Trial reportAmerican journal of public health2009
A multifaceted intervention to improve health worker adherence to integrated management of childhood illness guidelines in Benin.
Trial report in American journal of public health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
53 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Integrated community case management of childhood illness in low- and middle-income countries.The Cochrane database of systematic reviews · 2021Pooled it
- Integrated management of childhood illness (IMCI) strategy for children under five.The Cochrane database of systematic reviews · 2016Pooled it
- Pooled it
- Managerial supervision to improve primary health care in low- and middle-income countries.The Cochrane database of systematic reviews · 2011Pooled it
- An Integrated eDiagnosis Approach (IeDA) versus standard IMCI for assessing and managing childhood illness in Burkina Faso: a stepped-wedge cluster randomised trial.BMC health services research · 2021Trial
- Did a quality improvement intervention improve quality of maternal health care? Implementation evaluation from a cluster-randomized controlled study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2020Trial
- Interventional study to improve diabetic guidelines adherence using mobile health (m-Health) technology in Lahore, Pakistan.BMJ open · 2018Trial
- Improving the quality of hospital care for children by supportive supervision: a cluster randomized trial, Kyrgyzstan.Bulletin of the World Health Organization · 2017Trial
- Effect of integrated infectious disease training and on-site support on the management of childhood illnesses in Uganda: a cluster randomized trial.BMC pediatrics · 2015Trial
- Perioperative Care and the Importance of Continuous Quality Improvement--A Controlled Intervention Study in Three Tanzanian Hospitals.PloS one · 2015Trial
- Trial
- Using electronic technology to improve clinical care - results from a before-after cluster trial to evaluate assessment and classification of sick children according to Integrated Management of Childhood Illness (IMCI) protocol in Tanzania.BMC medical informatics and decision making · 2013Trial
- Health education for microcredit clients in Peru: a randomized controlled trial.BMC public health · 2011Trial
- Rapid testing for malaria in settings where microscopy is available and peripheral clinics where only presumptive treatment is available: a randomised controlled trial in Ghana.BMJ (Clinical research ed.) · 2010Trial
- Performance factors of mobile rich media job aids for community health workers.Journal of the American Medical Informatics Association : JAMIATrial
- A cluster randomized trial assessing the effect of a digital health algorithm on quality of care in Tanzania (DYNAMIC study).PLOS digital health · 2024Article
- Health professionals' acceptance of mobile-based clinical guideline application in a resource-limited setting: using a modified UTAUT model.BMC medical education · 2024Article
- An evaluation of a peer supervision pilot project among community health workers in rural Uganda.African health sciences · 2022Article
- Article
- Using the WHO safe childbirth checklist to improve essential care delivery as part of the district-wide maternal and newborn health quality improvement initiative, a time series study.BMC health services research · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe evaluated an intervention to support health workers after training in Integrated Management of Childhood Illness (IMCI), a strategy that can improve outcomes for children in developing countries by encouraging workers' use of evidence-based guidelines for managing the leading causes of child mortality.
methodsWe conducted a randomized trial in Benin. We administered a survey in 1999 to assess health care quality before IMCI training. Health workers then received training plus either study supports (job aids, nonfinancial incentives, and supervision of workers and supervisors) or usual supports. Follow-up surveys conducted in 2001 to 2004 assessed recommended treatment, recommended or adequate treatment, and an index of overall guideline adherence.
resultsWe analyzed 1244 consultations. Performance improved in both intervention and control groups, with no significant differences between groups. However, training proceeded slowly, and low-quality care from health workers without IMCI training diluted intervention effects. Per-protocol analyses revealed that workers with IMCI training plus study supports provided better care than did those with training plus usual supports (27.3 percentage-point difference for recommended treatment; P < .05), and both groups outperformed untrained workers.
conclusionsIMCI training was useful but insufficient. Relatively inexpensive supports can lead to additional improvements.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.