Community health workers (CHWs) are critical in bridging gaps in maternal and child health services, especially in resource-limited settings. This study evaluated the impact of CHW-led interventions on maternal and child health outcomes in three rural districts. A total of 1,800 households were enrolled in a program including antenatal care follow-up, immunization promotion, nutrition counseling, and health education. Outcomes measured included antenatal visit attendance, immunization coverage, and rates of low birth weight. Results showed significant improvements in antenatal care attendance (from 56% to 82%), full immunization coverage (from 62% to 89%), and a reduction in low birth weight incidence (p < 0.05). These findings underscore the effectiveness of CHWs in improving maternal and child health outcomes and support scaling such programs in underserved communities.

Keywords:
Community health workers, maternal health, child health, immunization, public health