Title |
The Tanzania Connect Project: a cluster-randomized trial of the child survival impact of adding paid community health workers to an existing facility-focused health system
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Published in |
BMC Health Services Research, May 2013
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DOI | 10.1186/1472-6963-13-s2-s6 |
Pubmed ID | |
Authors |
Kate Ramsey, Ahmed Hingora, Malick Kante, Elizabeth Jackson, Amon Exavery, Senga Pemba, Fatuma Manzi, Colin Baynes, Stephane Helleringer, James F Phillips |
Abstract |
Tanzania has been a pioneer in establishing community-level services, yet challenges remain in sustaining these systems and ensuring adequate human resource strategies. In particular, the added value of a cadre of professional community health workers is under debate. While Tanzania has the highest density of primary health care facilities in Africa, equitable access and quality of care remain a challenge. Utilization for many services proven to reduce child and maternal mortality is unacceptably low. Tanzanian policy initiatives have sought to address these problems by proposing expansion of community-based providers, but the Ministry of Health and Social Welfare (MoHSW ) lacks evidence that this merits national implementation. The Tanzania Connect Project is a randomized cluster trial located in three rural districts with a population of roughly 360,000 ( Kilombero, Rufiji, and Ulanga). |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Practitioners (doctors, other healthcare professionals) | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 4 | 1% |
Tanzania, United Republic of | 2 | <1% |
South Africa | 2 | <1% |
United Kingdom | 2 | <1% |
Indonesia | 1 | <1% |
Ethiopia | 1 | <1% |
Sierra Leone | 1 | <1% |
Germany | 1 | <1% |
Niger | 1 | <1% |
Other | 1 | <1% |
Unknown | 358 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 89 | 24% |
Researcher | 59 | 16% |
Student > Ph. D. Student | 38 | 10% |
Student > Doctoral Student | 30 | 8% |
Student > Postgraduate | 19 | 5% |
Other | 77 | 21% |
Unknown | 62 | 17% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 110 | 29% |
Social Sciences | 73 | 20% |
Nursing and Health Professions | 47 | 13% |
Agricultural and Biological Sciences | 15 | 4% |
Business, Management and Accounting | 10 | 3% |
Other | 40 | 11% |
Unknown | 79 | 21% |