Thirty-Six-Month Outcomes of a Generalist Paraprofessional Perinatal Home Visiting Intervention in South Africa on Maternal Health and Child Health and Development

M. Tomlinson, M.J. Rotheram-Borus, I.M. le Roux, M. Youssef, S.H. Nelson, A. Scheffler, R.E. Weiss, M. O’Connor, C.M. Worthman

Research output: Contribution to journalArticlepeer-review

46 Citations (Scopus)


Almost all pregnant women (98 %) in 24 Cape Town neighborhoods were randomized by neighborhood to (1) the standard care (SC) condition (n = 12 neighborhoods; n = 594 pregnant women) or (2) the Philani Intervention Program (PIP) in which home visits by Community Health Workers (CHW) were conducted (n = 12 neighborhoods; n = 644 pregnant women). At 36 months post-birth (84.6 % follow-up), PIP mothers were significantly less depressed compared to the SC mothers. Children in PIP were significantly less likely to be stunted (24.3 vs 18.1 %, p = 0.013), to have better vocabularies, and were less likely to be hospitalized than children in the SC condition. These data suggest home visits may need to continue for several years post-birth. Sustainable, scalable perinatal intervention models are needed in LMIC. © 2016, Society for Prevention Research.
Original languageEnglish
Pages (from-to)937-948
Number of pages12
JournalPrevention Science
Issue number8
Early online date20 Jul 2016
Publication statusPublished - 01 Nov 2016
Externally publishedYes

Bibliographical note

Cited By :13

Export Date: 29 May 2019

Correspondence Address: Rotheram-Borus, M.J.; Department of Psychiatry and Biobehavioral Sciences, Semel Institute, University of California at Los Angeles, 10920 Wilshire Blvd., Suite 350, United States; email:

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  • Community health workers
  • Maternal depression
  • Perinatal home visiting
  • adult
  • child health
  • controlled study
  • female
  • health auxiliary
  • home visit
  • human
  • maternal welfare
  • outcome assessment
  • postnatal depression
  • pregnancy
  • randomized controlled trial
  • South Africa
  • young adult
  • Adult
  • Child Health
  • Community Health Workers
  • Depression, Postpartum
  • Female
  • House Calls
  • Humans
  • Maternal Health
  • Outcome Assessment (Health Care)
  • Pregnancy
  • Young Adult


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