11. Comparison 1 results: coverage of careseeking to an appropriate provider.
Outcome | Trial ID | Study design | Preintervention coverage | Postintervention coverage | Risk ratio (95% CI) | ||
iCCM | Control | iCCM | Control | ||||
Coverage of careseeking to an appropriate provider of treatment services for any iCCM illness | White 2018 (any) | CBA | 43.9% 79/180 |
64.4% 103/160 |
71.6% 136/190 |
52.3% 158/302 |
1.43 (1.23 to 1.66)a |
Yansaneh 2014 (any) | CBA | 35.3% 699/1980 |
36.9% 724/1962 |
57.1% 946/1657 |
48.9% 1027/2102 |
1.17 (1.10 to 1.24)a | |
Bhandari 2012a/Mazumder 2014 (diarrhoea, 6 months) | cRCT | Not given | Not given | 146/642 | 106/866 | 1.86 (1.48 to 2.33)c | |
Bhandari 2012a/Mazumder 2014 (diarrhoea, 12 months) | cRCT | Not given | Not given | 271/425 | 337/661 | 1.25 (1.13 to 1.39)c | |
Boone 2016 (diarrhoea) | cRCT | Not given | Not given | 41.3% (86/208) |
31.1% (77/247) |
1.33 (1.04 to 1.70)b | |
Mubiru 2015 (diarrhoea) | CBA | 43.4% 59/136 |
70.0% 140/200 |
59.7% 111/186 |
55.9% 105/188 |
1.07 (0.90 to 1.27)a | |
White 2018 (diarrhoea) | CBA | 44/103 | 54/81 | 73/106 | 82/173 | 1.45 (1.19 to 1.78)a | |
Yansaneh 2014 (diarrhoea) | CBA | 31.9% (240/751) |
42.3% (281/664) |
53.7% (345/642) |
54.7% (401/733) |
0.98 (0.89 to 1.08)a | |
Boone 2016 (fever) | cRCT | Not given | Not given | 43.7% (214/489) |
18.9% (116/612) |
1.61 (1.37 to 1.90)b | |
Mubiru 2015 (fever) | CBA | 76.1% 181/238 |
87.2% 326/374 |
91.6% 337/368 |
90.7% 458/505 |
1.01 (0.97 to 1.05)a | |
White 2018 (fever) | CBA | 40.0% 56/140 |
60.0% 69/115 |
73.7% 98/133 |
49.3% 112/227 |
1.49 (1.26 to 1.76)a | |
Yansaneh 2014 (fever) | CBA | 29.2% (569/1948) |
30.6% (557/1819) |
45.2% (638/1413) |
17.4% (325/1863) |
2.59 (2.31 to 2.90)a | |
Bhandari 2012a/Mazumder 2014 (suspected pneumonia, 6 months) | cRCT | Not given | Not given | 26.8% 72/269 |
14.9% 56/375 |
1.79 (1.31 to 2.45)c | |
Bhandari 2012a/Mazumder 2014 (suspected pneumonia, 12 months) | cRCT | Not given | Not given | 17.8% 20/112 |
14.1% 28/199 |
1.27 (0.75 to 2.15)c | |
Boone 2016 (suspected pneumonia) | cRCT | Not given | Not given | (62/154) | (76/219) | 1.16 (0.89 to 1.51)b | |
Mubiru 2015 (suspected pneumonia) | CBA | 55.5% 101/182 |
80.1% 237/296 |
76.5% 218/285 |
67.1% 259/386 |
1.15 (1.05 to 1.27)a | |
White 2018 (suspected pneumonia) | CBA | 39.6% 19/48 |
69.4% 25/36 |
66.7% 28/42 |
47.4% 46/97 |
1.41 (1.05 to 1.90)a | |
Yansaneh 2014 (suspected pneumonia) | CBA | 25.0% (129/515) |
35.0% (208/595) |
46.7% (247/529) |
41.9% (222/530) |
1.12 (0.97 to 1.28)a | |
Bhandari 2012a/Mazumder 2014 (newborn local infections) | cRCT | Not given | Not given | 57.9% 577/996 |
12.5% 138/1100 |
4.62 (3.92 to 5.45)c | |
Bhandari 2012a/Mazumder 2014 (newborn danger signs) | cRCT | Not given | Not given | 46.9% 474/1010 |
29.4% 374/1269 |
1.58 (1.43 to 1.77)c | |
Coverage of careseeking to an appropriate provider of treatment services for diarrhoea | Bhandari 2012a/Mazumder 2014 (diarrhoea, 6 months) | cRCT | Not given | Not given | 146/642 | 106/866 | 1.86 (1.48 to 2.33)c |
Bhandari 2012a/Mazumder 2014 (diarrhoea, 12 months) | cRCT | Not given | Not given | 271/425 | 337/661 | 1.25 (1.13 to 1.39)c | |
Boone 2016 (diarrhoea) | cRCT | Not given | Not given | 41.3% (86/208) |
31.1% (77/247) |
1.33 (1.04 to 1.70)b | |
Mubiru 2015 (diarrhoea) | CBA | 43.4% 59/136 |
70.0% 140/200 |
59.7% 111/186 |
55.9% 105/188 |
1.07 (0.90 to 1.27)a | |
White 2018 (diarrhoea) | CBA | 44/103 | 54/81 | 73/106 | 82/173 | 1.45 (1.19 to 1.78)a | |
Yansaneh 2014 (diarrhoea) | CBA | 31.9% (240/751) |
42.3% (281/664) |
53.7% (345/642) |
54.7% (401/733) |
0.98 (0.89 to 1.08)a | |
Coverage of careseeking to an appropriate provider of treatment services for fever | Boone 2016 (fever) | cRCT | Not given | Not given | 43.7% (214/489) |
18.9% (116/612) |
1.61 (1.37 to 1.90)b |
Mubiru 2015 (fever) | CBA | 76.1% 181/238 |
87.2% 326/374 |
91.6% 337/368 |
90.7% 458/505 |
1.01 (0.97 to 1.05)a | |
White 2018 (fever) | CBA | 40.2% 56/139 |
60.0% 69/115 |
73.7% 98/133 |
49.3% 112/227 |
1.49 (1.26 to 1.76)a | |
Yansaneh 2014 (fever) | CBA | 29.2% (569/1948) |
30.6% (557/1819) |
45.2% (638/1413) |
17.4% (325/1863) |
2.59 (2.31 to 2.90)a | |
Coverage of careseeking to an appropriate provider of treatment services for suspected pneumonia | Bhandari 2012a/Mazumder 2014 (suspected pneumonia, 6 months) | cRCT | Not given | Not given | 26.8% 72/269 |
14.9% 56/375 |
1.79 (1.31 to 2.45)c |
Bhandari 2012a/Mazumder 2014 (suspected pneumonia, 12 months) | cRCT | Not given | Not given | 17.8% 20/112 |
14.1% 28/199 |
1.27 (0.75 to 2.15)c | |
Boone 2016 (suspected pneumonia) | cRCT | Not given | Not given | (62/154) | (76/219) | 1.16 (0.89 to 1.51)b | |
Mubiru 2015 (suspected pneumonia) | CBA | 55.5% 101/182 |
80.1% 237/296 |
76.5% 218/285 |
67.1% 259/386 |
1.15 (1.05 to 1.27)a | |
White 2018 (suspected pneumonia) | CBA | 39.6% 19/48 |
69.4% 25/36 |
66.7% 28/42 |
47.4% 46/97 |
1.41 (1.04 to 1.90)a | |
Yansaneh 2014 (suspected pneumonia) | CBA | 25.0% (129/515) |
35.0% (208/595) |
46.7% (247/529) |
41.9% (222/530) |
1.12 (0.97 to 1.28)a | |
Coverage of careseeking to an appropriate provider of treatment services for newborn local infections | Bhandari 2012a/Mazumder 2014 (newborn local infections) | cRCT | Not given | Not given | 57.9% 577/996 |
12.5% 138/1100 |
4.62 (3.92 to 5.45)c |
Coverage of careseeking to an appropriate provider of treatment services for newborn danger signs | Bhandari 2012a/Mazumder 2014 (newborn danger signs) | cRCT | Not given | Not given | 46.9% 474/1010 |
29.4% 374/1269 |
1.58 (1.43 to 1.77)c |
CBA: controlled before‐after study; CI: confidence interval; cRCT: cluster‐randomized controlled trial; iCCM: integrated community case management; RR: risk ratio. aWe recalculated results for Mubiru 2015, White 2018, and Yansaneh 2014 based on unadjusted counts (see Data extraction and management). bAdjusted for cluster design and stratification variables: ethnic origin (Balanta, non‐Balanta and mixed) and by distance from a regional health centre or hospital (within/further 3.5 hours' walking). cAdjusted for cluster design (shared frailty option, random‐effects model) and potential confounders (toilet inside house, illiterate mother, schedule caste or tribe, possession of mobile phone, family with below poverty line card, distance from primary health centre to nearest point on highway, percentage of home births in cluster).