Community Based Approach to Deliver Child Health Care Interventions: Differences between Served and Unserved areas in District Gujranwala, Punjab, Pakistan


  • Sumera Tul Hasan, Rizwana, Sumaira Bano


:Lady Health Workers; Primary Health Care; Antenatal care


This study aimed to investigate the effectiveness of lady health workers (LHWs) which is a community based approach, in providing nutritional, preventive and curative child health care interventions. This is a cross sectional study based on household survey. The data was collected by well-structured questionnaire from 663 respondents by simple random sampling technique. We analyzed the differences about interventions like growth monitoring, rate of breast feeding practices and vaccination coverage and curative services between the served and unserved areas. The interventions implemented by LHWs had substantially improved child health indicators in the served areas. The presence of LHWs significantly increased the respondent’s knowledge of breastfeeding practices, complementary feeding and growth monitoring of child. The percentage of fully vaccinated child was significantly (P<.005) higher in the LHWs community (80%) as compared to unserved community (66%). The findings revealed that the prevalence of diarrhea, Pneumonia and malaria was lower while the probability of receiving of curative treatment was significantly higher (p<.001) in the intervention area. The study concluded that LHW’s are playing an important role in delivering child health care interventions. These interventions have led to significant differences in the child health care indicators like breast feeding, immunization, and utilization of curative services in intervention areas.