Independent Evaluation of the integrated Community Case Management of Childhood Illness Strategy in Malawi Using a National Evaluation Platform Design

The American Journal of Tropical Medicine and Hygiene
Agbessi AmouzouJennifer Bryce

Abstract

We evaluated the impact of integrated community case management of childhood illness (iCCM) on careseeking for childhood illness and child mortality in Malawi, using a National Evaluation Platform dose-response design with 27 districts as units of analysis. "Dose" variables included density of iCCM providers, drug availability, and supervision, measured through a cross-sectional cellular telephone survey of all iCCM-trained providers. "Response" variables were changes between 2010 and 2014 in careseeking and mortality in children aged 2-59 months, measured through household surveys. iCCM implementation strength was not associated with changes in careseeking or mortality. There were fewer than one iCCM-ready provider per 1,000 under-five children per district. About 70% of sick children were taken outside the home for care in both 2010 and 2014. Careseeking from iCCM providers increased over time from about 2% to 10%; careseeking from other providers fell by a similar amount. Likely contributors to the failure to find impact include low density of iCCM providers, geographic targeting of iCCM to "hard-to-reach" areas although women did not identify distance from a provider as a barrier to health care, and displacement of facility...Continue Reading

References

Jul 11, 2003·Lancet·Gareth JonesUNKNOWN Bellagio Child Survival Study Group
Jul 18, 2003·Lancet·Jennifer BryceUNKNOWN Multi-Country Evaluation of IMCI Study Group
Sep 23, 2008·Tropical Medicine & International Health : TM & IH·Seter SiziyaRonald H Mataya
Mar 31, 2012·Bulletin of the World Health Organization·Alexandra de SousaDavidson H Hamer
Sep 25, 2012·Lancet·Mickey ChopraUNKNOWN UNICEF Equity in Child Survival, Health and Nutrition Analysis Team
Oct 16, 2012·Health Policy and Planning·Kate E GilroyUNKNOWN CCM-Malawi Quality of Care Working Group
Nov 21, 2012·The American Journal of Tropical Medicine and Hygiene·Humphreys NsonaTexas Zamasiya
Jan 3, 2013·The American Journal of Tropical Medicine and Hygiene·Laura McGormanAsha George
Nov 21, 2012·The American Journal of Tropical Medicine and Hygiene·Tanya GuentherDavid R Marsh
May 15, 2013·PLoS Medicine·Jennifer BryceUNKNOWN CHERG Working Group on Improving Coverage Measurement
Feb 26, 2014·BMC Public Health·Neff WalkerIngrid K Friberg
Apr 23, 2014·Tropical Medicine & International Health : TM & IH·Sara BennettJulie Cliff
May 7, 2014·The American Journal of Tropical Medicine and Hygiene·Nathan P MillerJennifer Bryce
Dec 19, 2014·Journal of Global Health·David CollinsUzaib Saya
Aug 26, 2015·The American Journal of Tropical Medicine and Hygiene·Rebecca HeidkampJennifer Bryce
Jan 21, 2016·The American Journal of Tropical Medicine and Hygiene·Melinda MunosBanza Baya
Jan 21, 2016·The American Journal of Tropical Medicine and Hygiene·Agbessi AmouzouRobert E Black
Jan 26, 2016·The Lancet Global Health·Mercy KanyukaTim Colbourn

❮ Previous
Next ❯

Citations

Mar 5, 2016·The American Journal of Tropical Medicine and Hygiene·Elizabeth Hazel The Iip-Jhu iCCM Evaluation Working Group
Jun 3, 2016·The American Journal of Tropical Medicine and Hygiene·Tanya DohertyJohn Mason
Jan 6, 2018·Journal of Global Health·Rebecca Heidkamp, UNKNOWN NEP Working Group
Jul 3, 2019·Journal of Global Health·Kirsten ZaliskSalim Sadruddin
Jul 6, 2019·Journal of Global Health·Tanya GuentherSalim Sadruddin
Mar 7, 2020·BMJ Global Health·Agbessi AmouzouUNKNOWN Countdown 2030 Coverage Technical Working Group
Jul 3, 2019·Journal of Global Health·Debra ProsnitzJennifer Yourkavitch
Jun 20, 2018··Caroline WhiddenYoussouf Keita

❮ Previous
Next ❯

Software Mentioned

Lives Saved Tool
iCCM

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.