Evidence map›Paper›PMID 40086801›Full record

ArticleBMJ global health2025

The 'Health-2-Go' programme's impact on all-cause mortality and clinic utilisation for children 5 and under: a retrospective cohort analysis of an iCCM intervention in Ghana's Barekese Subdistrict.

Isabella Guynn, Kristen Hassmiller Lich, Stephen Manortey, Leah Frerichs, Alyssa J Mansfield, Mohammed Shaibu, Moselle-Margaret Anum-Brown, Philip Owusu Antwi, Stephen C Alder

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Article in BMJ global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
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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 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

Isabella GuynnDepartment of Community Health, Ensign Global University, Kpong, Eastern Region, Ghana isabella.guynn@gmail.com.ORCID http://orcid.org/0009-0007-7595-0579
Kristen Hassmiller LichDepartment of Health Policy and Management, The University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, North Carolina, USA.
Stephen ManorteyDepartment of Community Health, Ensign Global University, Kpong, Eastern Region, Ghana.ORCID http://orcid.org/0000-0001-5783-6595
Leah FrerichsDepartment of Health Policy and Management, The University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, North Carolina, USA.
Alyssa J MansfieldDepartment of Health Policy and Management, The University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, North Carolina, USA.
Mohammed ShaibuGhana Health Service Barekese Sub-District Health Center, Barekese, Atwima Nwabiagya North District, Ghana.
Moselle-Margaret Anum-BrownDepartment of Community Health, Ensign Global University, Kpong, Eastern Region, Ghana.
Philip Owusu AntwiDepartment of Community Health, Ensign Global University, Kpong, Eastern Region, Ghana.
Stephen C AlderDepartment of Community Health, Ensign Global University, Kpong, Eastern Region, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe 'Health-2-Go' programme, which incorporates the integrated community case management strategy, aims to enhance healthcare access in rural Ghana by deploying trained and equipped community-based agents to manage the diagnosis and treatment of basic illness for children aged 5 and under. This study evaluates the intervention's impact on all-cause mortality and clinical healthcare utilisation among children 5 and under in the Barekese Subdistrict in the Atwima Nwabiagya North District of the Ashanti Region of Ghana.

methodsA retrospective cohort study was conducted using data from 2530 children across nine communities exposed to Health-2-Go and six comparison communities with no Health-2-Go exposure. Child mortality data were collected via a verbally administered household census, and clinical healthcare utilisation data were extracted from clinic records. We used Cox proportional hazards regression models to estimate the impact of exposure to Health-2-Go on child mortality and negative binomial regression models to assess exposure to Health-2-Go on changes in 5 and under clinic visits resulting in a malaria diagnosis.

resultsExposure to Health-2-Go was significantly associated with a 67.7% reduction in the hazard of death (

conclusionsThe Health-2-Go programme demonstrates substantial potential in reducing child mortality and improving healthcare access in low-resource and 'hard-to-reach' settings in rural Ghana. Further prospective research is recommended to confirm these findings and explore the long-term sustainability of the programme.

Indexed as

Child Health ServicesChild MortalityHealth Services AccessibilityPatient Acceptance of Health CareChild, PreschoolFemaleGhanaHumansInfantMalariaMaleProgram EvaluationRetrospective StudiesRural PopulationChild healthCohort studyHealth services researchHealth systems evaluationMalaria

Identifiers

PMID40086801
PMCPMC11907019

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