CONCLUSIONS
This analysis showed that proactive CHW service delivery can improve the timeliness of children’s curative treatment within the first year of implementing a redesigned CHW-led health system, and may increase sick children’s health care utilisation relative to a fixed CHW approach. In the context of user fee removal, professional CHWs, and upgraded primary care clinics, proactive CHW home visits yielded modest improvements in access to child and maternal health care. While policy-makers, public health practitioners, and clinicians may consider proactive home visits to be a low-cost intervention for optimising CHW programmes, the UHC and equity impact they seek will be primarily driven by health system enablers, such as user fee removal, professional CHWs, and reinforced primary care clinics.