Evidence map›Paper›PMID 33241133›Full record

ArticleHeliyon2020

Perspectives of health care workers and village health volunteers on community-based Integrated Management of Childhood Illness in Madagascar.

Tomomi Kitamura, Pamela Fergusson, Arison Nirina Ravalomanda, Florentine Soanarenina, Angeline Thérése Raveloarivony, René Rasamoelisolonjatovo, Raymond Rakotoarimanana, Mitsuaki Matsui

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Heliyon, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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.

Tomomi KitamuraBureau of International Health Cooperation, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku, Tokyo 162-8655, Japan.
Pamela FergussonSchool of Nutrition, Ryerson University, 350 Victoria Street, Toronto, Ontario, M5B 2K3, Canada.
Arison Nirina RavalomandaDirection Régionale de la Santé dans le Boeny, Ministère de la Santé Publique, Complexe de la santé du Mahabibo, Mahajanga 401, Madagascar.
Florentine SoanareninaDirection Régionale de la Santé dans le Boeny, Ministère de la Santé Publique, Complexe de la santé du Mahabibo, Mahajanga 401, Madagascar.
Angeline Thérése RaveloarivonyBureau du District Sanitaire de Mahajanga II, Ministère de la Santé Publique, Complexe de la santé du Mahabibo, Mahajanga 401, Madagascar.
René RasamoelisolonjatovoBureau du District Sanitaire de Mahajanga II, Ministère de la Santé Publique, Complexe de la santé du Mahabibo, Mahajanga 401, Madagascar.
Raymond RakotoarimananaBureau du District Sanitaire de Mahajanga II, Ministère de la Santé Publique, Complexe de la santé du Mahabibo, Mahajanga 401, Madagascar.
Mitsuaki MatsuiSchool of Tropical Medicine and Global Health, Nagasaki University, Sakamoto 1-12-4, Nagasaki, 852-8523, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Ministry of Health and Family Planning of Madagascar introduced Integrated Management of Childhood Illness (IMCI) strategy in 2006, and community-based IMCI (c-IMCI), in Mahajanga II District in 2007. Following the 2009 political crisis, foreign organisations' suspension of development aid until 2012 significantly affected the implementation of c-IMCI. This study aimed to elucidate the perspectives of village health volunteers (VHVs) and public health officers (PHO) on c-IMCI. Semi-structured in-depth interviews with all VHVs working in three communes and PHOs working at central, district, and health centre levels were conducted in 2013. Textual data, created from transcripts, were translated into English and French. Data management involved analysis of sections of translated transcripts, which were marked, coded, and linked with similar experiences, challenges, and opinions; these were categorised into words and phrases to discover meaningful relationships between emerging themes. From all interviews of 30 VHV in three Mahajanga II communes and 4 PHOs, 3 themes emerged: 1) benefits of c-IMCI to the community and for VHVs, 2) challenges to continue c-IMCI, and 3) motivation to continue c-IMCI. Although all respondents considered c-IMCI as beneficial, they stated it was difficult to continue. The health system and implementation of c-IMCI should be strengthened to enable programme survival beyond the initial phase, especially during times of political instability.

Indexed as

EpidemiologyIntegrated management of childhood illnessPediatricsPublic healthPublic health officerSocial sciencesVillage health volunteer

Identifiers

PMID33241133
PMCPMC7674294

What OpenQuestion holds

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Registered trials

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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.