Community case management of lower chest indrawing pneumonia with oral amoxicillin in children in Kenya

Abstract

Aim: To determine the accuracy and effectiveness of community health workers (CHWs) when compared to trained nurses for management of pneumonia in Kenyan children.Methods: In Homabay County in western Kenya, children 2-59 months of age with lower chest indrawing pneumonia were identified, classified and treated by CHWs with oral amoxicillin (90 mg/kg per day) for five days at home. Trained nurses visited the child within 24 hours to verify diagnosis; and on day 4 and 14 to assess treatment outcomes.

Effects of an expanded Uber-like transport system on access to and use of maternal and newborn health services: findings of a prospective cohort study in Homa Bay, Kenya

“…The project was in direct response to an existing gap in CMNH in the county. Prior to launching the mAccess project, the investigators on this project had worked with the local community members and the county health management team and launched a mobile phone-enhanced integrated community case management (iCCM) of pneumonia, malaria, diarrhoea and vitamin A supplementation in children aged 2–59 months in Homa Bay County 16. The team trained ~90 County and subcounty healthcare workers to be trainers of trainers in iCCM and CMNH, and further trained a total of 2604 CHWs and 251 community health extension workers in 245 community units across eight subcounties ensuring 100% coverage of the county with essential community child-based interventions 17.…”

Reducing childhood respiratory morbidity and mortality in low and middle income countries: a current challenge

“…However, this revision did not deal with the problem of underdiagnosis of obstructive airway disease. Only a few studies have analysed the impact of its implementation, especially in Southeast Asia [14][15][16][17].…”

Implementation research for maternal, newborn and child health

“…Four of the studies examined the effect of interventions on community health worker (CHW) performance. Three papers specifically looked at the delivery of integrated community case management (iCCM) of childhood illnesses by CHWs in rural Haryana, India , and in Homa Bay County, Western Kenya ; one study looked at an intervention to enhance supportive supervision of lady health workers (LHWs) on iCCM of childhood pneumonia and diarrhoea in Badin District, Pakistan . Another study tested an mHealth intervention to improve knowledge and skills related to MNCH care of accredited social health activists (ASHA) in Bharuch and Narmada districts of Gujarat, India .…”