Cochrane · systematic review · CD004015
Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases
Lewin, S, Munabi‐Babigumira, S, Glenton, C, et al. · Cochrane Database of Systematic Reviews · 2010 · Cochrane Library
Effective Practice and Organisation of CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
10
current version
GRADE rated
10
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 40%Moderate 6 · 60%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
LHWs to promote immunisation uptake in children compared to usual care
Population: patients with improving immunisation uptake among children < 2 years whose vaccination is not up to date
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Immunisation schedule up to date Interviews with mothers, record reviews LHWs to promote immunisation uptake in children vs usual care | RR 1.22 [1.1, 1.37] | 4 studies · 3568 participants | Moderate Downgraded: inconsistency |
LHW support compared to conventional support or care for breastfeeding
Population: patients with breastfeeding
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Initiation of breastfeeding Self‐report LHW support vs conventional support or care | RR 1.36 [1.14, 1.61] | 12 studies · 17159 participants | Moderate Downgraded: inconsistency |
Any breastfeeding Self‐report LHW support vs conventional support or care | RR 1.24 [1.1, 1.39] | 12 studies · 8104 participants | Moderate Downgraded: inconsistency |
Exclusive breastfeeding Self‐report LHW support vs conventional support or care | RR 2.78 [1.74, 4.44] | 10 studies · 4334 participants | Moderate |
LHWs compared to usual care for reducing mortality and morbidity in children <5 years
Population: patients with reducing mortality and morbidity in children <5 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality among children less than 5 years Verbal autopsy LHWs vs usual care | RR 0.75 [0.55, 1.03] | 3 studies · 56378 participants | Low Downgraded: risk of bias, imprecision |
Morbidity e.g. fever, diarrhoea, ARI Verbal reports obtained during home visits, record reviews LHWs vs usual care | RR 0.86 [0.75, 0.99] | 7 studies · 17408 participants | Low Downgraded: risk of bias, inconsistency |
Neonatal Mortality verbal autopsy LHWs vs usual care | RR 0.76 [0.57, 1.02] | 4 studies · 29217 participants | Low Downgraded: imprecision, inconsistency |
Morbidity ‐ care seeking practice hospital record review LHWs vs usual care | RR 1.33 [0.86, 2.05] | 3 studies · 11195 participants | Low Downgraded: inconsistency |
LHW support for tuberculosis (TB) treatment
Population: patients with tuberculosis (TB) treatment
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Cure for smear positive TB patients (new and retreatment) Sputum smear test | RR 1.22 [1.13, 1.31] | 4 studies · 1203 participants | Moderate Downgraded: risk of bias |
Completed preventive therapy with Isoniazid ‐ LHW supported self‐supervision or DOT compared with self‐supervision | RR 1 [0.92, 1.09] | 2 studies · 595 participants | Moderate Downgraded: risk of bias |