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Evaluating the performance of community health care providers in detecting fast breathing in children using a reference video expert panel in Bangladesh

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Authors: Ahad Mahmud Khan, Md Shafiqul Islam, Nabidul Haque Chowdhury, Salahuddin Ahmed, Rezwana Tabassum, Kazi Sazzadul Haque, Sadia Afrin, Zannatul Ferdush Amin, Afroza Yeasmin Rumi, Jawata Rahman, Rakib Bhuiyan, Rizouan Ur Rashid, Kamrun Nahar, Robynne Simpson, Ayaz Ahmed, Ting Shi, Abdullah H. Baqui, Steve Cunningham, Eric D. McCollum & Harry Campbell

This study examined whether community health workers in Bangladesh can accurately count a child’s breathing rate to help diagnose pneumonia. They assessed 123 children with suspected pneumonia and compared the breathing counts recorded by community health workers with those reviewed by doctors using video recordings. The results showed that the community health workers measured breathing rates correctly in most cases and were very good at identifying children with fast breathing, a key sign of pneumonia. Although they sometimes overestimated fast breathing and could not measure it in a few children, the study shows that trained community health workers can safely and reliably help detect pneumonia in young children.

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Resource Topic: CHW Role, CHW programs, Child health, Pneumonia, Respiratory Illness

Resource Type: Evaluation

Year: 2026

Region: Asia

Country: Bangladesh

Publisher May Restrict Access: No

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