Andreja Brajša-Žganec, Marija Džida, Maja Kućar
Family Resilience and Children's Subjective Well-Being: A Two-Wave Study
Children (Basel, Switzerland)
growing recognition community health workers effective improving health outcomes expanding health access however design elements lead highquality community health worker programing relatively understudied looked predictors community health worker knowledge obstetric early infant danger signs well performance achieving antenatal care immunization uptake among clients study takes place context intervention implemented jointly lwala community alliance kenya ministry health sought professionalize community health worker cadres enhanced training payment supervision four cohorts included study two cohorts started receiving intervention prior baseline one cohort received intervention baseline endline final cohort receive intervention data community health worker demographics knowledge tests key performance indicators collected 234 community health workers regression analyses used explore education literacy experience training gender potential predictors chw performance found clients community health workers trained intervention 15 likely fully immunized 14 likely completed four antenatal care visits additionally recency training experience caring pregnant women associated increased community health worker knowledge finally found association gender chw competency tenuous associations educationliteracy community health worker competency conclude intervention predictive increased community health worker performance recency training experience predictive increased knowledge though education literacy often used selection processes community health workers globally link characteristics community health worker knowledge performance mixed thus encourage research predictive value common community health worker screening selection tools encourage policymakers practitioners reconsider use education literacy means community health worker selection