Maricianah Onono1, Mohammed Abdi1, Isaya Opondo2, Jane Okung'u1, Elijah Asadhi3, Rachel Nyamai4, Lydia Karimurio4, Peter Okoth3, Shamim Ahmad Qazi5. 1. Kenya Medical Research Institute, Nairobi, Kenya. 2. Synergy Informatics Ltd., Nairobi, Kenya. 3. UNICEF- Kenya Country Office, Nairobi, Kenya. 4. Newborn, Child and Adolescent Health Unit, Ministry of Health Kenya, Nairobi, Kenya. 5. Department of Maternal, Newborn, Child and Adolescent Health, World Health Organization, Geneva, Switzerland.
Abstract
AIM: To evaluate an integrated community case management programme for sick children aged 2 to 59 months in western Kenya using the Research, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework. METHODS: This was a prospective observational research project conducted between December 2013 and February 2016. Outcome variables were measured before, during and at end of implementation using a series of surveys as well as by looking at routine service statistics. RESULTS: A total of 2604 community health workers were trained in 245 community units. The average post-training knowledge level (73.5%) and retention rates (89.7) of trained community health workers was high. At the end of study, there was an increase in the proportion of children who received appropriate treatment for diarrhoea (49.2%), pneumonia (19.5%), malaria (16.4%) and vitamin A (51.5%) from baseline. Community health workers were able to assess, classify and treat sick children with a similar quality as that provided by facility-based healthcare workers (>85% concordance). CONCLUSION: Based on the RE-AIM metrics, our results demonstrate promising practical approaches and outcomes of a large-scale implementation of integrated community case management in western Kenya. The findings have important implications for future design and expansion of the programme in Kenya.
AIM: To evaluate an integrated community case management programme for sick children aged 2 to 59 months in western Kenya using the Research, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework. METHODS: This was a prospective observational research project conducted between December 2013 and February 2016. Outcome variables were measured before, during and at end of implementation using a series of surveys as well as by looking at routine service statistics. RESULTS: A total of 2604 community health workers were trained in 245 community units. The average post-training knowledge level (73.5%) and retention rates (89.7) of trained community health workers was high. At the end of study, there was an increase in the proportion of children who received appropriate treatment for diarrhoea (49.2%), pneumonia (19.5%), malaria (16.4%) and vitamin A (51.5%) from baseline. Community health workers were able to assess, classify and treat sick children with a similar quality as that provided by facility-based healthcare workers (>85% concordance). CONCLUSION: Based on the RE-AIM metrics, our results demonstrate promising practical approaches and outcomes of a large-scale implementation of integrated community case management in western Kenya. The findings have important implications for future design and expansion of the programme in Kenya.
Authors: Iris Wanga; Anna Helova; Lisa L Abuogi; Elizabeth A Bukusi; Wafula Nalwa; Eliud Akama; Thomas A Odeny; Janet M Turan; Maricianah Onono Journal: BMC Pregnancy Childbirth Date: 2019-08-13 Impact factor: 3.007
Authors: Tri Siswati; Slamet Iskandar; Nova Pramestuti; Jarohman Raharjo; Muhammad Primiaji Rialihanto; Agus Kharmayana Rubaya; Bayu Satria Wiratama Journal: Int J Environ Res Public Health Date: 2022-08-10 Impact factor: 4.614