Cluster Randomized Trial

Home visits versus fixed-site care by community health workers and child survival: a cluster-randomized trial, Mali

This study tested whether proactive home visits by trained community health workers (CHWs) could improve child survival in rural Mali. Over three years, nearly 32,000 children were enrolled in a trial comparing two groups: one receiving regular home visits from CHWs and the other receiving care at a fixed location. Both groups benefited from improved health services and … [Read more...] about Home visits versus fixed-site care by community health workers and child survival: a cluster-randomized trial, Mali

This study developed and tested a 5-day training program for Accredited Social Health Activists (ASHAs), female community health workers in India, focusing on non-communicable diseases (NCDs). In a randomized trial in Tehri-Garhwal district, 36 ASHAs participated. The program significantly increased NCD knowledge among ASHAs compared to controls. ASHAs in the intervention group … [Read more...] about Development and evaluation of a training program on non-communicable diseases to empower community health workers in rural India

This study in rural Madagascar explored expanding malaria community case management (mCCM) to all age groups to enhance access to malaria care. Thirty health centers and associated community health workers (CHWs) were involved, with half implementing mCCM for all ages and the other half restricted to children under 5. Results showed a nearly threefold increase in care-seeking … [Read more...] about Expanding community case management of malaria to all ages can improve universal access to malaria diagnosis and treatment results from a cluster randomized trial in Madagascar

This study tested a village doctor-led strategy to control blood pressure (BP) in rural China over 36 months. Village doctors, who provide basic primary care, managed hypertension through a stepped-care protocol, delivering medications, and offering health coaching on lifestyle changes and BP monitoring. In 326 villages, patients aged 40 and older with high BP were randomly … [Read more...] about Long-term effectiveness of a village doctor-led multifaceted strategy on blood pressure control: a cluster randomized trial