Evaluation of Integrated Community Case Management in Eight Districts of Central Uganda

Evidence is limited on whether Integrated Community Case Management (iCCM) improves treatment coverage of the top causes of childhood mortality (acute respiratory illnesses (ARI), diarrhoea and malaria). The coverage impact of iCCM in Central Uganda was evaluated. Between July 2010 and December 2012...

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Bibliographic Details
Published in:PloS one 2015-08, Vol.10 (8), p.e0134767-e0134767
Main Authors: Mubiru, Denis, Byabasheija, Robert, Bwanika, John Baptist, Meier, Joslyn Edelstein, Magumba, Godfrey, Kaggwa, Flavia Mpanga, Abusu, Jackson Ojera, Opio, Alex Chono, Lodda, Charles Clarke, Patel, Jaanki, Diaz, Theresa
Format: Article
Language:English
Subjects:
Amoxicillin
Antibiotics
Artemisinin
Case management
Case Management - statistics & numerical data
Child Health - statistics & numerical data
Child Health Services - statistics & numerical data
Child, Preschool
Children
Communities
Community
Community Health Services - statistics & numerical data
Consortia
Delivery of Health Care, Integrated - statistics & numerical data
Diarrhea
Female
Fever
Health facilities
Humans
Illnesses
Impact analysis
Infant
Infant, Newborn
Intervention
Malaria
Male
Meetings
Mortality
Outcome Assessment (Health Care)
Pneumonia
Public Health Surveillance
Rehydration
Respiratory diseases
Surveys and Questionnaires
Uganda - epidemiology
Vector-borne diseases
Zinc
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Summary:Evidence is limited on whether Integrated Community Case Management (iCCM) improves treatment coverage of the top causes of childhood mortality (acute respiratory illnesses (ARI), diarrhoea and malaria). The coverage impact of iCCM in Central Uganda was evaluated. Between July 2010 and December 2012 a pre-post quasi-experimental study in eight districts with iCCM was conducted; 3 districts without iCCM served as controls. A two-stage household cluster survey at baseline (n = 1036 and 1042) and end line (n = 3890 and 3844) was done in the intervention and comparison groups respectively. Changes in treatment coverage and timeliness were assessed using difference in differences analysis (DID). Mortality impact was modelled using the Lives Saved Tool. 5,586 Village Health Team members delivered 1,907,746 treatments to children under age five. Use of oral rehydration solution (ORS) and zinc treatment of diarrhoea increased in the intervention area, while there was a decrease in the comparison area (DID = 22.9, p = 0.001). Due to national stock-outs of amoxicillin, there was a decrease in antibiotic treatment for ARI in both areas; however, the decrease was significantly greater in the comparison area (DID = 5.18; p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0134767