Effect of pneumonia case management on mortality in neonates, infants, and preschool children: a meta-analysis of community-based trials

Sazawal, Sunil; Black, Robert E.

doi:10.1016/s1473-3099(03)00737-0

Cited by 379 publications

(262 citation statements)

References 30 publications

Supporting

Mentioning

253

Contrasting

Unclassified

Order By: Relevance

“…Unfortunately, this approach may be challenging in a slum setting where access to formal health care still is limited. An alternative would be to provide treatment within the community, an approach that has been proven to reduce mortality and morbidity from pneumonia, 35 throughout the year but particularly during the high-risk season, despite concerns about lack of trained staff to administer the antibiotics. …”

Section: Resultsmentioning

confidence: 99%

Seasonal Pattern of Pneumonia Mortality among Under-Five Children in Nairobi’s Informal Settlements

Yé

Zulu

Mutisya

et al. 2009

The American Journal of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

Abstract. Using longitudinal data from the Nairobi Urban and Demographic Surveillance System (NUHDSS), we examined the seasonal pattern of pneumonia mortality among under-five children living in Nairobi's slums. We included 17,787 under-five children resident in the NUHDSS from January 1, 2003 to December 31, 2005 in the analysis. Four hundred thirty-six deaths were observed and cause of death was ascertained by verbal autopsy for 377 of these deaths. Using Poisson regression, we modeled the quarterly mortality risk for pneumonia. The overall person-years (PYs) were 21,804 giving a mortality rate of 20.1 per 1,000 PYs in the study population. Pneumonia was the leading cause of death contributing 25.7% of the total deaths. Pneumonia mortality was highest in the second quarter (risk ratio [RR] = 2.3, confidence interval [CI]: 1.2-4.2 compared with the fourth quarter). The study provides evidence that pneumonia-related mortality among under-fives in Nairobi's slums is higher from April to June corresponding to the rainy season and the beginning of the cold season.

show abstract

Section: Resultsmentioning

confidence: 99%

Seasonal Pattern of Pneumonia Mortality among Under-Five Children in Nairobi’s Informal Settlements

Yé

Zulu

Mutisya

et al. 2009

The American Journal of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

show abstract

“…Community health workers have had a significant positive impact, particularly on reducing mortality linked to childhood pneumonia, 20 malaria 21 and tuberculosis (TB). 22 In HIV care the deployment of lay counsellors has resulted in a dramatic uptake of HIV testing services in Thyolo, Malawi (Figure 2), 23 Lusikiski, South Africa, 19 and Lesotho.…”

Section: Engages the Community To Address Health Needsmentioning

confidence: 99%

Task shifting in HIV/AIDS: opportunities, challenges and proposed actions for sub-Saharan Africa

Zachariah

Ford

Philips

et al. 2009

Transactions of the Royal Society of Tropical Medicine and Hygi

327

330

View full text Add to dashboard Cite

“…Early reports of the efficacy of community management of pneumonia in resource-limited settings were promising with a meta-analysis from 1992 (and subsequent reanalysis using primary data in 2003) showing a statistically significant 30% decrease in total under-five mortality in studies mostly from Asia. 5,6 Later studies have validated that many iCCM programs incorporating pneumonia care performed well on process measures [7][8][9][10][11] and outcomes 12 in the sub-Saharan African context. However, other research has shown that many iCCM programs have not achieved decreases in mortality and fail to perform on intermediate outcomes.…”

Section: Introductionmentioning

confidence: 99%

Perceived Quality of Care of Community Health Worker and Facility-Based Health Worker Management of Pneumonia in Children Under 5 Years in Western Kenya: A Cross-Sectional Multidimensional Study

Shaw

Asadhi

Owuor

et al. 2016

The American Society of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

Abstract. Integrated community case management (iCCM) programs that train lay community health workers (CHWs) in the diagnosis and treatment of diarrhea, malaria, and pneumonia have been increasingly adopted throughout subSaharan Africa to provide services in areas where accessibility to formal public sector health services is low. One important aspect of successful iCCM programs is the acceptability and utilization of services provided by CHWs. To understand community perceptions of the quality of care in an iCCM intervention in western Kenya, we used the Primary Care Assessment Survey to compare caregiver attitudes about the diagnosis and treatment of childhood pneumonia as provided by CHWs and facility-based health workers (FBHWs). Overall, caregivers rated CHWs more highly than FBHWs across a set of 10 domains that capture multiple dimensions of the care process. Caregivers perceived CHWs to provide higher quality care in terms of accessibility and patient relationship and equal quality care on clinical aspects. These results argue for the continued implementation and scale-up of iCCM programs as an acceptable intervention for increasing access to treatment of childhood pneumonia.

show abstract

Effect of pneumonia case management on mortality in neonates, infants, and preschool children: a meta-analysis of community-based trials

Cited by 379 publications

References 30 publications

Seasonal Pattern of Pneumonia Mortality among Under-Five Children in Nairobi’s Informal Settlements

Seasonal Pattern of Pneumonia Mortality among Under-Five Children in Nairobi’s Informal Settlements

Task shifting in HIV/AIDS: opportunities, challenges and proposed actions for sub-Saharan Africa

Perceived Quality of Care of Community Health Worker and Facility-Based Health Worker Management of Pneumonia in Children Under 5 Years in Western Kenya: A Cross-Sectional Multidimensional Study

Contact Info

Product

Resources

About