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

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The growing body of evidence for cost-effectiveness of community health workers in improving child health out- comes presents an enormous opportunity for governments in low- and middle-income countries to invest in child survival. However, a stronger evidence base on the cost-effectiveness of specific packages of interventions delivered by community health workers is necessary to guide country health policy and program implementation.

Community health worker interventions can be key in strengthening health systems in the context of the momentum generated by strategies for universal access to health care. Hence, evidence on the effectiveness and cost-effectiveness of such interventions is essential for policy planning. This review aims to collate and assess existing evidence and reduce the current gap in knowledge. Nineteen studies were included in this review; however, data was not suitable for meta-analysis. Results showed evidence of cost- effectiveness in reducing malaria, asthma, and mortality of neonates and children under 5 years of age. Results also showed improvements in exclusive breastfeeding, malnutrition, physical health and psycho-motor development in children, and maternal health, with community health worker intervention.

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