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Cited by 9Global Maternal and Child HealthGlobal Health Workforce IssuesChild Nutrition and Water Access

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Determinants of Utilization and Community Experiences with Community Health Volunteers for Treatment of Childhood Illnesses in Rural Sierra Leone

Yansaneh, Aisha I., George, Asha S., Sharkey, Alyssa, Brieger, William R., Moulton, Lawrence H., Yumkella, Fatu, Bangura, Peter, Kabano, Augustin, Diaz, Theresa·2016·Journal of Community Health
DOI 10.1007/s10900-015-0107-0
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Abstract

In 2010, at the same time as the national roll out of the Free Health Care Initiative (FHCI), which removed user fees for facility based health care, trained community health volunteers (CHVs) were deployed to provide integrated community case management of diarrhea, malaria and pneumonia to children under 5 years of age (U5) in Kambia and Pujehun districts, Sierra Leone. After 2 years of implementation and in the context of FHCI, CHV utilization rate was 14.0 %. In this study, we examine the factors associated with this level of CHV utilization. A cross-sectional household-cluster survey of 1590 caregivers of 2279 children U5 was conducted in 2012; with CHV utilization assessed using a multiple logistic regression model. Focus groups and in-depth interviews were also conducted to understand communities' experiences with CHVs. Children with diarrhea (OR = 3.17, 95 % CI: 1.17-8.60), from female-headed households (OR = 4.55, 95 % CI: 1.88-11.00), and whose caregivers reported poor quality of care as a barrier to facility care-seeking (OR = 8.53, 95 % CI: 3.13-23.16) were more likely to receive treatment from a CHV. Despite low utilization, caregivers were highly familiar and appreciative of CHVs, but were concerned about the lack of financial remuneration for CHVs. CHVs remained an important source of care for children from female-headed households and whose caregivers reported poor quality of care at health facilities. CHVs are an important strategy for certain populations eve…

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Metadata

Authors
Yansaneh, A. I., George, A. S., Sharkey, A., Brieger, W. R., Moulton, L. H., Yumkella, F., Bangura, P., Kabano, A., & Diaz, T.
Affiliations
  • Johns Hopkins University (US)
  • United Nations Children's Fund (US)
Corresponding author
Yansaneh, Aisha I.
ORCID
Venue
Journal of Community Health
Publisher
Springer Science and Business Media LLC
Published
2015-10-27
Volume
41
Issue
2
Pages
376-386
ISSN
  • 0094-5145 (ISSN-L)
  • 1573-3610
DOI
10.1007/s10900-015-0107-0
OpenAlex
W1839535913
Cited by
9
References
0
Citations by year
2025: 2 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2017: 2
FWCI
0.67
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Journal of Community Health (publishedVersion)
  • PubMed (publishedVersion)
Funders
Department of Foreign Affairs Trade and Development Canada
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health Workforce Issues
  • Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
Keywords
community health volunteers, integrated community case management, childhood diarrhea, pediatric pneumonia, pediatric malaria, children under five, user fees, female-headed households, quality of care, caregiver experiences, rural Sierra Leone
MeSH terms
Child Health, Adolescent, Adult, Child, Preschool, Community Health Workers, Cross-Sectional Studies, Diarrhea, Female, Health Surveys, Humans, Infant, Interviews as Topic, Malaria, Male, Middle Aged, Sierra Leone, Volunteers, Focus Groups, Rural Health Services, Qualitative Research, Young Adult

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