Evidence map›Paper›PMID 36098951›Full record

ArticleGlobal health action2022

Comparing program supervision with an external RADAR evaluation of quality of care in integrated community case management for childhood illnesses in Mali.

Luay Basil, Mary Thompson, Melissa A Marx, Emily Frost, Diwakar Mohan, Sinaly Traore, Jules Zanre, Bintou Coulibaly, Birahim Yagyemar Gueye, Thierry Nkurabagaya and 4 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Global health action, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% of its field
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

14 authors at 3 institutions in 2 countries.

Luay BasilGlobal Programs, Canadian Red Cross, Ottawa, Canada.
Mary ThompsonGlobal Programs, Canadian Red Cross, Ottawa, Canada.
Melissa A MarxDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.ORCID 0000-0001-9735-6342
Emily FrostOffice of Science and Strategy, March of Dimes, Arlington, VA, USA.ORCID 0000-0001-9031-1029
Diwakar MohanDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.ORCID 0000-0002-7532-366X
Sinaly TraoreDepartment of Health, Malian Red Cross, Bamako, Mali.
Jules ZanreGlobal Programs, Canadian Red Cross, Ottawa, Canada.
Bintou CoulibalyDepartment of Health, Malian Red Cross, Bamako, Mali.
Birahim Yagyemar GueyeDepartment of Health, Malian Red Cross, Bamako, Mali.
Thierry NkurabagayaGlobal Programs, Canadian Red Cross, Ottawa, Canada.
Ghislain PodaGlobal Programs, Canadian Red Cross, Ottawa, Canada.ORCID 0000-0002-7948-3054
Kone MoussaDepartment of Health, Malian Red Cross, Bamako, Mali.
Farida El-KalaawyGlobal Programs, Canadian Red Cross, Ottawa, Canada.
Christina AngelaksiGlobal Programs, Canadian Red Cross, Ottawa, Canada.
Canadian Red Cross Society · CAJohns Hopkins University · USMarch of Dimes · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany countries have adopted integrated community case management (iCCM) to reduce mortality among children under five years from common childhood illnesses. The 2016-2020 Malian Red Cross iCCM program trained 441 Community Health Workers (CHWs) to treat malaria, pneumonia, diarrhea, and malnutrition for children under five years of age in six districts. Implementation strength and quality of care (QoC) were assessed through the program's supervision function, using the Malian Ministry of Health's system.

objectiveThis paper compares methods and results of program supervision data and an independent evaluation to assess the effectiveness of program implementation and supervision and inform program improvement. It also presents the benefits and limitations of each method.

methodAn independent QoC evaluation was conducted using tools developed by the Real Accountability: Data Analysis for Results (RADAR) project, hereafter referred to as the

resultsThe RADAR evaluation provided detailed findings on correct assessment, classification, and treatment per illness, medication type, and dosage. Program supervision combined the findings for all illnesses, medication type, and dosage due to limitations in the data collection process. Six indicators were comparable between both methods. Findings were similar for temperature and mid-upper arm circumference measurements but diverged between program supervision and the RADAR evaluation, respectively, on correct classification for all illnesses (87.1% vs. 65.3%), correct treatment for all illnesses (69.5% vs. 39.8%), correct respiratory rate counting (88.5% vs. 54.7%), and administering the first dose by CHW (75.4% vs. 65.0%). Findings from the RADAR evaluation guided improvements in program supervision.

conclusionsA robust program supervision system can serve as a credible method to assess QoC. However, a rigorous independent QoC evaluation provides a valuable benchmark to gauge the effectiveness of the supervisory process.

Indexed as

Case ManagementChild Health ServicesChildChild, PreschoolCommunity Health WorkersHumansMaliQuality of Health Carecommunity health workerIntegrated community case managementprogram supervisionquality of careRADAR

Identifiers

PMID36098951
PMCPMC9481102
OpenAlexW4295425526

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.