1
Communities Accessing Testing for Child Health
(CATCH) Benin
Global Health Practioners Conference
Silver Spring, May 201...
2
Outline
• Background
• Interventions
• Component
• Baseline results
• Challenges
• Next steps
3
Intervention
Janvier 2014
Budget: 2,3 millions USD
( Oct 2012- Sept 2016
Goal: By 2016, malaria related morbidity
and mo...
4
Component
ICCM
5
OR design & timeline
Formative
research
In 4 villages to
refine the
intervention
Feb 2013 to Sept 2014
Summative
Researc...
6
OR Baseline results
Post training observation during care in 4 villages:
• CHWs have up taken the use of RDT
• Assessing...
7
OR Baseline results
• They have low confidence in CHW’s capacity to
perform the RDTs
• Husband and Family in law constit...
8
Source: Project routine data
9
Challenges
• Ethical board approval
• RDT (training, roll out)
• iCCM (training, forms, inputs)
Delay
10
Next steps
Development and implementation of BCC strategy
Implementation of activities and Monitoring
Evaluation and re...
11
A CHW in training session
CHWsathome
A positive RDT performed
by CHW
12
ACHW
performingRDT
ACHWperformingRDT
Thanks
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Operations Research That Aims to Draft a BCC Strategy to Improve Quality Of Health Services and Care Seeking at the Community Level_Eve Amoussouga_5.9.14

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Operations Research That Aims to Draft a BCC Strategy to Improve Quality Of Health Services and Care Seeking at the Community Level_Eve Amoussouga_5.9.14

  1. 1. 1 Communities Accessing Testing for Child Health (CATCH) Benin Global Health Practioners Conference Silver Spring, May 2014 Eve J. Amoussouga, MD, MPH
  2. 2. 2 Outline • Background • Interventions • Component • Baseline results • Challenges • Next steps
  3. 3. 3 Intervention Janvier 2014 Budget: 2,3 millions USD ( Oct 2012- Sept 2016 Goal: By 2016, malaria related morbidity and mortality in children < 5 decreased in the intervention area • S O 1: Access to quality community-based malaria services for children under five has improved • S O 2: Utilization of community-based malaria services has increased among caretakers of children under fiveActivities: Behavior Change Com strategy development and training: prompt care-seeking by Mothers & fathers) good diagnosis and treatment of fever in <5 with ACT/C-IMCI) by CHW CATCH=Operation research 26,265 < 5 in 100 villages; 2health zones. Partners: IRSP, CRS Palu- Alafia, MoH (NMCP, DoR,DMCH), USAID CommCare technology to gather datas Photo T Z A
  4. 4. 4 Component ICCM
  5. 5. 5 OR design & timeline Formative research In 4 villages to refine the intervention Feb 2013 to Sept 2014 Summative Research phase with Intervention& Comparison arms Oct 2014 to Sep 2015 50 Intervention Villages ICCM + BCC strategy 50 Comparison Villages ICCM no BCC Scaling-up Oct 2015 to June 2016 & final evaluation DOCUMENTATION
  6. 6. 6 OR Baseline results Post training observation during care in 4 villages: • CHWs have up taken the use of RDT • Assessing & treating children with RDT+ with ACT and • Referring negative RDT and severe cases to the Facility • Decreasing of ACT use among Children with fever • Mothers accept RDT performed by health staff because it gives them an accurate diagnosis
  7. 7. 7 OR Baseline results • They have low confidence in CHW’s capacity to perform the RDTs • Husband and Family in law constitute the principal group of influence • Mothers that have accepted to seek RDT at CHW level are reluctant to go to the facility because they will spend money. • They prefer buying medicines at local market for low price
  8. 8. 8 Source: Project routine data
  9. 9. 9 Challenges • Ethical board approval • RDT (training, roll out) • iCCM (training, forms, inputs) Delay
  10. 10. 10 Next steps Development and implementation of BCC strategy Implementation of activities and Monitoring Evaluation and refinement of the BCC strategy Share Information from the pilot to influence the National BCC strategy on sick child care Scaling up
  11. 11. 11 A CHW in training session CHWsathome A positive RDT performed by CHW
  12. 12. 12 ACHW performingRDT ACHWperformingRDT Thanks

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