Independent evaluation of the rapid scale-up program to reduce under-five mortality in Burkina Faso

Melinda Munos, Georges Guiella, Timothy Roberton, Abdoulaye Maïga, Adama Tiendrebeogo, Yvonne Tam, Jennifer Bryce, Banza Baya

Research output: Contribution to journalArticlepeer-review

Abstract

We conducted a prospective evaluation of the "Rapid Scale-Up" (RSU) program in Burkina Faso, focusing on the integrated community case management (iCCM) component of the program. We used a quasi-experimental design in which nine RSU districts were compared with seven districts without the program. The evaluation included documentation of program implementation, assessments of implementation and quality of care, baseline and endline coverage surveys, and estimation of mortality changes using the Lives Saved Tool. Although the program trained large numbers of community health workers, there were implementation shortcomings related to training, supervision, and drug stockouts. The quality of care provided to sick children was poor, and utilization of community health workers was low. Changes in intervention coverage were comparable in RSU and comparison areas. Estimated under-five mortality declined by 6.2% (from 110 to 103 deaths per 1,000 live births) in the RSU area and 4.2% (from 114 to 109 per 1,000 live births) in the comparison area. The RSU did not result in coverage increases or mortality reductions in Burkina Faso, but we cannot draw conclusions about the effectiveness of the iCCM strategy, given implementation shortcomings. The evaluation results highlight the need for greater attention to implementation of iCCM programs.

Original languageEnglish (US)
Pages (from-to)584-595
Number of pages12
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume94
Issue number3
DOIs
StatePublished - Mar 2016

ASJC Scopus subject areas

  • Parasitology
  • Virology
  • Infectious Diseases

Fingerprint

Dive into the research topics of 'Independent evaluation of the rapid scale-up program to reduce under-five mortality in Burkina Faso'. Together they form a unique fingerprint.

Cite this