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Supportive supervision for volunteers to deliver reproductive health education: a cluster randomized trial

Overview of attention for article published in Reproductive Health, October 2016
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Mentioned by

policy
1 policy source

Citations

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22 Dimensions

Readers on

mendeley
233 Mendeley
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Title
Supportive supervision for volunteers to deliver reproductive health education: a cluster randomized trial
Published in
Reproductive Health, October 2016
DOI 10.1186/s12978-016-0244-7
Pubmed ID
Authors

Debra Singh, Joel Negin, Christopher Garimoi Orach, Robert Cumming

Abstract

Community Health Volunteers (CHVs) can be effective in improving pregnancy and newborn outcomes through community education. Inadequate supervision of CHVs, whether due to poor planning, irregular visits, or ineffective supervisory methods, is, however, recognized as a weakness in many programs. There has been little research on best practice supervisory or accompaniment models. From March 2014 to February 2015 a proof of concept study was conducted to compare training alone versus training and supportive supervision by paid CHWs (n = 4) on the effectiveness of CHVs (n = 82) to deliver education about pregnancy, newborn care, family planning and hygiene. The pair-matched cluster randomized trial was conducted in eight villages (four intervention and four control) in Budondo sub-county in Jinja, Uganda. Increases in desired behaviors were seen in both the intervention and control arms over the study period. Both arms showed high retention rates of CHVs (95 %). At 1 year follow-up there was a significantly higher prevalence of installed and functioning tippy taps for hand washing (p < 0.002) in the intervention villages (47 %) than control villages (35 %). All outcome and process measures related to home-visits to homes with pregnant women and newborn babies favored the intervention villages. The CHVs in both groups implemented what they learnt and were role models in the community. A team of CHVs and CHWs can facilitate families accessing reproductive health care by addressing cultural norms and scientific misconceptions. Having a team of 2 CHWs to 40 CHVs enables close to community access to information, conversation and services. Supportive supervision involves creating a non-threatening, empowering environment in which both the CHV and the supervising CHW learn together and overcome obstacles that might otherwise demotivate the CHV. While the results seem promising for added value with supportive supervision for CHVs undertaking reproductive health activities, further research on a larger scale will be needed to substantiate the effect.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 233 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Uganda 1 <1%
Unknown 232 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 54 23%
Researcher 29 12%
Student > Ph. D. Student 22 9%
Student > Doctoral Student 14 6%
Student > Bachelor 12 5%
Other 36 15%
Unknown 66 28%
Readers by discipline Count As %
Medicine and Dentistry 47 20%
Nursing and Health Professions 45 19%
Social Sciences 31 13%
Psychology 6 3%
Economics, Econometrics and Finance 4 2%
Other 24 10%
Unknown 76 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 November 2017.
All research outputs
#8,061,018
of 24,217,496 outputs
Outputs from Reproductive Health
#902
of 1,490 outputs
Outputs of similar age
#117,852
of 326,414 outputs
Outputs of similar age from Reproductive Health
#26
of 35 outputs
Altmetric has tracked 24,217,496 research outputs across all sources so far. This one is in the 44th percentile – i.e., 44% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,490 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 12.5. This one is in the 36th percentile – i.e., 36% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 326,414 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 50% of its contemporaries.
We're also able to compare this research output to 35 others from the same source and published within six weeks on either side of this one. This one is in the 28th percentile – i.e., 28% of its contemporaries scored the same or lower than it.