What did the researchers do and find?
Existing government-employed CHWs serving 8 deeply rural health clinics were randomized by clinic in a cluster effectiveness RCT to either standard supervision or enhanced accountable monitoring and supervision by a nongovernment organization.The CHWs and perinatal mothers/children were monitored at 5 points over the first 2 years of life.Supervision did not lead to significantly better outcomes for mothers and children.Yet, it is noteworthy that 11 of 13 outcomes were better when CHWs received enhanced, accountable supervision, compared to standard care.