Proactive Community Case Management and Child Survival: A Cluster-Randomized Controlled Trial
The purpose of this study is to evaluate whether the addition of proactive case detection by community health workers (CHW) to a standard community case management intervention will improve early access to health care and reduce mortality among children aged 0-59 months.
Study Type: Interventional (Clinical Trial)
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Estimated Enrollment: 17000 participants
Village-clusters will be randomised to receive Integrated Community Case Management (iCCM) from a passive CHW or Proactive Community Case Management (ProCCM) from a CHW that conducts daily active case finding home visits.
All villages in both study arms will receive additional interventions, including removal of point-of-care fees, clinical staff training at primary health centres, and improvement in primary health centre infrastructure. All women of reproductive age eligible for inclusion in the study will be surveyed at baseline, and again at 12, 24 and 36 months.