The study area is served by 24 project CHWs, who are women with at least a 10th grade education, are residents of the study community, and have received 6 weeks of training on basic maternal and newborn care. Within each CHW cluster area, there are additionally Village Health Workers (VHWs), one in each village with a population of ~1000. Each cluster area is assigned to 1 CHW and 4–5 VHWs to serve an estimated 120 pregnancies and 116 live births annually; this is feasible because the trial area has very high population density, and the same ratio of population to CHWs/VHWs has been used in our previous and current studies in Sylhet.
We conducted a complete census and socioeconomic survey of the study population in 2009 and continue to conduct health and demographic surveillance every two months. All households and women of childbearing age have unique current and permanent identification numbers, which allows individual tracking and longitudinal follow-up.
The study area is served by 24 project CHWs, who are women with at least a 10th grade education, are residents of the study community, and have received 6 weeks of training on basic maternal and newborn care. Within each CHW cluster area, there are additionally Village Health Workers (VHWs), one in each village with a population of ~1000. Each cluster area is assigned to 1 CHW and 4–5 VHWs to serve an estimated 120 pregnancies and 116 live births annually; this is feasible because the trial area has very high population density, and the same ratio of population to CHWs/VHWs has been used in our previous and current studies in Sylhet.We conducted a complete census and socioeconomic survey of the study population in 2009 and continue to conduct health and demographic surveillance every two months. All households and women of childbearing age have unique current and permanent identification numbers, which allows individual tracking and longitudinal follow-up.
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