Insights from community case management data in six sub-saharan African countries

Yolanda Barberá Laínez, Alison Wittcoff, Amina Issa Mohamud, Paul Amendola, Henry B. Perry, Emmanuel D'Harcourt

Research output: Contribution to journalArticlepeer-review

Abstract

There is strong research evidence that community case management (CCM) programs can significantly reduce mortality. There is less evidence, however, on how to implement CCM effectively either from research or regular program data. We analyzed monitoring data from CCM programs supported by the International Rescue Committee (IRC), covering over 2 million treatments provided from 2004 to 2011 in six countries by 12, 181 community health workers (CHWs). Our analysis yielded several findings of direct relevance to planners and managers. CCM programs seem to increase access to treatment, although diarrhea coverage remains low. In one country, the size of the catchment area was correlated with use, and increased supervision was temporally and strongly associated with improved quality. Planners should use routine data to guide CCM program planning. Programs should treat all three conditions from the outset. Other priorities should include use of diarrhea treatment and insurance of adequate supervision.

Original languageEnglish (US)
Pages (from-to)144-150
Number of pages7
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume87
Issue numberSUPPL.5
DOIs
StatePublished - Nov 2012

ASJC Scopus subject areas

  • Parasitology
  • Virology
  • Infectious Diseases

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