Effect of community-based intervention on improving access to treatment for sick under-five children in hard-to-reach communities in Niger State, Nigeria
Datos Bibliográficos
| ID | 19552192 |
|---|---|
| Autores | Olusola Oresanya (0000-0002-8261-705X), Helen Counihan (Malaria Consortium), Ibrahim Nndaliman, Ayodele Alegbeleye, Jonathan Jiya, Olatunde Adesoro (0000-0002-5619-7821), John Dada, Patrick Gimba (Niger State Ministry of Health), Lynda Ozor (World Health Organization - Nigeria), Debra Prosnitz (ICF International (United States)), Kolawole Maxwell (0009-0008-0077-5726) |
| Año | 2019 |
| Volumen | 9 |
| Número | 1 |
| Páginas | 010803-010803 |
| Fecha de publicación | 2019-06-01 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | Journal of Global Health (JOURNAL) |
| Identificadores de la revista | ISSN: 2047-2978 • E-ISSN: 2047-2986 |
| Editorial | International Society of Global Health (PUBLISHER • GB) |
| DOI | 10.7189/jogh.09.010803 |
| PMID | 31263548 |
| OpenAlex | W2953520589 |
| Idioma | EN |
| Citas recibidas | 5 |
| Referencias citadas | 30 |
BACKGROUND: Access to prompt and appropriate treatment is key to survival for children with malaria, pneumonia and diarrhoea. Community-based services are vital to extending care to remote populations. Malaria Consortium supported Niger state Ministry of Health, Nigeria, to introduce and implement an integrated community case management (iCCM) programme for four years in six local government areas (LGAs). The objective was to increase coverage of effective treatment for malaria, pneumonia and diarrhoea among children aged 2-59 months. METHODS: The programme involved training, equipping, ongoing support and supervision of 1320 community volunteers (CORPs) to provide iCCM services to their communities in all six LGAs. Demand creation activities were also conducted; these included community dialogues, household mobilization, sensitization and mass media campaigns targeted at programme communities. To assess the level of changes in care seeking and treatment, baseline and endline household surveys were conducted in 2014 and 2017 respectively. For both surveys, a 30×30 multi-stage cluster sampling method was used, the sampling frame being RAcE programme communities. RESULTS: < 0.001) and ACT treatments from 57% to 73% (<0.005); 56% of cases of cough or fast breathing who sought care from a CORP, had their respiratory rate counted and 61% with cough or fast breathing received amoxicillin. At endline caregivers sought care from CORPs in their communities for most cases of childhood illnesses (84%) compared to other providers at hospitals (1%) or health centres (9%).This aligns with caregivers' belief that CORPs are trusted providers (94%) who provide quality services (96%). CONCLUSION: Implementation of iCCM with focused demand creation activities can improve access to quality lifesaving interventions from frontline community providers in Nigeria. This can contribute towards achieving SDGs if iCCM is scaled up to hard-to-reach areas of all states in the country
Benin city · Community health · Community mobilization · Environmental health · Family medicine · Geography · Local government · Local government area · Malaria · Political science · Public health · Child Nutrition and Water Access · Global Maternal and Child Health · Malaria Research and Control · Medicine · Nursing
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| Obras citantes distintas | 5 |
|---|---|
| Citas por año | 1 |
| Intervalo de citas | 2021 - 2025 (5) |
| Velocidad de citación | recent |
| Altamente citado | No |
| Tipos de cita | Neutras: 5 |