Operational Research Management for Children With Severe Pneumonia (OR-pneumonia)
Pneumonia
About this trial
This is an interventional health services research trial for Pneumonia focused on measuring Severe Pneumonia, Pneumonia, ARI, IMCI, Modified IMCI, 1st level Health facilities, Children, Operational Research, Bangladesh, Treatment of Severe Pneumonia
Eligibility Criteria
Inclusion Criteria:
- Severe pneumonia with patients of 2 months to 5 years
- Attending first level health care facilities
- In Selected study areas
Exclusion Criteria:
- Any other categories of pneumonia other than severe pneumonia.
Sites / Locations
- Union health facility
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Modified IMCI guideline
Current IMCI guideline
Modified IMCI Guideline for treating severe phnemonia will be implemented in the arm 1. The Modified IMCI guideline denotes that all severe pneumonia cases with only chest indrawing and no other danger signs will be treated at the first level health facilities with first line oral antibiotics followed by follow-up on 3rd day. On 3rd day the patient will be reassessed and if the condition improves the first line antiobiotic will be continued and if deteriorates or remain unchange second line antibiotic will be used. The patient will be further asked to come on day 3 for reassessment.
Existing IMCI guideline denotes all severe pneumonia cases will be referred to the 1st level referral facilities after giving first dose of injectable antibiotics