Lufwanyama Integrated Neonatal and Child Health Program (LINCHPIN)

Project Description

Zambia’s health care system, with few health facilities and limited health care personnel, is struggling to reduce its unacceptably high newborn and under-five mortality. When life-saving interventions are not readily accessible to newborns and children, they fall ill unpredictably and can die quickly. The CGHD and Save the Children have partnered to integrate, strengthen, and further evaluate two streams of recently concluded USAID-supported Boston University research in Zambia—for newborn care (LUNESP) and for community case management (CCM) (ZIMMAPS). LINCHPIN is a broad scale-up of the successful community-based interventions to reduce under-five mortality in the rural Lufwanyama District, based on findings from the LUNESP and ZIMMAPS studies. The interventions to be provided by teams of traditional birth attendants and community health workers include maternal and newborn care, pneumonia case management, prevention and treatment of malaria, and management of diarrheal disease and dehydration.

The project strategy is to establish an integrated, community-based newborn care and community case management package delivered through indigenous structures linked to health facilities and consistent with Ministry of Health (MOH) plans and policies.

The CGHD’s role in the project is to design and conduct operations research to assess the feasibility and effectiveness of traditional birth attendants and community health workers teaming up to deliver high-impact child survival interventions. We also conducted a baseline population survey and will conduct later surveys to assess impact of these interventions on Lufwanyama District.

Project Details

Principal Investigator Kojo Yeboah-Antwi
Boston University Co-Investigators Davidson Hamer, William MacLeod
  • Chilobe Kambikambi, David Marsh, and Karen Waltensperger, Save the Children
  • Lufwanyama District Health Management Team
  • Shepherd Khondowe, Tropical Disease Research Center
Country(ies) Zambia
Dates of Research 2009–2012