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. 2015 Dec 1;2015(12):CD010994. doi: 10.1002/14651858.CD010994.pub2

Ramsey 2013.

Trial name or title The Tanzania Connect Project: a cluster‐randomised trial of the child survival impact of adding paid community health workers to an existing facility‐focused health system.
Location: 3 rural districts in Tanzania, with a population of roughly 360,000 ( Kilombero, Rufiji, and Ulanga).
Trial Registration: ISRCTN96819844.
Methods Cluster‐randomised trial with the following objectives.
  1. To improve equitable access to routine and emergency maternal, newborn and child health services.

  2. To extend the range of maternal, newborn and child health services available in the community.

  3. To improve the quality of community‐based and emergency maternal, newborn and child health services.

  4. To increase the efficiency of the health system to deliver community‐based services and respond to health emergencies.

Participants 1. Women who reside within the catchment population of the Ifakara and Rufiji HDSS.
2. The household survey will include roughly 3000 households. Households can be included only if:
2.1. have women of reproductive age (15‐49 years of age), or be the primary care takers of at least 1 under 5‐year old child for women more than 49 years old;
2.2. the population to be enrolled as participants in the household survey will, in most cases, be non‐English speaking, educationally‐ and economically‐disadvantaged. Kiswahili is the national language of Tanzania and residents of rural villages are typically impoverished and with limited means to adequate schooling. No children under the age of 15 will be enrolled. All women of reproductive age will be enrolled as participants;
3. Health workers – any Community Health Agents (CHAs) and government health employees within the study districts.
Interventions Intervention: integrated community health services strengthening (addition of community health agents or CHA, and emergency health services); health service and facility strengthening (health workforce training, communications and information systems improvement, facility and medicines/supplies strengthening, financial and social protection including reducing emergency transport costs, improvements in local planning and referral).
Controls: no CHAs.
Outcomes Several maternal, newborn and child health outcomes. Sample size based on child, infant and newborn mortality.
Starting date Overall trial start date: 01/07/2010.
Overall trial end date: 31/07/2014.
Contact information Primary contact:
Dr James Phillips
60 Haven Ave
 B‐2
 New York
 10032
 United States of America
Notes Funder: Doris Duke Charitable Foundation DDCF 2009058 (USA).