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The community case management of pneumonia in Africa: a review of the evidence

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Authors: Thomas Druetz, Kendra Siekmans, Sylvie Goossens, Valery Ridde and Slim Haddad

Pneumonia causes around 750 000 child deaths per year in sub-Saharan African (SSA) countries. The lack of accessibility to prompt and effective treatment is an important contributor to this burden. Community case management of pneumonia (CCMp) uses trained community health workers (CHWs) to administer antibiotics to suspected child pneumonia cases in villages. This strategy has been gaining momentum in low- and middle-income countries, and the World Health Organization and United Nations children’s fund have recently encouraged countries to broaden community case management to other diseases.

Recommendations in favour CCMp are based on three meta-analyses showing its efficacy to reduce childhood mortality and morbidity attributable to pneumonia although most of the studies in the meta-analyses were conducted in Asian countries. This is problematic as community case management strategies have been implemented in very different ways in Asian and SSA countries, partly due to differences in malaria prevalence. Therefore, the authors conducted a narrative synthesis to systematically review the evidence on CCMp in SSA. 

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Resource Topic: CHW Role, Community Case Management, Community Health Workers/Volunteers, Maternal, Newborn and Child Health, Performance management

Resource Type: Journal articles

Year: 2015

Region: Sub-Saharan Africa (SSA)

Country:

Publisher May Restrict Access: No

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