Pragmatic Observations and Policy Outcomes Associated With the Navrongo Experiment to Increase Access to Primary Health Care Services, Ghana
| Program Component | Observation of Pilot Investigators | National Policy Outcomes |
|---|---|---|
| Nurse training, deployment, and management | Nurse services have a pronounced impact on child health and survival in experimental cells where community-based nursing was functioning. | The combined configuration of worker deployment was adopted as national policy.9 |
| Nurse deployment, without volunteer support, had no impact on family planning use or fertility.31,76 | ||
| Combining nurse deployment with volunteer-supported community engagement resulted in significant effects on child survival, family planning use, and fertility.32,77 | ||
| Volunteer recruitment, deployment, and management | Volunteer deployment had no impact on child health or survival and no independent effect on family planning or fertility.32,78 | Volunteer deployment was a dual cadre initiative whereby volunteers were deployed to support the services of nurses but were not primary service providers. |