Trial reportThe American journal of tropical medicine and hygiene2016
Effects of the integrated Community Case Management of Childhood Illness Strategy on Child Mortality in Ethiopia: A Cluster Randomized Trial.
Trial report in The American journal of tropical medicine and hygiene, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04106921 (Evaluation of a Mobile Application Tool for Increasing Community Health Worker Home Visit Coverage), which is not on this map. Cited by 58 papers, 4 of them syntheses that pooled it.
What it found
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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.
Evaluation of a Mobile Application Tool for Increasing Community Health Worker Home Visit Coverage: A Randomized Controlled Study
Who cites it
58 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Systematic review of the quality of care provided to sick children in Ethiopian health facilities.Journal of global health · 2024Pooled it
- Utilization of integrated community-based case management of childhood illness and associated factors in Ethiopia: a systematic review and meta-analysis.Italian journal of pediatrics · 2024Pooled it
- Integrated community case management of childhood illness in low- and middle-income countries.The Cochrane database of systematic reviews · 2021Pooled it
- Systematic review of interventions for improving the performance of community health workers in low-income and middle-income countries.BMJ open · 2017Pooled it
- Effects of proactive vs fixed community health care delivery on child health and access to care: a cluster randomised trial secondary endpoint analysis.Journal of global health · 2023Trial
- Effect of mobile application user interface improvements on minimum expected home visit coverage by community health workers in Mali: a randomised controlled trial.BMJ global health · 2021Trial
- Community-based amoxicillin treatment for fast breathing pneumonia in young infants 7-59 days old: a cluster randomised trial in rural Bangladesh, Ethiopia, India and Malawi.BMJ global health · 2021Trial
- Improving Community Health Worker performance by using a personalised feedback dashboard for supervision: a randomised controlled trial.Journal of global health · 2018Trial
- Trial
- Reducing Malaria-Related Under-Five Mortality in Nigeria Through Scalable Prevention and Treatment Strategies.Cureus · 2026Article
- Early impact of the Liberian National Community Health Assistant Program on under-five mortality in Grand Bassa County: A non-randomized stepped wedge evaluation.PLOS global public health · 2026Article
- The pathway to child survival in the Birhan Cohort, Ethiopia, 2018-22.Journal of global health · 2025Article
- Implementation status, drivers and barriers to the sick children quality of care improving interventions in the Oromia region, Ethiopia: case study design.BMC health services research · 2025Article
- Health service readiness and quality for sick child care: an effective coverage analysis in eight low- and middle-income countries.Journal of global health · 2025Article
- Improving possible serious bacterial infection (PSBI) management in young infants when referral is not feasible: lessons from embedded implementation research in Ethiopia and Kenya.BMC pediatrics · 2024Article
- Learning from Ethiopia's success in reducing maternal and neonatal mortality through a health systems lens.BMJ global health · 2024Article
- Article
- Research to Help Projects Operate Successfully.Global health, science and practice · 2023Article
- The contribution of community health systems to resilience: Case study of the response to the drought in Ethiopia.Journal of global health · 2022Article
- Comparing program supervision with an external RADAR evaluation of quality of care in integrated community case management for childhood illnesses in Mali.Global health action · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
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 allowed Ethiopia to strengthen its strategic approaches to increasing population demand and use of iCCM services.
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