Effect of integrated infectious disease training and on-site support on the management of childhood illnesses in Uganda: a cluster randomized trial

BMC Pediatrics
Peace ImaniMarcia R Weaver

Abstract

The Integrated Infectious Disease Capacity-Building Evaluation (IDCAP) was designed to test the effects of two interventions, Integrated Management of Infectious Disease (IMID) training and on-site support (OSS), on clinical practice of mid-level practitioners. This article reports the effects of these interventions on clinical practice in management of common childhood illnesses. Two trainees from each of 36 health facilities participated in the IMID training. IMID was a three-week core course, two one-week boost courses, and distance learning over nine months. Eighteen of the 36 health facilities were then randomly assigned to arm A, and participated in OSS, while the other 18 health facilities assigned to arm B did not. Clinical faculty assessed trainee practice on clinical practice of six sets of tasks: patient history, physical examination, laboratory tests, diagnosis, treatment, and patient/caregiver education. The effects of IMID were measured by the post/pre adjusted relative risk (aRR) of appropriate practice in arm B. The incremental effects of OSS were measured by the adjusted ratio of relative risks (aRRR) in arm A compared to arm B. All hypotheses were tested at a 5% level of significance. Patient samples were comp...Continue Reading

References

Jul 11, 2003·Lancet·Gareth JonesUNKNOWN Bellagio Child Survival Study Group
Dec 18, 2003·Health Policy and Planning·Joanna Armstrong SchellenbergUNKNOWN Tanzania IMCI Multi-Country Evaluation Health Facility Survey Study Group
Nov 3, 2004·Lancet·Sudhir Anand, Till Bärnighausen
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Nov 25, 2005·Health Policy and Planning·George W PariyoUNKNOWN Uganda IMCI Impact Study Team
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Apr 24, 2014·BMC Health Services Research·Sebastian Olikira Baine, Arabat Kasangaki

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Citations

Feb 23, 2019·The American Journal of Tropical Medicine and Hygiene·Troy MartinPaul Hamilton
Apr 30, 2020·Cancer·John R ScheelCatherine Duggan
Jan 1, 2020·Implementation Science : IS·Amy Elizabeth Barrera-CanceddaAlison M Buttenheim

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Software Mentioned

IMCI
JUMP
IMID
Epiinfo3
Stata

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