Evaluation of Integrated Community Case Management in Ethiopia
Pneumonia
About this trial
This is an interventional health services research trial for Pneumonia focused on measuring Integrated Community Case Management, Pneumonia, Ethiopia
Eligibility Criteria
Inclusion Criteria:
Surveys:
- Members of households in evaluation woredas in Jimma and West Haraghe zones of Ethiopia.
Quality of Care Implementation snapshot:
- Health posts: All functional health posts in the study zones will be included in the sampling frame. In cases where an HEW is providing services, but an official health post structure has not been constructed, the HEW's primary location for providing case management services will be considered as the health post.
- HEWs: All HEWs providing case management services in selected health posts will be included.
Patients must meet the following criteria:
- Between 2 and 59 months of age;
- Described as sick by the caretaker. Sick children must have at least one of the following complaints: signs or symptoms of severe illness (change in consciousness/lethargy, convulsions, vomiting everything, not eating or drinking); fever/malaria; cough, fast/difficulty breathing, pneumonia; diarrhea/vomiting; ear problem; measles; nutrition or feeding problems;
Exclusion Criteria:
Surveys:
- Members of households NOT residing in the evaluation woredas in Jimma and West Haraghe zones of Ethiopia.
- Members of households in urban communities.
- Participant does not consent to study procedures
Quality of Care Implementation snapshot:
- Non-functional health posts
- HEW does not consent to procedure.
Patients will be excluded from the study:
- If this is not the initial consultation for the current illness episode: patient has been seen at the health post, by the HEWs (including home/community).
- Patient is younger than 2 months or older than 59 months.
- Caretaker does not consent to procedure.
Sites / Locations
- ABH Services PLC
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Routine HEP
HEP+ICCM
This arm includes routine care provided under the health extension program provided to rural Ethiopian villages with limited access to health facilities.
This arm includes routine care provided under the Health Extension Program plus the HEWs will be assessing and treating childhood pneumonia cases in rural Ethiopian villages with limited access to health facilities.