ArticleJournal of global health2019
Effect of community-based intervention on improving access to treatment for sick under-five children in hard-to-reach communities in Niger State, Nigeria.
Article in Journal of global health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 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.
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Who cites it
22 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Analysis of the institutionalisation of Integrated Community Case Management and its implications for access to community healthcare since 2019 in Sub-Saharan Africa: a systematic review.BMC primary care · 2026Pooled it
- Slow progress towards pneumonia control for children in low-and-middle income countries as measured by pneumonia indicators: A systematic review of the literature.Journal of global health · 2022Pooled it
- Emergency care with lay responders in underserved populations: a systematic review.Bulletin of the World Health Organization · 2021Pooled it
- Pooled it
- Trial
- Innovative, enhanced community management of non-hypoxaemic chest-indrawing pneumonia in 2-59-month-old children: a cluster-randomised trial in Africa and Asia.BMJ global health · 2022Trial
- Evaluating the performance of a video expert panel in assessing respiratory rate from recorded videos for the diagnosis of non-severe paediatric pneumonia.BMJ open respiratory research · 2025Article
- Exploring Community Roles in Managing Childhood Illnesses in Vhembe District, Limpopo: Perspectives from Nurses and Caregivers.International journal of environmental research and public health · 2025Article
- Healthcare-seeking behaviour of fever cases in Magude district, southern Mozambique: A qualitative study.PloS one · 2025Article
- Evaluating the performance of an automated respiratory rate counter in detecting fast breathing pneumonia in children using a reference video expert panel.BMC digital health · 2025Article
- Paediatric anaemia in rural Kenya and the role of travel time to emergency care services.Frontiers in epidemiology · 2025Article
- Article
- Malaria community case management usage and quality of malaria care in a moderate Plasmodium falciparum burden region of Chadiza District, Zambia.Malaria journal · 2024Article
- Quality of sick child management by health extension workers: role of a complex improvement intervention.BMC health services research · 2023Article
- Drivers of informal sector and non-prescription medication use in pediatric populations in a low- and middle-income setting: A prospective cohort study in Zambia.PLOS global public health · 2023Article
- Poor Adherence to the Integrated Community Case Management of Newborn and Child Illness Protocol in Rural Ethiopia.The American journal of tropical medicine and hygiene · 2022Article
- Common childhood illnesses: a cross-sectional study of commodity stocking patterns and management knowledge among patent and proprietary medicine vendors in Nigeria.Archives of public health = Archives belges de sante publique · 2022Article
- Performance of Automated Point-of-Care Respiratory Rate Counting versus Manual Counting in Children under Five Admitted with Severe Febrile Illness to Kisantu Hospital, DR Congo.Diagnostics (Basel, Switzerland) · 2021Article
- Baseline malaria prevalence and care-seeking behaviours in rural Madagascar prior to a trial to expand malaria community case management to all ages.Malaria journal · 2021Article
- Does integrated community case management (iCCM) target health inequities and treatment delays? Evidence from an analysis of Demographic and Health Surveys data from 21 countries in the period 2010 to 2018.Journal of global health · 2021Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundAccess to prompt and appropriate treatment is key to survival for children with malaria, pneumonia and diarrhoea. Community-based services are vital to extending care to remote populations. Malaria Consortium supported Niger state Ministry of Health, Nigeria, to introduce and implement an integrated community case management (iCCM) programme for four years in six local government areas (LGAs). The objective was to increase coverage of effective treatment for malaria, pneumonia and diarrhoea among children aged 2-59 months.
methodsThe programme involved training, equipping, ongoing support and supervision of 1320 community volunteers (CORPs) to provide iCCM services to their communities in all six LGAs. Demand creation activities were also conducted; these included community dialogues, household mobilization, sensitization and mass media campaigns targeted at programme communities. To assess the level of changes in care seeking and treatment, baseline and endline household surveys were conducted in 2014 and 2017 respectively. For both surveys, a 30×30 multi-stage cluster sampling method was used, the sampling frame being RAcE programme communities.
resultsCare-seeking from an appropriate provider increased overall and for each iCCM illness from 78% to 94% for children presenting with fever (
conclusionImplementation of iCCM with focused demand creation activities can improve access to quality lifesaving interventions from frontline community providers in Nigeria. This can contribute towards achieving SDGs if iCCM is scaled up to hard-to-reach areas of all states in the country.
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