Community-based healthcare workers (CBHWs) play a crucial role in providing accessible and affordable health services in urban Lagos, Nigeria. A longitudinal study design with mixed-method approaches including surveys, interviews, and economic analyses was employed to assess programme impact over a decade. CBHWs provided services at an average cost per patient of 15 (95% CI: 12-18), demonstrating significant cost savings compared to traditional healthcare models. Proportions of patients who received essential medications increased by 30%. The study supports the feasibility and economic viability of CBHW programmes in urban settings, providing a model for sustainable health care delivery. Policy makers should prioritise funding for community-based healthcare workers to ensure equitable access to quality medical services. community-based healthcare workers, cost-effectiveness analysis, scaling models, urban Lagos
Felix Oguntade (Mon,) studied this question.