Title |
Thirty years after Alma-Ata: a systematic review of the impact of community health workers delivering curative interventions against malaria, pneumonia and diarrhoea on child mortality and morbidity in sub-Saharan Africa
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Published in |
Human Resources for Health, October 2011
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DOI | 10.1186/1478-4491-9-27 |
Pubmed ID | |
Authors |
Jason B Christopher, Alex Le May, Simon Lewin, David A Ross |
Abstract |
Over thirty years have passed since the Alma-Ata Declaration on primary health care in 1978. Many governments in the first decade following the declaration responded by developing national programmes of community health workers (CHWs), but evaluations of these often demonstrated poor outcomes. As many CHW programmes have responded to the HIV/AIDS pandemic, international interest in them has returned and their role in the response to other diseases should be examined carefully so that lessons can be applied to their new roles. Over half of the deaths in African children under five years of age are due to malaria, diarrhoea and pneumonia - a situation which could be addressed through the use of cheap and effective interventions delivered by CHWs. However, to date there is very little evidence from randomised controlled trials of the impacts of CHW programmes on child mortality in Africa. Evidence from non-randomised controlled studies has not previously been reviewed systematically. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Belgium | 1 | 14% |
Spain | 1 | 14% |
Unknown | 5 | 71% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 5 | 71% |
Scientists | 2 | 29% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 2 | <1% |
Netherlands | 1 | <1% |
South Africa | 1 | <1% |
Sierra Leone | 1 | <1% |
Canada | 1 | <1% |
Nigeria | 1 | <1% |
Thailand | 1 | <1% |
Niger | 1 | <1% |
Japan | 1 | <1% |
Other | 1 | <1% |
Unknown | 408 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 88 | 21% |
Researcher | 60 | 14% |
Student > Ph. D. Student | 48 | 11% |
Lecturer | 30 | 7% |
Student > Postgraduate | 26 | 6% |
Other | 105 | 25% |
Unknown | 62 | 15% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 143 | 34% |
Nursing and Health Professions | 61 | 15% |
Social Sciences | 59 | 14% |
Agricultural and Biological Sciences | 16 | 4% |
Economics, Econometrics and Finance | 16 | 4% |
Other | 47 | 11% |
Unknown | 77 | 18% |