Funding for this research was provided by:
Margaret A Cargill foundation
Received: 30 May 2018
Accepted: 30 December 2019
First Online: 6 January 2020
Ethics approval and consent to participate
: The study received ethical clearance in Malawi from the Malawi National Health Sciences Research Committee protocol number 1216, as well as in South Africa from the University of Cape Town Faculty of Health Sciences Human Research Ethics Committee protocol number 647/2017. Permission for the study was also granted by the local Ministry of Health in Neno District.The study is a retrospective evaluation of a CHW program that was implemented as part of routine clinical work. As a result, the study reviewed the facility changes as a result of a CHW program intervention. No patient participants were prospectively enrolled. The data used was obtained from facility monthly reports and therefore is de-identified and aggregated at facility level cluster. As the data used was routinely collected facility aggregated and de-identified data, the Malawi ethics board waived the need for informed consent.
: TvdA is an associate editor for BMC pregnancy and child health Journal. All other authors declare that they have no competing interests.