An estimated 2.8 million neonatal deaths occur annually worldwide, three-quarters in Africa and Asia. These deaths are due largely to preventable causes, with neonatal infection accounting for 24% of all neonatal deaths. In low-resource community-based settings, care-seeking for neonatal illnesses can be triggered through two paths. One is through household … [Read more...] about A systematic review of community-to-facility neonatal referral completion rates in Africa and Asia
Referral
Assessment of the uptake of neonatal and young infant referrals by community health workers to public health facilities in an urban informal settlement, KwaZulu-Natal, South Africa
Globally, 40% of the 7.6 million deaths of children under five every year occur in the neonatal period (first 28 days after birth). Increased and earlier recognition of illness facilitated by community health workers (CHWs), coupled with effective referral systems can result in better child health outcomes. This model has not been tested in a peri-urban poor setting in Africa, … [Read more...] about Assessment of the uptake of neonatal and young infant referrals by community health workers to public health facilities in an urban informal settlement, KwaZulu-Natal, South Africa
Household Surveillance of Severe Neonatal Illness by Community Health Workers in Mirzapur, Bangladesh: Coverage and Compliance with Referral
As part of a community-based package of maternal-neonatal health care, community health workers (CHWs) were trained to conduct household surveillance and to identify and refer sick newborns according to a clinical algorithm. Assessments of newborns by CHWs at home were linked to hospital-based assessments by physicians, and factors impacting referral, referral compliance and … [Read more...] about Household Surveillance of Severe Neonatal Illness by Community Health Workers in Mirzapur, Bangladesh: Coverage and Compliance with Referral
Management of sick children by community health workers: intervention models and programme examples
This report examines approaches for the community management of sick children, specifically antimicrobial treatments by CHWs. It is based on an extensive review of literature, including peer reviewed studies, reports, program descriptions and program evaluations. … [Read more...] about Management of sick children by community health workers: intervention models and programme examples
Systems support for task-shifting to community health workers
This paper outlines the importance of a systems approach when task shifting to CHWs, arguing that it cannot work unless close attention is paid to both the systems that support successful implementation and to needed expansion of human resources within the overall health care system. The paper incorporates discussion on taking a systems approach; the planning and regulatory … [Read more...] about Systems support for task-shifting to community health workers

