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. 2021 Feb 10;2021(2):CD012882. doi: 10.1002/14651858.CD012882.pub2

Rabbani 2014.

Study name Improving community case management of diarrhoea and pneumonia in district Badin, Pakistan through a cluster randomised study – the NIGRAAN trial protocol
Methods Cluster‐randomized trial
Participants
  • LHSs

  • LHWs

  • Caregivers of children aged < 5 years in the population of the study sites

    • Community caregiver/parent/guardian permanently residing in the household falling under the geographical scope/coverage area of the LHW enrolled into the study

    • Community caregiver residing in a household that has ≥ 1 child under 5 years of age

Interventions Intervention
  • Training to build LHS knowledge and skills, clinical mentorship and written feedback to LHWs of LHWs already trained on iCCM for diarrhoea and pneumonia


Comparison
  • Usual health services, including iCCM for diarrhoea and pneumonia. Based on this comparison, the study would not meet inclusion criteria of this review due to "wrong comparator" (the control has iCCM, the difference between the intervention clusters and control clusters being the addition of the enhanced supervisory strategies;" however, we will assess inclusion at the next update of this review

Outcomes Primary outcome
  • Improvement in CCM practices of diarrhoea and pneumonia


Secondary outcomes
  • Improved knowledge, skills and supervisory processes among LHSs for CCM of pneumonia and diarrhoea in children aged < 5 years

  • Improvement in LHW knowledge, skills and performance as a result of structured supportive supervision by LHSs

  • Improved knowledge of community caregivers through interactions with LHWs and LHSs during community management of children with diarrhoea and pneumonia


Based on outcomes reported in the protocol, it is unclear whether this study would meet inclusion criteria for this review; however, we will assess inclusion at the next update of this review.
Starting date November 2014; scheduled to end 9–12 months after start
Contact information Fauziah Rabbani; contact information not provided. Contact possible through a link in the online version of the article doi.org/10.1186/s13012-014-0186-9
Notes Objective: to improve CCM of childhood diarrhoea and pneumonia by health workers (LHWs and LHSs) and community caregivers (e.g. mothers) through strengthened supervision and mentorship by LHSs
Location: District Badin, Pakistan
Funding: WHO, Geneva, Department of Maternal, Newborn, Child and Adolescent Health