Treatment of sick children seeking care in the private health sector in Uganda: A cluster randomized trial

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The main objective of this study was to assess whether training of private health providers and community sensitization on the importance of effective prompt care seeking and the need for referral could improve treatment of sick children in the private health sector in Uganda. Private providers were trained to diagnose and treat sick children according to the integrated community case management (iCCM) guidelines. In the control arm, routine services were offered. The outcomes were seeking care within 24 hours of onset of symptoms and appropriate case management for malaria, pneumonia, and diarrhea among children aged <5 (5,955 (83.0%) (94.3%) (95% (mrdt) (p="0.01)." 1,402 1,459 10,809 24 36.0-48.8) 38.1-49.8) 4,854 43.9% 45.4% 78.6-91.7) 80.4% 85.1% 88.5-97.7) 89.1% 93.1% a adherence and appropriate arm arm) artemisinin-based care children ci combination control diagnosis diagnostic diarrhea for given guidelines high, high: hours iccm in intervention malaria mrdt-positive of onset oral percentage presented rapid rate rehydration respiratory results salts seeking seen sick symptoms test the therapy to total treatment treatment. versus very was were with within years. zinc> 40 breaths/minute, 1,596 (85.1%) in the intervention arm versus 104 (54.5%) in the control arm were given amoxicillin (P = 0.01). In conclusion, the intervention improved treatment of malaria, pneumonia, and diarrhea because of provider adherence to treatment guidelines. The policy implications of these findings are to initiate a dialogue at district and national levels on how to scale up the intervention in the private sector. NCT02450630 registered with ClinicalTrials.gov: May 9, 2015.

Original languageEnglish
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume102
Issue number3
Pages (from-to)658-666
Number of pages9
ISSN0002-9637
DOIs
Publication statusPublished - 2020

ID: 237612751