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Community Care

Tanzanian man listens to the radio, ©2008 Robert Karam, Courtesy of Photoshare

Community Care

The poorest women, children, and families in low income countries are significantly less likely to be brought to health facilities when they need health services, and may receive lower quality care once they arrive. Even when the quality of care in health facilities is high, the utilization of these same facilities may remain suboptimal due to delays in seeking care and delays in reaching the facility. Although large numbers of sick children have no contact with health facilities, few countries have made quality care for child health available at scale outside of health facilities. There is a dearth of evidence on strategies seeking to scale-up high-quality child health care in the community and to improve recognition of and care seeking for maternal and newborn complications. TRAction research seeks to generate evidence to respond to this gap.

Community Based Treatment

Ensuring access to treatment and healthcare services is an essential component to a healthcare system. However, populations in remote and underserved areas are often left without the same level of health services and care as populations in urban areas. Resource and time constraints to reaching urban facilities often leave rural population at a disadvantage and contribute to morbidity and mortality in emergency situations. Offering community-based treatment opportunities in communities where people live is a successful strategy to reach rural populations.

Management of Unclassified Fever

COMMUNITY-LEVEL MANAGEMENT OF UNCLASSIFIED FEVER
TRAction is currently funding research studies in Democratic Republic of Congo (DRC) and Ethiopia that explore the safety of a systematic versus conditional 3-day follow up visit by a community health worker (CHW)  for children with uncomplicated fever. The International Rescue Committee (IRC) in collaboration with Johns Hopkins University Bloomberg School of Public Health (JHSPH) will implement one study in the Tanganyika District of Katanga Province in the Democratic Republic of Congo (DRC).  The Malaria Consortium will implement the other study in the Wolayita Zone in the Southern Nations, Nationalities, and People’s Regional State (SNNPR) in Southwest Ethiopia.

Integrated Community Case Management

Photo of Tanzanian child recieving malaria treatment, Photoshare
Integrated Community Case Management
Integrated Community Case Management (iCCM) is a community care strategy which seeks to extend case management of childhood illness beyond health facilities, increasing access of children and families to lifesaving treatments. Many countries have yet to implement or scale-up iCCM programs due to uncertainty about the structures and strategies needed to ensure iCCM success. In order to reduce such uncertainty and support the roll-out of iCCM more broadly, TRAction is supporting three research studies which aim to improve successful introduction, implementation, and scale-up of iCCM programs: developing of an iCCM costing and financing tool; conducting embedded implementation research on iCCM monitoring; and investigating effective iCCM policy development processes.

 

Recognition of MNH Complications

Community health worker in Togo, Photoshare
Recognition of Maternal and Newborn Complications

Although under-five child mortality has decreased significantly around the world, the rate of neonatal mortality remains high, especially in low and middle income countries. Reductions in maternal and newborn mortality require use of quality and respectful skilled care, mostly at the facility level, but women and families often delay accessing care for a variety of reasons. TRAction intends to support research in this area to identify, describe, and disseminate promising community-oriented approaches to improve recognition of and care seeking for perceived maternal and/or newborn complications in low and middle income countries.

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