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Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases

  1. Simon Lewin1,*,
  2. Susan Munabi-Babigumira1,
  3. Claire Glenton2,
  4. Karen Daniels3,
  5. Xavier Bosch-Capblanch4,
  6. Brian E van Wyk5,
  7. Jan Odgaard-Jensen6,
  8. Marit Johansen6,
  9. Godwin N Aja7,
  10. Merrick Zwarenstein8,
  11. Inger B Scheel2

Editorial Group: Cochrane Effective Practice and Organisation of Care Group

Published Online: 17 MAR 2010

Assessed as up-to-date: 21 OCT 2009

DOI: 10.1002/14651858.CD004015.pub3


How to Cite

Lewin S, Munabi-Babigumira S, Glenton C, Daniels K, Bosch-Capblanch X, van Wyk BE, Odgaard-Jensen J, Johansen M, Aja GN, Zwarenstein M, Scheel IB. Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases. Cochrane Database of Systematic Reviews 2010, Issue 3. Art. No.: CD004015. DOI: 10.1002/14651858.CD004015.pub3.

Author Information

  1. 1

    Norwegian Knowledge Centre for the Health Services, Preventive and International Health Care Unit, Oslo, Norway

  2. 2

    SINTEF Health Research, Department of Global Health and Welfare, Oslo, Norway

  3. 3

    Medical Research Council, Health Systems Research Unit, Tygerberg, South Africa

  4. 4

    Swiss Tropical and Public Health Institute, Swiss Centre for International Health, Basel, Switzerland

  5. 5

    University of the Western Cape, School of Public Health, Bellville, South Africa

  6. 6

    Norwegian Knowledge Centre for the Health Services, Oslo, Norway

  7. 7

    Babcock University, Department of Health Sciences, Ikeja-Lagos, South West, Nigeria

  8. 8

    Sunnybrook Health Sciences Centre, Combined Health Services Sciences, Toronto, ON, Canada

*Simon Lewin, Preventive and International Health Care Unit, Norwegian Knowledge Centre for the Health Services, Box 7004 St Olavsplass, Oslo, N-0130, Norway. simon.lewin@nokc.no.

Publication History

  1. Publication Status: New search for studies and content updated (conclusions changed)
  2. Published Online: 17 MAR 2010

SEARCH

[Figure 1]
Figure 1. Methodological quality graph: review authors' judgements about each methodological quality item presented as percentages across all included studies.
[Figure 2]
Figure 2. Methodological quality summary: review authors' judgements about each methodological quality item for each included study.
[Figure 3]
Figure 3. Forest plot of comparison: 1 LHW interventions to promote immunisation uptake in children under five compared with usual care, outcome: 1.5 Immunisation schedule up to date.
[Figure 4]
Figure 4. Forest plot of comparison: 1 LHW interventions to promote immunisation uptake in children under five compared with usual care, outcome: 1.8 Immunisation schedule up to date (excl. Gökcay and Krieger).
[Figure 5]
Figure 5. Forest plot of comparison: 3 LHW interventions to reduce mortality/morbidity in children under five compared with usual care, outcome: 3.2 Mortality among children < 5 years old.
[Figure 6]
Figure 6. Forest plot of comparison: 3 LHW interventions to reduce mortality/morbidity in children under five compared with usual care, outcome: 3.3 Mortality among children < 5 years old (excluding Pence 2005).
[Figure 7]
Figure 7. Forest plot of comparison: 3 LHW interventions to reduce mortality/morbidity in children under five compared with usual care, outcome: 3.5 Neonatal mortality.
[Figure 8]
Figure 8. Forest plot of comparison: 3 LHW interventions to reduce mortality/morbidity in children under five compared with usual care, outcome: 3.7 Morbidity; reported illness in children.
[Figure 9]
Figure 9. Forest plot of comparison: 3 LHW interventions to reduce mortality/morbidity in children under five compared with usual care, outcome: 3.9 Morbidity; care-seeking practice.
[Figure 10]
Figure 10. Forest plot of comparison: 2 LHW interventions to promote breastfeeding compared with usual care, outcome: 2.6 Initiated Breastfeeding - adjusted for clustering.
[Figure 11]
Figure 11. Forest plot of comparison: 2 LHW interventions to promote breastfeeding compared with usual care, outcome: 2.7 Any breastfeeding - adjusted for clustering.
[Figure 12]
Figure 12. Forest plot of comparison: 2 LHW interventions to promote breastfeeding compared with usual care, outcome: 2.8 Exclusive breastfeeding - adjusted for clustering.
[Figure 13]
Figure 13. Forest plot of comparison: 4 LHW interventions to improve TB treatment outcomes compared with other forms of adherence support, outcome: 4.10 Cure for smear positive TB patients (new and retreatment) - adjusted for clustering.
[Figure 14]
Figure 14. Forest plot of comparison: 4 LHW interventions to improve TB treatment outcomes compared with other forms of adherence support, outcome: 4.1 Cure for smear positive TB patients (new and retreatment), excluding Mohan 2003 and Clarke 2005 - adjusted for clustering.
[Figure 15]
Figure 15. Forest plot of comparison: 4 LHW interventions to improve TB treatment outcomes compared with other forms of adherence support, outcome: 4.11 New smear positives cured - adjusted for clustering.
[Figure 16]
Figure 16. Forest plot of comparison: 4 LHW interventions to improve TB treatment outcomes compared with other forms of adherence support, outcome: 4.13 Combined cure and treatment completion for all pulmonary TB patients - adjusted for clustering.
[Figure 17]
Figure 17. Forest plot of comparison: 4 LHW interventions to improve TB treatment outcomes compared with other forms of adherence support, outcome: 4.14 TB Preventive therapy with Isoniazid - completed therapy.
[Analysis 1.1]
Analysis 1.1. Comparison 1 LHW interventions to promote immunisation uptake in children under five compared with usual care, Outcome 1 Immunisation schedule up to date - unadjusted.
[Analysis 1.2]
Analysis 1.2. Comparison 1 LHW interventions to promote immunisation uptake in children under five compared with usual care, Outcome 2 Immunisation schedule up to date - adjusted for clustering.
[Analysis 1.3]
Analysis 1.3. Comparison 1 LHW interventions to promote immunisation uptake in children under five compared with usual care, Outcome 3 Immunisation schedule up to date (excl. Gökcay and Krieger).
[Analysis 2.1]
Analysis 2.1. Comparison 2 LHW interventions to promote breastfeeding compared with usual care, Outcome 1 Initiated Breastfeeding.
[Analysis 2.2]
Analysis 2.2. Comparison 2 LHW interventions to promote breastfeeding compared with usual care, Outcome 2 Any Breastfeeding.
[Analysis 2.3]
Analysis 2.3. Comparison 2 LHW interventions to promote breastfeeding compared with usual care, Outcome 3 Exclusive breastfeeding (6 weeks - 6 months).
[Analysis 2.4]
Analysis 2.4. Comparison 2 LHW interventions to promote breastfeeding compared with usual care, Outcome 4 Initiated Breastfeeding - adjusted for clustering.
[Analysis 2.5]
Analysis 2.5. Comparison 2 LHW interventions to promote breastfeeding compared with usual care, Outcome 5 Any Breastfeeding - adjusted for clustering.
[Analysis 2.6]
Analysis 2.6. Comparison 2 LHW interventions to promote breastfeeding compared with usual care, Outcome 6 Exclusive Breastfeeding - adjusted for clustering.
[Analysis 3.1]
Analysis 3.1. Comparison 3 LHW interventions to reduce mortality/morbidity in children under five compared with usual care, Outcome 1 Mortality among children < 5 years old - unadjusted.
[Analysis 3.2]
Analysis 3.2. Comparison 3 LHW interventions to reduce mortality/morbidity in children under five compared with usual care, Outcome 2 Mortality among children < 5 years old.
[Analysis 3.3]
Analysis 3.3. Comparison 3 LHW interventions to reduce mortality/morbidity in children under five compared with usual care, Outcome 3 Mortality among children < 5 years old (Excl. Pence).
[Analysis 3.4]
Analysis 3.4. Comparison 3 LHW interventions to reduce mortality/morbidity in children under five compared with usual care, Outcome 4 Neonatal mortality - unadjusted.
[Analysis 3.5]
Analysis 3.5. Comparison 3 LHW interventions to reduce mortality/morbidity in children under five compared with usual care, Outcome 5 Neonatal mortality.
[Analysis 3.6]
Analysis 3.6. Comparison 3 LHW interventions to reduce mortality/morbidity in children under five compared with usual care, Outcome 6 Morbidity; reported illness in children - unadjusted.
[Analysis 3.7]
Analysis 3.7. Comparison 3 LHW interventions to reduce mortality/morbidity in children under five compared with usual care, Outcome 7 Morbidity; reported illness in children.
[Analysis 3.8]
Analysis 3.8. Comparison 3 LHW interventions to reduce mortality/morbidity in children under five compared with usual care, Outcome 8 Morbidity; care-seeking practice - unadjusted.
[Analysis 3.9]
Analysis 3.9. Comparison 3 LHW interventions to reduce mortality/morbidity in children under five compared with usual care, Outcome 9 Morbidity; care-seeking practice.
[Analysis 4.1]
Analysis 4.1. Comparison 4 LHW interventions to improve TB treatment outcomes compared with other forms of adherence support, Outcome 1 Cure for smear positive TB patients (new and retreatment) - adjusted for clustering.
[Analysis 4.2]
Analysis 4.2. Comparison 4 LHW interventions to improve TB treatment outcomes compared with other forms of adherence support, Outcome 2 Cure for smear positive TB patients (new and retreatment).
[Analysis 4.3]
Analysis 4.3. Comparison 4 LHW interventions to improve TB treatment outcomes compared with other forms of adherence support, Outcome 3 Cure for smear positive TB patients (new and retreatment) - adjusted for clustering.
[Analysis 4.4]
Analysis 4.4. Comparison 4 LHW interventions to improve TB treatment outcomes compared with other forms of adherence support, Outcome 4 New smear positives cured - adjusted for clustering.
[Analysis 4.5]
Analysis 4.5. Comparison 4 LHW interventions to improve TB treatment outcomes compared with other forms of adherence support, Outcome 5 Combined cure and treatment completion for all pulmonary TB patients.
[Analysis 4.6]
Analysis 4.6. Comparison 4 LHW interventions to improve TB treatment outcomes compared with other forms of adherence support, Outcome 6 Combined cure and treatment completion for all pulmonary TB patients - adjusted for clustering.
[Analysis 4.7]
Analysis 4.7. Comparison 4 LHW interventions to improve TB treatment outcomes compared with other forms of adherence support, Outcome 7 TB Preventive therapy with Isoniazid - completed therapy.