ArticleAfrican health sciences2017
Where there is no doctor: can volunteer community health workers in rural Uganda provide integrated community case management?
Article in African health sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- The effect of a community health worker intervention on public satisfaction: evidence from an unregistered outcome in a cluster-randomized controlled trial in Dar es Salaam, Tanzania.Human resources for health · 2019Trial
- Targeted distribution of long-lasting insecticidal nets by community health workers to sustain household coverage: A pilot feasibility study in Western Uganda.PLOS global public health · 2025Article
- Evaluation of integrated community case management of the common childhood illness program in Gondar city, northwest Ethiopia: a case study evaluation design.BMC pediatrics · 2024Article
- Article
- Expanding the roles of community health workers to sustain programmes during malaria elimination: a meeting report on operational research in Southeast Asia.Malaria journal · 2024Article
- Quality of sick child management by health extension workers: role of a complex improvement intervention.BMC health services research · 2023Article
- Contribution of community health workers to the treatment of common illnesses among under 5-year-olds in rural Uganda.Malaria journal · 2022Article
- Article
- Health system strengthening using aFrontiers in public health · 2022Article
- Malaria prevalence and long-lasting insecticidal net use in rural western Uganda: results of a cross-sectional survey conducted in an area of highly variable malaria transmission intensity.Malaria journal · 2021Article
- Article
- Effect of community-based intervention on improving access to treatment for sick under-five children in hard-to-reach communities in Niger State, Nigeria.Journal of global health · 2019Article
- Qualitative analysis of the health system effects of a community-based malaria elimination program in Rwanda.Research and reports in tropical medicine · 2018Article
- A demonstration of mobile phone deployment to support the treatment of acutely ill children under five in Bushenyi district, Uganda.African health sciences · 2016Observational
- Stakeholders' perceptions of integrated community case management by community health workers: a post-intervention qualitative study.PloS one · 2014Article
- Drugs for some but not all: inequity within community health worker teams during introduction of integrated community case management.BMC health services research · 2014Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIntegrated community case management (iCCM) involves assessment and treatment of common childhood illnesses by community health workers (CHWs). Evaluation of a new Ugandan iCCM program is needed.
objectivesThe objectives of this study were to assess if iCCM by lay volunteer CHWs is feasible and if iCCM would increase proportions of children treated for fever, pneumonia, and diarrhoea in rural Uganda.
methodsThis pre/post study used a quasi-experimental design and non-intervention comparison community. CHWs were selected, trained, and equipped to assess and treat children under five years with signs of the three illnesses. Evaluation included CHW-patient encounter record review plus analysis of pre/post household surveys.
results196 iCCM-trained CHWs reported 6,276 sick child assessments (45% fever, 46% pneumonia, 9% diarrhoea). 93% of cases were managed according to algorithm recommendations. Absolute proportions of children receiving treatment significantly increased post-intervention: antimalarial for fever (+24% intervention versus +4% control) and oral rehydration salts/zinc for diarrhoea (+14% intervention versus +1% control).
conclusionIn our limited-resource, rural Ugandan setting, iCCM involving lay CHWs was feasible and significantly increased the proportion of young children treated for malaria and diarrhoea.
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