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Under-five mortality before and after implementation of the Liberia National Community Health Assistant (NCHA) program: A study protocol.

Publication ,  Journal Article
Jockers, D; Ngafuan, R; Baernighausen, T; Kessley, A; White, EE; Kenny, A; Kraemer, J; Geedeh, J; Rozelle, J; Holmes, L; Obaje, H; Wheh, S ...
Published in: PLoS One
2024

Between 2018 and 2022 the Liberian Government implemented the National Community Health Assistant (NCHA) program to improve provision of maternal and child health care to underserved rural areas of the country. Whereas the contributions of this and similar community health worker (CHW) based healthcare programs have been associated with improved process measures, the impact of a governmental CHW program at scale on child mortality has not been fully established. We will conduct a cluster sampled, community-based survey with landmark event calendars to retrospectively assess child births and deaths among all children born to women in the Grand Bassa District of Liberia. We will use a mixed effects Cox proportional hazards model, taking advantage of the staggered program implementation in Grand Bassa districts over a period of 4 years to compare rates of under-5 child mortality between the pre- and post-NCHA program implementation periods. This study will be the first to estimate the impact of the Liberian NCHA program on under-5 mortality.

Duke Scholars

Published In

PLoS One

DOI

EISSN

1932-6203

Publication Date

2024

Volume

19

Issue

3

Start / End Page

e0272172

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Public Health
  • Liberia
  • Infant Mortality
  • Humans
  • General Science & Technology
  • Female
  • Community Health Workers
  • Child Mortality
  • Child
 

Citation

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Jockers, D., Ngafuan, R., Baernighausen, T., Kessley, A., White, E. E., Kenny, A., … Hirschhorn, L. R. (2024). Under-five mortality before and after implementation of the Liberia National Community Health Assistant (NCHA) program: A study protocol. PLoS One, 19(3), e0272172. https://doi.org/10.1371/journal.pone.0272172
Jockers, Dominik, Richard Ngafuan, Till Baernighausen, Albert Kessley, Emily E. White, Avi Kenny, John Kraemer, et al. “Under-five mortality before and after implementation of the Liberia National Community Health Assistant (NCHA) program: A study protocol.PLoS One 19, no. 3 (2024): e0272172. https://doi.org/10.1371/journal.pone.0272172.
Jockers D, Ngafuan R, Baernighausen T, Kessley A, White EE, Kenny A, et al. Under-five mortality before and after implementation of the Liberia National Community Health Assistant (NCHA) program: A study protocol. PLoS One. 2024;19(3):e0272172.
Jockers, Dominik, et al. “Under-five mortality before and after implementation of the Liberia National Community Health Assistant (NCHA) program: A study protocol.PLoS One, vol. 19, no. 3, 2024, p. e0272172. Pubmed, doi:10.1371/journal.pone.0272172.
Jockers D, Ngafuan R, Baernighausen T, Kessley A, White EE, Kenny A, Kraemer J, Geedeh J, Rozelle J, Holmes L, Obaje H, Wheh S, Pedersen J, Siedner MJ, Mendin S, Subah M, Hirschhorn LR. Under-five mortality before and after implementation of the Liberia National Community Health Assistant (NCHA) program: A study protocol. PLoS One. 2024;19(3):e0272172.

Published In

PLoS One

DOI

EISSN

1932-6203

Publication Date

2024

Volume

19

Issue

3

Start / End Page

e0272172

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Public Health
  • Liberia
  • Infant Mortality
  • Humans
  • General Science & Technology
  • Female
  • Community Health Workers
  • Child Mortality
  • Child