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The problem
Intervention: ASHA-led community health worker model in rural areas; comparison with standard urban service provision
Who it was tested with: Children aged 6-23 months in urban slums (Jhalana) and rural areas (Dadiya) of Jaipur district, Rajasthan, India; sample of 711 children.
Experience from people who deliver programmes: stories, case studies and lessons learned. Valuable for understanding how and why, and for spotting what to test next, but not a measure of effect.
"A community-based cross-sectional study was conducted from October 2023 to March 2024 in the rural (Dadiya) and urban (Jhalana) field practice areas...A sample of 711 children aged 6–23 months was selected using the WHO 30×7 cluster sampling method." The rural ASHA model demonstrates substantially higher immunization coverage, suggesting effectiveness of community health worker-led approaches compared to standard urban service delivery.
Cross-sectional design cannot establish causality or track temporal changes. Study is geographically specific to Jaipur and may not be generalizable to other regions. The analysis compares existing models rather than testing an intervention under controlled conditions.
Across countries and designs
1 study · 1 country
