Independent Evaluation of the Rapid Scale-Up Program to Reduce Under-Five Mortality in Burkina Faso

The American Journal of Tropical Medicine and Hygiene
Melinda MunosBanza Baya

Abstract

We conducted a prospective evaluation of the "Rapid Scale-Up" (RSU) program in Burkina Faso, focusing on the integrated community case management (iCCM) component of the program. We used a quasi-experimental design in which nine RSU districts were compared with seven districts without the program. The evaluation included documentation of program implementation, assessments of implementation and quality of care, baseline and endline coverage surveys, and estimation of mortality changes using the Lives Saved Tool. Although the program trained large numbers of community health workers, there were implementation shortcomings related to training, supervision, and drug stockouts. The quality of care provided to sick children was poor, and utilization of community health workers was low. Changes in intervention coverage were comparable in RSU and comparison areas. Estimated under-five mortality declined by 6.2% (from 110 to 103 deaths per 1,000 live births) in the RSU area and 4.2% (from 114 to 109 per 1,000 live births) in the comparison area. The RSU did not result in coverage increases or mortality reductions in Burkina Faso, but we cannot draw conclusions about the effectiveness of the iCCM strategy, given implementation shortcomi...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·Bernadette DaelmansMark Young
Mar 5, 2016·The American Journal of Tropical Medicine and Hygiene·Elizabeth Hazel The Iip-Jhu iCCM Evaluation Working Group
Nov 24, 2017·Implementation Science : IS·Ali Ben CharifFrance Légaré
Apr 18, 2019·The International Journal of Health Planning and Management·Naasegnibe KuunibeManuela De Allegri
Apr 3, 2018·BMJ Global Health·Ari D JohnsonKassoum Kayentao
Oct 2, 2020·Transactions of the Royal Society of Tropical Medicine and Hygiene·James S MillerGeren S Stone
Jul 3, 2019·Journal of Global Health·Debra ProsnitzJennifer Yourkavitch
Feb 12, 2019·Health Services Research·Nopphol Witvorapong, Kolo Yaro Yakubu
Feb 11, 2021·The Cochrane Database of Systematic Reviews·Nicholas P OliphantTanya Doherty
Jun 20, 2018··Caroline WhiddenYoussouf Keita

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Software Mentioned

Pendragon Forms
Stata
Lives Saved Tool ( LiST )
Spectrum
CSPro
NVivo
Pendragon Forms VI
SPSS
LiST

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