ICCM of Common Childhood Diseases: Mozambique and Uganda

Summary

The aim of the inSCALE project is to test the effect of innovative approaches to increase coverage of integrated community case management, which provides community based-care for diarrhoea, pneumonia and malaria, resulting in more children receiving timely and appropriate care for these three most common childhood illnesses

Conditions

• Malaria
• Pneumonia
• Diarrhoea

Interventions

OTHER

Technology supported supervision

CHWs will be provided with mobile phones and solar chargers to carry out the following: 1. Establish closed user groups (CUGs) to enable two-way communication between CHWs and their supervisors free of charge to the users. 2. Data submission through mobile phones 2.1. receive motivational performance related feedback provided in response. 2.2. Automated messages to supervisors which 2.2.1. Flags problems and strengths/successes identified in CHWs data 2.2.2. Alerting supervisors as to which CHWs require targeted supervision. 2.3. CHWs data summarised in a user friendly format and made accessible to district statisticians 3. Monthly motivational short message service (SMS) messages provided to CHWs that are locally relevant to CHW work and that are designed to impact positively on CHW performance.

BEHAVIORAL

Community supported supervision

CHWs will facilitate the clubs using a learning, planning and action cycle. Club members will rank child health challenges faced by their community using picture cards and decide which one to focus on for each cycle. They will discuss solutions, which include supporting CHWs services, and take actions to meet challenges. They will also promote group decision-making and ownership and through this process gain tangible results. Solutions to health challenges developed by club members are a key focus of the village health club approach. Village Health Clubs are based on 5 guiding principles: clubs are open to all, village owned, intended to support CHW work, strength based, and fun and focused.

OTHER

Integrated community case management

Implementation of integrated community case management, with provision of training and equipment to CHWs for diagnosis and treatment of malaria, pneumonia and diarrhoea in children less than 5 years of age. Supportive supervision of CHWs will be provided by assigned health facility supervisors.

Sponsors & Collaborators

• London School of Hygiene and Tropical Medicine

  collaborator OTHER

• University College, London

  collaborator OTHER

• Karolinska Institutet

  collaborator OTHER

• Makerere University

  collaborator OTHER

• Malaria Consortium

  lead OTHER

Principal Investigators

• Sylvia Meek, PhD · Malaria Consortium

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2013-04-30

Primary Completion

2015-06-30

Completion

2015-12-31

Countries

• Mozambique
• Uganda

Study Locations