Video Spotlight

"'I'm a Health Worker' - Abduaraman Gidi" made by IntraHealth International.

Agnes Nanyonjo, James Ssekitooleko, Helen Counihan, Frederick Makumbi, Göran Tomson, Karin Källander

Pneumonia and diarrhoea disproportionately affect children living in low-income countries. As a vehicle to increase coverage of lifesaving treatment for children suffering from these three child killers, a joint statement was produced by the World Health Organisation (WHO) and United Nations Children's Fund (UNICEF) in 2004 calling for integrated community case management (iCCM) of pneumonia and diarrhoea in addition to malaria in countries where these diseases are common

iCCM is now an increasingly common approach to tackling these diseases in Sub-Saharan Africa. With respect to pneumonia, studies have previously estimated that community case management (CCM) has the potential to cause a 70% reduction in mortality among children aged five years and below. However, with the introduction of new health care interventions comes the risk of inequities in access to care for the poorest households. iCCM is inherently designed to improve access to health care for children in the poorest families but there is paucity of data on how iCCM has impacted on equity in access to appropriate treatment for diarrhoea and pneumonia. This study aimed to evaluate both equity in use of iCCM and its impact on uptake of appropriate treatments for diarrhoea and pneumonia when used as the first source of care.

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