Measuring coverage in MNCH: evaluation of community-based treatment of childhood illnesses through household surveys.

Community case management (CCM) is a strategy for training and supporting workers at the community level to provide treatment for the three major childhood diseases--diarrhea, fever (indicative of malaria), and pneumonia--as a complement to facility-based care. Many low- and middle-income countries...

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Autores principales:	Elizabeth Hazel, Jennifer Requejo, Julia David, Jennifer Bryce
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/cfb4fa1205254cbeb1716453f4dabd64
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spelling	oai:doaj.org-article:cfb4fa1205254cbeb1716453f4dabd642021-11-18T05:42:39ZMeasuring coverage in MNCH: evaluation of community-based treatment of childhood illnesses through household surveys.1549-12771549-167610.1371/journal.pmed.1001384https://doaj.org/article/cfb4fa1205254cbeb1716453f4dabd642013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23667329/?tool=EBIhttps://doaj.org/toc/1549-1277https://doaj.org/toc/1549-1676Community case management (CCM) is a strategy for training and supporting workers at the community level to provide treatment for the three major childhood diseases--diarrhea, fever (indicative of malaria), and pneumonia--as a complement to facility-based care. Many low- and middle-income countries are now implementing CCM and need to evaluate whether adoption of the strategy is associated with increases in treatment coverage. In this review, we assess the extent to which large-scale, national household surveys can serve as sources of baseline data for evaluating trends in community-based treatment coverage for childhood illnesses. Our examination of the questionnaires used in Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS) conducted between 2005 and 2010 in five sub-Saharan African countries shows that questions on care seeking that included a locally adapted option for a community-based provider were present in all the DHS surveys and in some MICS surveys. Most of the surveys also assessed whether appropriate treatments were available, but only one survey collected information on the place of treatment for all three illnesses. This absence of baseline data on treatment source in household surveys will limit efforts to evaluate the effects of the introduction of CCM strategies in the study countries. We recommend alternative analysis plans for assessing CCM programs using household survey data that depend on baseline data availability and on the timing of CCM policy implementation.Elizabeth HazelJennifer RequejoJulia DavidJennifer BrycePublic Library of Science (PLoS)articleMedicineRENPLoS Medicine, Vol 10, Iss 5, p e1001384 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Elizabeth Hazel Jennifer Requejo Julia David Jennifer Bryce Measuring coverage in MNCH: evaluation of community-based treatment of childhood illnesses through household surveys.
description	Community case management (CCM) is a strategy for training and supporting workers at the community level to provide treatment for the three major childhood diseases--diarrhea, fever (indicative of malaria), and pneumonia--as a complement to facility-based care. Many low- and middle-income countries are now implementing CCM and need to evaluate whether adoption of the strategy is associated with increases in treatment coverage. In this review, we assess the extent to which large-scale, national household surveys can serve as sources of baseline data for evaluating trends in community-based treatment coverage for childhood illnesses. Our examination of the questionnaires used in Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS) conducted between 2005 and 2010 in five sub-Saharan African countries shows that questions on care seeking that included a locally adapted option for a community-based provider were present in all the DHS surveys and in some MICS surveys. Most of the surveys also assessed whether appropriate treatments were available, but only one survey collected information on the place of treatment for all three illnesses. This absence of baseline data on treatment source in household surveys will limit efforts to evaluate the effects of the introduction of CCM strategies in the study countries. We recommend alternative analysis plans for assessing CCM programs using household survey data that depend on baseline data availability and on the timing of CCM policy implementation.
format	article
author	Elizabeth Hazel Jennifer Requejo Julia David Jennifer Bryce
author_facet	Elizabeth Hazel Jennifer Requejo Julia David Jennifer Bryce
author_sort	Elizabeth Hazel
title	Measuring coverage in MNCH: evaluation of community-based treatment of childhood illnesses through household surveys.
title_short	Measuring coverage in MNCH: evaluation of community-based treatment of childhood illnesses through household surveys.
title_full	Measuring coverage in MNCH: evaluation of community-based treatment of childhood illnesses through household surveys.
title_fullStr	Measuring coverage in MNCH: evaluation of community-based treatment of childhood illnesses through household surveys.
title_full_unstemmed	Measuring coverage in MNCH: evaluation of community-based treatment of childhood illnesses through household surveys.
title_sort	measuring coverage in mnch: evaluation of community-based treatment of childhood illnesses through household surveys.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/cfb4fa1205254cbeb1716453f4dabd64
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Measuring coverage in MNCH: evaluation of community-based treatment of childhood illnesses through household surveys.

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