How valid are women’s reports of the antenatal health services they receive from Community Health Workers in Gombe State north-eastern Nigeria?

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How valid are women’s reports of the antenatal health services they receive from Community Health Workers in Gombe State north-eastern Nigeria?

Community health workers (CHWs) in low- and middle-income countries are key to increasing coverage of maternal and newborn interventions through home visits to counsel families about healthy behaviours. This article measured the validity of women’s responses about the content of care they received during CHW home visits and examined whether the accuracy of women’s responses was affected by CHW counselling skills.

A criterion validity study was conducted in 2019 in Gombe State-Nigeria and data from 362 pregnant women were collected. The result showed that unmarried women and the relatively most poor women received less skilled counselling than other women (mean counselling scores of 13.2 and 13.7 respectively).

The article concluded by stating that the validity of women's responses about CHW care content was poor and consistently overestimated coverage. It also discussed several challenges in applying criterion validity study methods to examine measures of community-based care and make only cautious interpretation of the findings that may be relevant to other researchers interested in developing similar studies.