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HPP Supplement: Community care for mothers and newborns

published by Health Policy and Planning

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Of newborn deaths can be prevented by high-intensity community health workers (CHW) home visit programmes in high mortality settings
Deaths
Of maternal and newborn deaths occur in low- and middle-income countries (many still at home)
If CHWs reached 95% of pregnant women per 100,000 population, the cost would be USD1 per capita
Cost
CHWs need 
Skills
Supplies
Supervision
in order to reach newborns and women
98%
$1
South America
Africa
Cost per mother/baby
1. Tanzania: $19
2. Ghana: $22
3. Malawi: $25
4. Uganda: $27
5. Ethiopia: $37
6. South Africa: $94
7. Bolivia: $258 (*targeting rural ethnic minority)
FINDING: Intervention is very cost effective due to low running costs
1
3
Time spent by each CHW per home visit
How can we implement at scale?
  • Careful CHW deployment according to manageable workload
  • Budget to train and sustainably equip CHWs
  • Systematise regular supervision & transport
  • Integration with effective facility care
FINDING: Time use of CHWs is similar between countries and achievable
Cost standardised to 100,000 population and universal coverage
@HPP_LSHTM
https://academic.oup.com/heapol
Copyright: Health Policy and Planning, 2017, Natasha Salaria
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