Diarrhea, Malaria, Pneumonia
Conditions
Brief summary
The purpose of the study is to investigate the impact of the eCHIS intervention on key child health outcomes.
Detailed description
Following national guidelines, 2 VHTs per village will be supported to provide the full eCHIS community health package. In total 856 VHTs in Buikwe district will have been trained and equipped with the national strategy and operational guidelines on eCHIS as well as the VHT full package (iCCM+ and VHT basic package (reproductive health, immunization, nutrition) guidelines. The VHTs will be equipped with mobile devices and iCCM supplies to start the management of community-based health among children aged five years within their respective communities. A cross-sectional cluster randomized controlled trial (cRCT) will be used to establish study outcomes in children under 5 years in the intervention and control areas using mixed methods (qualitative and quantitative) of data collection. A total sample size of 1,140 children under five: 570 children under five, per arm, was scientifically determined for the study. During data collection, several quality control measures will be applied to ensure the data recorded reflect the facts, responses, observations, and events. A standard operating procedure (SOP) with roles and responsibilities of the data collectors will be prepared to ensure standardized methods for capturing data. After endline data collection, difference-in-differences (DID) analysis will be done to derive an estimate of the intervention effect on odds of the study outcomes. Results will be disseminated through agreed peer-review publications and international conferences. Malaria Consortium Uganda will work with relevant stakeholders at the Ministry of Health and Medic Mobile to disseminate findings nationally and throughout the study district.
Interventions
OTHEReCHIS
The electronic Community health Information System (eCHIS) is a Government of Uganda owned application used by community health workers for quality health assessments and improved reporting. The eCHIS intervention allows for the registration of longitudinal profiles for client centered care as well as provides care guidance to aid decision making. For its users, the app has a task tab for schedule management and dashboards for performance help management and impact tracking by supervisors. This app is interoperable with national reporting tools such as DHIS2. The app has ten workflows including registration of households and new persons, death reporting, iCCM assessment, treatment and referral follow up, stock monitoring, data synchronization, pregnancy registration, ANC danger signs and follow up, family planning registration, and screening (tuberculosis, hypertension, sickle cell, tobacco use and net use).
Sponsors
Malaria Consortium
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Cluster Randomised Control Trial
Eligibility
Sex/Gender
ALL
Age
3 Months to 59 Months
Healthy volunteers
No
Inclusion criteria
* · Children between 3-59 months, * Being resident in the study area, * Consent to participate in the study obtained, * Willingness and ability of the child's guardians to comply with the study protocol for the duration of the study including attending a designated health centre if their child has malaria symptoms during the data collection period.
Exclusion criteria
* Children aged below 3 months and above 59 months * Children resident outside the study areas * Those who have not consented to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Out Patient Department attendance (due to malaria, pneumonia and diarrhoea) | Over 1 year | Attendance measured through baseline and endline surveys |
| Hospitalisation (due to malaria, pneumonia and diarrhoea) | Over 1 year | Attendance measured through baseline and endline surveys |
| malaria related mortality in the community and health facilities | Over 1 year | Malaria related mortality measured through routine data |
Countries
Uganda
Contacts
Primary ContactJohn Baptist Bwanika
Backup ContactKevin Baker
Outcome results
None listed