: In Newhints, volunteers (CBSVs) were trusted by families, their visits were acceptable and they engaged mothers/families in decisions, resulting in unprecedented 86% referral compliance and increased (55-77%) care seeking for sick newborns.Poor facility care quality, characterized by poor health worker attitudes, limited the mortality reduction.The important implication for future implementation of home visits in similar settings is that, with 100% specificity but 80% sensitivity of referral decisions, volunteers might miss some danger signs but if successful implementation must translate into mortality reductions, concurrent improvement in facility newborn care quality is imperative.

View Article: PubMed Central - PubMed

Affiliation: Kintampo Health Research Centre, Ghana Health Service, P.O. Box 200, Kintampo, Brong Ahafo Region, Ghana, Department of Public Health, Academic Medical Centre, Amsterdam, The Netherlands, Department of Nutrition and Public Health Intervention Research, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK and Institute of Child Health, University College London, 30 Guilford Street, London WC1N 1EH, UK Kintampo Health Research Centre, Ghana Health Service, P.O. Box 200, Kintampo, Brong Ahafo Region, Ghana, Department of Public Health, Academic Medical Centre, Amsterdam, The Netherlands, Department of Nutrition and Public Health Intervention Research, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK and Institute of Child Health, University College London, 30 Guilford Street, London WC1N 1EH, UK alex.manu@kintampo-hrc.org.

No MeSH data available.