Using the RE-AIM framework to evaluate the implementation of integrated community case management in Kenya
© 2018 World Health Organization; licensed by Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd..
AIM: To evaluate an integrated community case management programme for sick children aged 2 to 59 months in western Kenya using the Research, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework.
METHODS: This was a prospective observational research project conducted between December 2013 and February 2016. Outcome variables were measured before, during and at end of implementation using a series of surveys as well as by looking at routine service statistics.
RESULTS: A total of 2604 community health workers were trained in 245 community units. The average post-training knowledge level (73.5%) and retention rates (89.7) of trained community health workers was high. At the end of study, there was an increase in the proportion of children who received appropriate treatment for diarrhoea (49.2%), pneumonia (19.5%), malaria (16.4%) and vitamin A (51.5%) from baseline. Community health workers were able to assess, classify and treat sick children with a similar quality as that provided by facility-based healthcare workers (>85% concordance).
CONCLUSION: Based on the RE-AIM metrics, our results demonstrate promising practical approaches and outcomes of a large-scale implementation of integrated community case management in western Kenya. The findings have important implications for future design and expansion of the programme in Kenya.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2018 |
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| Erschienen: |
2018 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:107 Suppl 471 |
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| Enthalten in: |
Acta paediatrica (Oslo, Norway : 1992) - 107 Suppl 471(2018) vom: 20. Dez., Seite 53-62 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Onono, Maricianah [VerfasserIn] |
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| Links: |
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| Themen: |
Child health |
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| Anmerkungen: |
Date Completed 19.11.2019 Date Revised 08.04.2022 published: Print ANZCTR: ACTRN12614000208606 Citation Status MEDLINE |
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| doi: |
10.1111/apa.14662 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM292004133 |
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| 500 | |a Date Revised 08.04.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a ANZCTR: ACTRN12614000208606 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2018 World Health Organization; licensed by Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd. | ||
| 520 | |a AIM: To evaluate an integrated community case management programme for sick children aged 2 to 59 months in western Kenya using the Research, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework | ||
| 520 | |a METHODS: This was a prospective observational research project conducted between December 2013 and February 2016. Outcome variables were measured before, during and at end of implementation using a series of surveys as well as by looking at routine service statistics | ||
| 520 | |a RESULTS: A total of 2604 community health workers were trained in 245 community units. The average post-training knowledge level (73.5%) and retention rates (89.7) of trained community health workers was high. At the end of study, there was an increase in the proportion of children who received appropriate treatment for diarrhoea (49.2%), pneumonia (19.5%), malaria (16.4%) and vitamin A (51.5%) from baseline. Community health workers were able to assess, classify and treat sick children with a similar quality as that provided by facility-based healthcare workers (>85% concordance) | ||
| 520 | |a CONCLUSION: Based on the RE-AIM metrics, our results demonstrate promising practical approaches and outcomes of a large-scale implementation of integrated community case management in western Kenya. The findings have important implications for future design and expansion of the programme in Kenya | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Child health | |
| 650 | 4 | |a Community health worker | |
| 650 | 4 | |a Integrated community case management | |
| 650 | 4 | |a Programme evaluation | |
| 650 | 4 | |a RE-AIM | |
| 700 | 1 | |a Abdi, Mohammed |e verfasserin |4 aut | |
| 700 | 1 | |a Opondo, Isaya |e verfasserin |4 aut | |
| 700 | 1 | |a Okung'u, Jane |e verfasserin |4 aut | |
| 700 | 1 | |a Asadhi, Elijah |e verfasserin |4 aut | |
| 700 | 1 | |a Nyamai, Rachel |e verfasserin |4 aut | |
| 700 | 1 | |a Karimurio, Lydia |e verfasserin |4 aut | |
| 700 | 1 | |a Okoth, Peter |e verfasserin |4 aut | |
| 700 | 1 | |a Qazi, Shamim Ahmad |e verfasserin |4 aut | |
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