A cross-sectional study comparing case scenarios and record review to measure quality of Integrated Community Case Management care in western Uganda

Abstract

Background In Integrated Community Case Management (iCCM), village health workers (VHW) assess and treat malaria, pneumonia and diarrhea using a clinical algorithm. Study objectives included: 1) Compare VHWs’ performance on case scenario exercises to record review data; 2) assess impact of formal education on performance in the case scenario exercises. Methods 36 VHWs in Bugoye Subcounty, Uganda completed the case scenarios exercise, which included video case scenarios and brief oral case vignettes, between July 2017 and February 2018. We obtained clinical records for all iCCM encounters in the same time period. Results In the video case scenarios, 45% of mock patients received all correct management steps (including all recommended education), while 94% received all critical management steps. Based on the level of data available from record review, 74% of patients in the record review dataset received overall correct management compared to 94% in the video case scenarios. In the case scenarios, VHWs with primary school education performed similarly to those with some or all secondary school education. Conclusions The case scenarios produced higher estimates of quality of care than record review. VHWs often omitted recommended health education topics in the case scenarios. Level of formal education did not appear to influence performance in the case scenarios.

Assessment of pre-referral treatment for malaria, diarrhea, and pneumonia by rural community health workers in Southwestern Uganda: a cross-sectional study

“…Community health workers (CHWs) are trained healthcare providers operating within local communities to deliver vital healthcare services, education, and pre-referral treatments. They employ tools such as Rapid Diagnostic Tests (RDTs) for malaria, oral rehydration salts (ORS) for diarrhea management, respiratory rate timers for pneumonia assessment, and administer appropriate treatments, all while offering health education to the communities they serve [ 13 , 14 ]. This comprehensive approach contributes to the well-being of the local population, encompassing pre-referral treatment for critical cases [ 11 ].…”