Another cluster randomized trial in Uganda found that patients receiving home-based support, monitoring, and drug delivery by lay workers with 6-monthly routine evaluation achieved favorable and comparable outcomes to patients receiving facility-based care with monthly visits for drug refill and 3-monthly evaluation [23].
Participants found delivery by health workers acceptable, and expected them to have knowledge about the subject matter.
There are a number of strategies that could help to improve the quality of care in these remote health services (see Table 5) such as service redesign that includes appropriate staffing based on service utilisation patterns and actual workload [ 44, 45] with community based health service delivery by community workers (CWs) [ 46].
Another cluster randomized trial in Uganda found that patients receiving home-based support, monitoring and drug delivery by lay workers with 6-monthly routine evaluation achieved favorable and comparable outcomes--mortality and virologic failure--to patients receiving facility-based care with monthly visits for drug refill and 3-monthly evaluation[ 10].
Shaving the cost on last-mile deliveries by leveraging workers looking for extra income isn't a new idea for retailers.
Little is known, however, about factors that predict effective service delivery by these frontline workers (FLWs) or receipt of services by households.
The National Road Map Strategic Plan to Accelerate Reduction in Maternal, Neonatal and Child Deaths in Tanzania, published by the Ministry of Health and Social Welfare, advocates health facility delivery by skilled health workers [ 11].
Qualitative research was conducted to assess views on acceptability of the content of the original intervention, the feasibility of its delivery by non-specialists workers, and the strategies to address potential barriers.
A study in Thailand using data from Multiple Indicator Cluster Survey (MICS) found that education of the mother is the major determinant of inequities in delivery by skilled health workers [ 31].
The program assets include its wide implementation possibilities due to low costs, the short duration of the program and the delivery by group care workers, and its suitability for adolescents with MID.
