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Strengthening the role of community health workers in supporting the recovery of ill, undernourished children post hospital discharge: qualitative insights from key stakeholders in Bangladesh and Kenya.

Rita Wanjuki NjeruMd Fakhar UddinScholastica Mutheu ZakayoGladys SangaAnderson CharoMd Aminul IslamMd Alamgir HossainMary KimaniMercy Kadzo MwadhiMichael OgutuMohammod Jobayer ChistiTahmeed AhmedJudd L WalsonJames A BerkleyCaroline JonesSally TheobaldKui MurayaHaribondhu SarmaSassy Molyneux
Published in: BMC health services research (2021)
A multi-pronged approach before or on discharge is needed to strengthen linkages between CHWs and children vulnerable to poor outcomes, supported by clear guidance. To encourage scale-ability and cost-effectiveness of interventions, the most vulnerable, high-risk children, should be targeted, including undernourished children. Intervention designs must also take into account existing health worker shortages and training levels, including for CHWs, and how any new tasks or personnel are incorporated into hospital and broader health system hierarchies and systems. Any such interventions will need to be evaluated in carefully designed studies, including tracking for unintended consequences.
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