Integrated Community Case Management Study in Eastern Province, Zambia

Zambia Center for Applied Health Research and Development

Status: Unknown

Conditions: Diarrhea; Malaria; Pneumonia

Treatments: Other: Supportive supervision; Other: mHealth inventory management; Other: ICCM current standard of care

Study type: Interventional

Funder types: Other

Identifiers

NCT02866097

4980/A0/04/001/010

Details and patient eligibility

About

This study will provide important evidence to the Ministry of Community Development, Mother and Child Health (MCDMCH) and the Ministry of Health (MOH) on how to effectively implement iCCM with a focus on improving both the flow of supplies to CHWs as well as the quality of their supervision and mentorship. The overall aim will be to determine whether improvements in supplies for community health workers (CHWs) and strengthened supervision result in improved early and appropriate treatment for children with malaria, pneumonia, and diarrhea in rural Zambia when compared to CHWs offering iCCM without this logistics and supervision support.

Full description

The main objective of this study is to strengthen the delivery of integrated community case management (iCCM) of malaria, diarrhea, and pneumonia in Chadiza and Chipata Districts of Eastern Province, through mHealth supported improved supply chain management of iCCM commodities and enhanced supportive supervision of iCCM-trained CHWs.

Enrollment: 3,840 estimated patients

Sex: All

Ages: 1 month to 5 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Age <5 years
• Treatment for an iCCM condition (malaria, pneumonia, or diarrhea) by a CHW
• Willingness of the child's caregiver to provide informed consent

Exclusion Criteria:

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

---

3,840 participants in 2 patient groups, including a placebo group

Intervention

Experimental group

Description:

mHealth inventory management and referrals via text messaging plus supportive supervision of CHWs via an mHealth strategy

Treatment:

Other: mHealth inventory management

Other: Supportive supervision

Control

Placebo Comparator group

Description:

ICCM current standard of care with CHWs operating under standard conditions without enhanced inventory management or supportive supervision by mHealth

Treatment:

Other: ICCM current standard of care