Evidence map›Paper›PMID 38233841›Full record

ArticleBMC health services research2024

Assessment of pre-referral treatment for malaria, diarrhea, and pneumonia by rural community health workers in Southwestern Uganda: a cross-sectional study.

Michael Matte, Moses Ntaro, Jessica Kenney, Andrew Wesuta, Peter Chris Kawungezi, Shem Bwambale, David Ayebare, Stephen Baguma, Fred Bagenda, Geren Stone and 1 more

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

Article in BMC health services research, 2024. 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
3.3field-weighted citation impact, top 10% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  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

11 authors at 3 institutions in 2 countries.

Michael MatteDepartment of Community Health, Mbarara University of Science and Technology, PO Box 1410, Mbarara, Uganda. mattemichael18@gmail.com.
Moses NtaroDepartment of Community Health, Mbarara University of Science and Technology, PO Box 1410, Mbarara, Uganda.
Jessica KenneyCenter for Global Health, Massachusetts General Hospital, 125 Nashua Street, Boston, MA, 02114, USA.
Andrew WesutaBugoye Community Health Collaboration, Bugoye Health Centre III, PO Box 149, Kasese District, Uganda.
Peter Chris KawungeziDepartment of Community Health, Mbarara University of Science and Technology, PO Box 1410, Mbarara, Uganda.
Shem BwambaleBugoye Community Health Collaboration, Bugoye Health Centre III, PO Box 149, Kasese District, Uganda.
David AyebareDepartment of Community Health, Mbarara University of Science and Technology, PO Box 1410, Mbarara, Uganda.
Stephen BagumaBugoye Community Health Collaboration, Bugoye Health Centre III, PO Box 149, Kasese District, Uganda.
Fred BagendaDepartment of Community Health, Mbarara University of Science and Technology, PO Box 1410, Mbarara, Uganda.
Geren StoneCenter for Global Health, Massachusetts General Hospital, 125 Nashua Street, Boston, MA, 02114, USA.
Edgar MulogoDepartment of Community Health, Mbarara University of Science and Technology, PO Box 1410, Mbarara, Uganda.
Mbarara University of Science and Technology · UGCenter for Global Health · USMassachusetts General Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPre-referral treatment aims to stabilize the child's condition before transferring them to a higher level of healthcare. This study explored pre-referral treatment for diarrhea, malaria and pneumonia in children U5. The study aims to assess pre-referral treatment practices among community health workers (CHWs) for children aged 2 to 59 months diagnosed with malaria, diarrhea, and pneumonia.

methodsConducted in 2023, this study employed a quantitative retrospective analysis of secondary data gathered from March 2014 to December 2018. Among the subjects, 171 patients received pre-referral treatment, serving as the foundation for categorical data analysis, presenting proportions and 95% confidence intervals across different categories.

resultsIn this cohort, 90 (53%) of the 177 children U5 were male, and age distribution showed 39 (23%), 70 (41%), and 62 (36%) in the 2-11 months, 12-35 months, and 36-60 months categories, respectively. Rapid Diagnostic Test (RDT) malaria results indicated a negative outcome in 83(60%) and positive in 55 (40%) of cases. Symptomatically, 45 (26%) had diarrhea, 52 (30%) exhibited fast breathing, and 109 (63%) presented with fever. Furthermore, 59 (35%) displayed danger signs, while 104 (61%) sought medical attention within 24 h.

conclusionThe study analyzed a sample of 171 children under 5 years old to assess various characteristics and variables related to pre-referral treatment. The findings reveal notable proportions in gender distribution, age categories, RDT results, presence of diarrhea, fast breathing, fever, danger signs, and timely medical visits. The results highlight the need to strengthen pre-referral treatment interventions and enhance iCCM programs.

Indexed as

MalariaPneumoniaCase ManagementChildChild, PreschoolCommunity Health ServicesCommunity Health WorkersCross-Sectional StudiesDiarrheaFemaleFeverHumansInfantMaleReferral and ConsultationRetrospective StudiesChildren under fiveCommunity health workersIntegrated community case managementPre-referralRapid diagnostic test

Identifiers

PMID38233841
PMCPMC10795398
OpenAlexW4390941102

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.