Effects of the integrated Community Case Management of Childhood Illness Strategy on Child Mortality in Ethiopia: A Cluster Randomized Trial

The American Journal of Tropical Medicine and Hygiene
Agbessi AmouzouRobert E Black

Abstract

We conducted a cluster randomized trial of the effects of the integrated community case management of childhood illness (iCCM) strategy on careseeking for and coverage of correct treatment of suspected pneumonia, diarrhea, and malaria, and mortality among children aged 2-59 months in 31 districts of the Oromia region of Ethiopia. We conducted baseline and endline coverage and mortality surveys approximately 2 years apart, and assessed program strength after about 1 year of implementation. Results showed strong iCCM implementation, with iCCM-trained workers providing generally good quality of care. However, few sick children were taken to iCCM providers (average 16 per month). Difference in differences analyses revealed that careseeking for childhood illness was low and similar in both study arms at baseline and endline, and increased only marginally in intervention (22.9-25.7%) and comparison (23.3-29.3%) areas over the study period (P = 0.77). Mortality declined at similar rates in both study arms. Ethiopia's iCCM program did not generate levels of demand and utilization sufficient to achieve significant increases in intervention coverage and a resulting acceleration in reductions in child mortality. This evaluation has allowe...Continue Reading

Associated Clinical Trials

Sep 27, 2019·Ari Johnson, MD

References

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Citations

Mar 5, 2016·The American Journal of Tropical Medicine and Hygiene·Elizabeth Hazel The Iip-Jhu iCCM Evaluation Working Group
Apr 3, 2018·BMJ Global Health·Ari D JohnsonKassoum Kayentao
Mar 7, 2020·BMJ Global Health·Agbessi AmouzouUNKNOWN Countdown 2030 Coverage Technical Working Group
Jul 3, 2019·Journal of Global Health·Kirsten ZaliskSalim Sadruddin
Feb 11, 2021·The Cochrane Database of Systematic Reviews·Nicholas P OliphantTanya Doherty
Dec 15, 2020·Journal of Global Health·Nathan P MillerNureyan Zunong
Nov 20, 2020·Journal of Pediatric Nursing·Dessalegn TamiruAndualem Tamiru
Apr 23, 2021·Health Policy and Planning·Nathan P MillerEphrem Tekle Lemango
Aug 16, 2021·BMC Public Health·Birkety MengistuNathan P Miller
Sep 4, 2021·Archives of public health = Archives belges de santé publique·Habtamu BeyeneDella Berhanu

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Clinical Trials Mentioned

NCT01606267

Software Mentioned

STATA

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