Strengthening the Delivery of Integrated Community Case Management (iCCM) in Two Districts of Eastern Province, Zambia
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 3,840
- 试验地点
- 1
- 主要终点
- Composite percentage of children appropriately treated for malaria, diarrhea, and pneumonia.
研究概览
简要总结
This study will provide important evidence to the Ministry of Community Development, Mother and Child Health (MCDMCH) and the Ministry of Health (MOH) on how to effectively implement iCCM with a focus on improving both the flow of supplies to CHWs as well as the quality of their supervision and mentorship. The overall aim will be to determine whether improvements in supplies for community health workers (CHWs) and strengthened supervision result in improved early and appropriate treatment for children with malaria, pneumonia, and diarrhea in rural Zambia when compared to CHWs offering iCCM without this logistics and supervision support.
详细描述
The main objective of this study is to strengthen the delivery of integrated community case management (iCCM) of malaria, diarrhea, and pneumonia in Chadiza and Chipata Districts of Eastern Province, through mHealth supported improved supply chain management of iCCM commodities and enhanced supportive supervision of iCCM-trained CHWs.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 1 Month 至 5 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age <5 years
- •Treatment for an iCCM condition (malaria, pneumonia, or diarrhea) by a CHW
- •Willingness of the child's caregiver to provide informed consent
排除标准
- 未提供
结局指标
主要结局
Composite percentage of children appropriately treated for malaria, diarrhea, and pneumonia.
时间窗: Through study completion, up to six months
Defined as percentage of sick children under five years of age presenting with an i-CCM condition to an i-CCM trained health worker (CHW or a CHA) who received appropriate treatment for an iCCM condition (composite indicator): Appropriate treatment for malaria: received artemisinin-based combination therapy (ACT) for malaria for at least three days or Appropriate treatment for pneumonia: received amoxicillin for pneumonia for at least five days or Appropriate treatment for diarrhea: received zinc in addition to fluid from ORS packet or oral rehydration solution (ORS) liquid or homemade fluid for diarrhea
次要结局
- a) Medicine availability (artemether-lumefantrine)(Through study completion, up to six months)
- d) Average cost per iCCM contact(Through study completion, up to six months)
- f) Medicine availability (amoxicillin)(Through study completion, up to six months)
- b) Clinical supervision coverage(Through study completion, up to six months)
- c) Virtual supervision coverage (via mobile technology)(Through study completion, up to six months)
- e) Diagnostic availability(Through study completion, up to six months)
- g) Medicine availability (ORS)(Through study completion, up to six months)
- h) Medicine availability (Zinc)(Through study completion, up to six months)