Longitudinal study shows community-based healthcare workers improve access and reduce costs in urban Lagos, suggesting a sustainable healthcare model.
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
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Felix Oguntade (2001) studied this question.
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