Integrated community case management (iCCM) relies on village health workers (VHWs) to assess sick children and refer severe cases. A study in rural Uganda tested if measuring lactate levels, a marker of severe illness, could improve referrals. Among 204 children with fever and cough, 12% had elevated lactate levels, but these were often not linked to visible danger signs used … [Read more...] about A cross-sectional study of point-of-care lactate testing in integrated community care management (ICCM) for children with acute respiratory illness in rural uganda
Respiratory Illness
Point-of-care C-reactive protein measurement by community health workers safely reduces antimicrobial use among children with respiratory illness: results from a stepped wedge cluster-randomized trial in rural Uganda
This study investigated the impact of using C-reaction protein (CRP) measurement by community health workers (CHWs) on antibiotic use for children under 5 with febrile acute respiratory illness (ARI) in rural Uganda. In a randomized trial, CHWs used either the standard Integrated Community Care Management (iCCM) protocol or a protocol incorporating CRP measurement. Results … [Read more...] about Point-of-care C-reactive protein measurement by community health workers safely reduces antimicrobial use among children with respiratory illness: results from a stepped wedge cluster-randomized trial in rural Uganda