Ifakara Health Institute, Plot 463 Kiko Avenue, Mikocheni Dar es Salaam, Tanzania
Ifakara Health Institute, Plot 463 Kiko Avenue, Mikocheni Dar es Salaam, Tanzania Department of Public Health Sciences, Karolinska Institutet, Widerströmska Huset, 17177 Stockholm, Sweden Department of Disease Control, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK.
Int Health. 2014 Dec;6(4):339-41. doi: 10.1093/inthealth/ihu016. Epub 2014 Apr 7.
Home visits by community health workers may help to improve newborn survival, but sustained high-quality supervision of community volunteers is challenging.
To compare facility-led and community-linked supervision approaches of 824 community health volunteers working to improve newborn care in Southern Tanzania.
Using a before-after design, we compared 6 months of supervision reports from each approach.
During the community-linked approach over 50 times more supervision contacts were recorded than during the facility-only supervision approach (1.04 contacts per volunteer per month vs 0.02), and the volunteer-supervisor ratio reduced from 7.8 to 1.6.
Involving community leaders has the potential to improve supervision of community health volunteers. ClinicalTrials.gov Identifier: NCT01022788; http://clinicaltrials.gov/ct2/show/NCT01022788?term=INSIST&rank=1.
社区卫生工作者的家访可能有助于提高新生儿的存活率，但持续高质量地监督社区志愿者具有挑战性。
比较在坦桑尼亚南部改善新生儿护理的 824 名社区卫生志愿者的机构主导和社区联系的监督方法。
采用前后设计，比较了两种方法的 6 个月的监督报告。
在社区联系方法中，记录的监督接触次数比仅机构监督方法多 50 多倍（每位志愿者每月 1.04 次与 0.02 次），志愿者-监督者的比例从 7.8 降低到 1.6。
让社区领导参与有可能改善对社区卫生志愿者的监督。临床试验注册编号：NCT01022788；http://clinicaltrials.gov/ct2/show/NCT01022788?term=INSIST&rank=1。
