A systematic review of economic evaluations of CHW interventions aimed at improving child health outcomes

by L. Nkonki, A. Tugendhaft and K. Hofman
Human Resources for Health, 2017 15:19 – Published: 28 February 2017

19 pp. 655 kB

Evidence of the cost-effectiveness of community health worker (CHW) interventions is pertinent for decision-makers and programme planners who are turning to community services in order to strengthen health systems in the context of the momentum generated by strategies to support universal health care, the post-2015 Sustainable Development Goal agenda. There is a growing body of economic evaluation literature on cost-effectiveness of CHW interventions. However, this is largely for small scale and vertical programmes. There is a need for economic evaluations of larger and integrated CHW programmes in order to achieve the post-2015 Sustainable Development Goal agenda so that appropriate resources can be allocated to this subset of human resources for health. This is the first systematic review to assess the cost-effectiveness of community health workers in delivering child health interventions.

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