Linhong Pang, Lakshme Kottu, Zihong Guo, Min Ma, Huadan Wang, Yajing Zhao, Mingjing Tang, Yi Shi, Wei Liu, Xia Wu, Junjie Song, Manli Sun, Daphne Merkus, Md Misbahul Ferdous, Liping He, Lin Duo
A tryst of 'blood pressure control- sex- comorbidities': the odyssey of basic public health services in Yunnan in quest for truth
BMC public health
community health workers chws low middleincome countries key increasing coverage maternal newborn interventions home visits counsel families healthy behaviours household surveys enable tracking progress chw programmes recent evidence questions accuracy maternal reports measured validity womens responses content care received chw home visits examined whether accuracy womens responses affected chw counselling skills conducted criterion validity study 2019 gombe statenigeria collected data 362 pregnant women accompanied chw home visits content chw care presence absence 18 positive counselling skills observed documented researcher followup interview three months later women asked care received chw home visit womens reports compared observation data sensitivity specificity area receiver curve auc calculated performed covariate validity analysis adjusted counselling skill score assess variation accuracy womens reports chw counselling skills ten indicators included validity analysis women consistently overestimated content care chws provided indicator met condition individuallevel accuracy set auc 06 chw counselling skill score ranged 918 points possible 18 mean 143 checking client history concerns frequently missed item evidence unmarried women relatively poor women received less skilled counselling women mean counselling scores 132 137 respectively consistent evidence association higher counselling skill scores better accuracy womens reports validity womens responses chw care content poor consistently overestimated coverage discuss several challenges applying criterion validity study methods examine measures communitybased care make cautious interpretation findings may relevant researchers interested developing similar studies