Contributions of a community health worker program in improving district health system performance in South Africa, using routine health service variables in a quasi-experimental study design.

ABSTRACT:

Background

Globally low- and middle-income countries are investing in community health worker (CHW) programs. These programs are viewed as fundamental to ensuring universal health coverage for all. Where CHW programs are doing what they should be doing and doing it adequately, they should make a difference in population health outcomes, reflecting health system changes. However, there are not many studies exploring the contributions and effectiveness of large-scale, comprehensive community health worker programs on health system performance.

Methods

This study takes place in the Ekurhuleni health district, in urban South Africa. A before (pre) and after (post) intervention study (quasi-experimental) using routine health service variables (secondary data) from district clinic

SUBMITTER: Thomas LS 

PROVIDER: S-EPMC12362962 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature