A Short Period of Proactive Community Case Management (ProCCM) to Improve Early Care-seeking for Fever in Sierra Leone
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 9,000
- 主要终点
- The proportion of children under five years of age with recent fever (within the past two weeks) who sought care from a CHW or public health facility on the same day or day after fever onset
研究概览
简要总结
This is a three arm cluster randomized control trial to determine if proactive community case management (ProCCM) conducted over a short period of time improves care-seeking indicators for febrile illnesses in children in hard to reach (HTR) areas of Sierra Leone compared to integrated community case management (iCCM). The three arms include:
- Optimized standard of care for CCM plus ProCCM - ProCCM will be implemented for two months near the start of the transmission season, and the existing program will be supplemented to ensure that HTR CHWs have all commodities needed for malaria testing and treatment and are adequately trained on SBCC messages to ensure activities are implemented as designed.
- Optimized standard of care- as in arm 1 without ProCCM
- Routine implementation (control) - no changes (business as usual) to iCCM, SBCC and stock management.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Household lives within the study cluster
- •Head of household or a household member over the age of 18 provides verbal consent for the HTR CHW visit
- •All available household members at the time of the HTR CHW visits are eligible to receive services
排除标准
- •Household does not live within the study cluster
- •Household does not provide consent for the study visit
结局指标
主要结局
The proportion of children under five years of age with recent fever (within the past two weeks) who sought care from a CHW or public health facility on the same day or day after fever onset
时间窗: Cross sectional collected immediately post-intervention and 5 months post-intervention
Changes in care seeking will be assessed through three cross-sectional surveys. A baseline survey will be conducted prior to intervention implementation followed by a second survey at or near the end of the ProCCM intervention period and a final survey at the end of the malaria transmission season.
次要结局
- Differences in touchpoints and connection between CHWs and health facility staff as described through qualitative analysis.(End of the malaria transmission season which will be 2 months post intervention)
- Perceptions of the availability, cost, quality, and ease of seeking care for febrile illness explored through focus groups and in-depth interviews with community members.(End of the malaria transmission season which will be 2 months post intervention)
- Cost per additional fever case promptly seeking care at qualified provider(5 months post-intervention)
- Barriers and enablers of care-seeking behavior for febrile illness of people of all ages and how ProCCM impacts this behavior explored through focus groups(End of the malaria transmission season which will be 2 months post intervention)
- Job satisfaction and perceived workload as described by CHWs during focus groups and interviews(End of the malaria transmission season which will be 2 months post intervention)