142nd APHA Annual Meeting and Exposition

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Community Health Worker-Traditional Birth Attendant teams improve coverage and continuity of care in Zambia

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 3:30 PM - 3:50 PM

Karen Z. Waltenspeger, MA, MPH , Save the Children, Pretoria, South Africa
Audio (mp3) recording Recorded Presentation (mp4)
Rural Lufwanyama District in Zambia’s Copperbelt is characterized by low access to health services due to distances and lack of infrastructure. To increase coverage for all children 0-59 months and strengthen continuity of care for young infants, the District Health Management Team, Save the Children and Boston University tested an innovative approach that “teams” CHWs and TBAs, supported by Neighborhood Health Committees (NHCs). The teaming approach leveraged a “new role” for TBAs to promote facility delivery and newborn care. CHW-TBA teams performed joint postnatal care home visits; problem-solved; facilitated referral of mothers, newborns and children with danger signs; and closed the gap for young infants 0-2 months. We will report on results from life-of-project operations research and a final evaluation conducted in early September 2014 (e.g., women delivering at health facilities/with skilled attendance doubled from baseline to endline; 75% of TBA-registered newborns received a postnatal care visit within 24 hours).

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe Why and how CHW-TBA teams were created Describe how Neighborhood Health Committees support the CHW-TBA teams Explain how teaming contributed to increased coverage for young infants and use of high-impact services and practices by all children 0-59 months

Keyword(s): Community-Based Health, Maternal and Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: International public health professional with 30+ years of experience designing, developing, managing, implementing, monitoring, evaluating, advising, and documenting primary health care programs, both domestic and international; 21 years working/living in sub-Saharan Africa.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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