Impact and evaluation
We are deeply committed to evaluating our interventions to ensure our programs are both effective and responsive to the communities we serve. Beyond routine monitoring, we track maternal and child health indicators to measure the impact of our work and keep our funders informed. Regular feedback is also shared with Mentor Mothers, fostering a sense of ownership and accountability for health outcomes in their communities.
Philani has also established key academic partnerships with the University of California, Los Angeles (UCLA), Stanford University and Stellenbosch University to rigorously evaluate the effectiveness of our home-based interventions. Through collaboration with Zithulele Hospital, these partnerships have helped build an evidence base for the success of our programs.
Some key findings from our research outputs include:
Mothers supported by a Mentor Mother are three times more likely to exclusively breastfeed
Mothers supported and visited by Mentor Mothers are significantly less depressed
There is a 30% decrease in problematic drinking among mothers visited by our Mentor Mothers
Mothers supported by Mentor Mothers attend more ante-natal visits and are twice as likely to be free from birth complications
Child malnutrition rates are halved in areas served by our Mentor Mothers
Please see below for a full list of our academic publications demonstrating these results.
Research Articles
Click on the links below to download PDFs of these published research articles.
- Maternal depression, alcohol use, and transient effects of perinatal paraprofessional home visiting in South Africa: Eight-year follow-up of a cluster randomized controlled trial (2023)
- Evaluation of a community-based mobile video breastfeeding intervention in Khayelitsha, South Africa: The Philani MOVIE cluster-randomized controlled trial (2021)
- Community health workers impact on maternal and child health outcomes in rural South Africa – a non-randomized two group comparison study (2020)
- Home visits by community health workers in rural South Africa have a limited, but important impact on maternal and child health in the first two years of life (2020)
- Maternal and child health outcomes in rural South African mothers living with and without HIV (2019)
- Perinatal maternal depression in rural South Africa: child outcomes over the first two years (2019)
- A longitudinal cohort study of rural adolescent vs adult South African mothers and their children from birth to 24 months (2019)
- Antenatal depressed mood and child cognitive and physical growth at 18-months in South Africa: a cluster randomised controlled trial of home visiting by community health workers (2018)
- To evaluate if increased supervision and support of South African Government health workers’ home visits improves maternal and child outcomes: Study protocol for a randomized control trial (2017)
- Immunisation coverage in the rural Eastern Cape – are we getting the basics of primary care right? Results from a longitudinal prospective cohort study (2017)
- 36 Month Outcomes of a Generalist Paraprofessional Perinatal Home Visiting Intervention in South Africa (2016)
- Outcomes of home visits for pregnant mothers and their infants: a cluster randomized controlled trial (2013)
- Multiple Risk Factors During Pregnancy in South Africa: The Need for a Horizontal Approach to Perinatal Care (2013)
- Predictors of alcohol use prior to pregnancy recognition among township women in Cape Town, South Africa (2011)
- Depressed mood in pregnancy: Prevalence and correlates in two Cape Town peri-urban settlements (2011)
- Philani Plus (+): A Mentor Mother Community Health Worker Home Visiting Program to Improve Maternal and Infants’ Outcomes (2011)