Evidence map›Paper›PMID 23136276›Full record

Trial reportThe American journal of tropical medicine and hygiene2012

Increased use of community medicine distributors and rational use of drugs in children less than five years of age in Uganda caused by integrated community case management of fever.

Joan N Kalyango, Ann Lindstrand, Elizeus Rutebemberwa, Sarah Ssali, Daniel Kadobera, Charles Karamagi, Stefan Peterson, Tobias Alfven

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of tropical medicine and hygiene, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  10. Drought and Illness among Young Children in Uganda, 2009-2012.The American journal of tropical medicine and hygiene · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Joan N Kalyango
Ann Lindstrand
Elizeus Rutebemberwa
Sarah Ssali
Daniel Kadobera
Charles Karamagi
Stefan Peterson
Tobias Alfven

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We compared use of community medicine distributors (CMDs) and drug use under integrated community case management and home-based management strategies in children 6-59 months of age in eastern Uganda. A cross-sectional study with 1,095 children was nested in a cluster randomized trial with integrated community case management (CMDs treating malaria and pneumonia) as the intervention and home-based management (CMDs treating only malaria) as the control. Care-seeking from CMDs was higher in intervention areas (31%) than in control areas (22%; P = 0.01). Prompt and appropriate treatment of malaria was higher in intervention areas (18%) than in control areas (12%; P = 0.03) and among CMD users (37%) than other health providers (9%). The mean number of drugs among CMD users compared with other health providers was 1.6 versus 2.4 in intervention areas and 1.4 versus 2.3 in control areas. Use of CMDs was low. However, integrated community case management of childhood illnesses increased use of CMDs and rational drug use.

Indexed as

Case ManagementCommunity Health ServicesAnti-Bacterial AgentsAntimalarialsBreath TestsChild, PreschoolCluster AnalysisCross-Sectional StudiesDisease ManagementFemaleFeverHumansInfantLogistic ModelsMalariaMaleAnti-Bacterial AgentsAntimalarials

Identifiers

PMID23136276
PMCPMC3748520

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.