Adherence Rates in Community Health Worker Programmes for Adolescent Maternal Healthcare in Burkina Faso: A Meta-Analysis

{ "background": "Community health worker (CHW) programmes have been implemented to improve maternal healthcare in adolescent populations across sub-Saharan Africa. In Burkina Faso, these programmes aim to enhance adherence rates for essential interventions such as antenatal care and postnatal check-ups.", "purposeandobjectives": "The purpose of this meta-analysis is to synthesize existing literature on the effectiveness of CHW programmes in improving adherence rates to adolescent maternal healthcare services. The objectives are to identify key factors influencing adherence and to estimate the overall effect size with its associated uncertainty.", "methodology": "A systematic review approach was employed, including a comprehensive search strategy across multiple databases focusing on studies conducted in Burkina Faso that measured adherence rates for CHW programmes targeting adolescent maternal healthcare. Studies were assessed using predefined inclusion criteria and data extraction was performed by two independent reviewers. Meta-analysis was conducted using random-effects models.", "findings": "The meta-analysis identified a moderate effect size (Hedges' $g = -0.45$, 95% CI [-0.67, -0.23]) for CHW programmes on enhancing adherence rates to adolescent maternal healthcare services in Burkina Faso. The findings suggest that while CHWs can improve adherence, there is room for further improvement.", "conclusion": "This meta-analysis underscores the potential of CHW programmes in boosting adherence rates among adolescents seeking maternal healthcare in Burkina Faso. However, it also highlights the need for targeted interventions to overcome existing barriers and enhance programme effectiveness.", "recommendations": "Further research should focus on identifying specific strategies that can improve adherence beyond those already implemented by CHWs. Policy recommendations include strengthening referral systems and addressing community-level factors affecting adherence.", "keywords": "Meta-Analysis, Community Health Worker Programmes, Adolescent Maternal Healthcare, Adherence Rates, Burkina Faso", "contributionstatement": "This study introduces a novel meta-analytic framework to assess the impact of CHW programmes on adolescent maternal healthcare adherence rates in Burkina Faso