Mixed-methods analysis reveals quality disparities in community health worker program delivery in Nigeria's urban slums, highlighting the need for strengthened quality assurance mechanisms.
In Nigeria's urban slums, community health workers (CHWs) play a crucial role in delivering healthcare services to underserved populations. However, the quality of CHW programmes can vary significantly. The study employs a mixed-method approach, including quantitative surveys and qualitative interviews to gather data from CHWs and community members across three selected urban slums. Findings indicate that QAMs vary in effectiveness and implementation across the three slums studied. For instance, one slum reported a higher proportion (60%) of CHW adherence to established protocols compared to another (45%). The study highlights significant disparities in the quality assurance mechanisms used by community health workers in Nigerian urban slums. Recommendations include strengthening QAMs and training for CHWs, as well as involving local communities more actively in programme oversight.
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Chidera Achebe (2013) studied this question.
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