This dataset contains all visits made to health facilities in Bwambara Sub-county, South Western Uganda as part of a cluster randomised trial. The anonymised dataset includes basic demographic details of the visit and the diagnosis made

Alexander, Neal

Chandramoham, Daniel

Clarke, Sian

Lagarde, Mylene

Lal, Sham

Magnussen, Pascal

Ndyomugenyi, Richard

Paintain, Lucy

PLoS ONE

PubMed

Malaria endemic countries have scaled-up community health worker (CHW) interventions, to diagnose and treat malaria in communities with limited access to public health systems. The evaluations of these programmes have centred on CHW's compliance to guidelines, but the broader changes at public health centres including utilisation and diagnoses made, has received limited attention.This analysis was conducted during a CHW-intervention for malaria in Rukungiri District, Western Uganda. Outpatient department (OPD) visit data were collected for children under-5 attending three health centres one year before the CHW-intervention started (pre-intervention period) and for 20 months during the intervention (intervention-period). An interrupted time series analysis with segmented regression models was used to compare the trends in malaria, non-malaria and overall OPD visits during the pre-intervention and intervention-period.The introduction of a CHW-intervention suggested the frequency of diagnoses of diarrhoeal diseases, pneumonia and helminths increased, whilst the frequency of malaria diagnoses declined at health centres. In May 2010 when the intervention began, overall health centre utilisation decreased by 63% compared to the pre-intervention period and the health centres saw 32 fewer overall visits per month compared to the pre-intervention period (p<0.001). Malaria visits also declined shortly after the intervention began and there were 27 fewer visits per month during the intervention-period compared with the pre-intervention period (p<0.05). The declines in overall and malaria visits were sustained for the entire intervention-period. In contrast, there were no observable changes in trends of non-malarial visits between the pre-intervention and intervention-period.This analysis suggests introducing a CHW-intervention can reduce the number of child malaria visits and change the profile of cases presenting at health centres. The reduction in workload of health workers may allow them to spend more time with patients or undertake additional curative or preventative roles

Sham Lal

Richard Ndyomugenyi

Neal D Alexander

Mylene Lagarde

Lucy Paintain

Pascal Magnussen

Daniel Chandramohan

Siân E Clarke

Directory of Open Access Journals

Health Facility Utilisation Changes during the Introduction of Community Case Management of Malaria in South Western Uganda: An Interrupted Time Series Approach.

BACKGROUND: Malaria endemic countries have scaled-up community health worker (CHW) interventions, to diagnose and treat malaria in communities with limited access to public health systems. The evaluations of these programmes have centred on CHW's compliance to guidelines, but the broader changes at public health centres including utilisation and diagnoses made, has received limited attention. METHODS: This analysis was conducted during a CHW-intervention for malaria in Rukungiri District, Western Uganda. Outpatient department (OPD) visit data were collected for children under-5 attending three health centres one year before the CHW-intervention started (pre-intervention period) and for 20 months during the intervention (intervention-period). An interrupted time series analysis with segmented regression models was used to compare the trends in malaria, non-malaria and overall OPD visits during the pre-intervention and intervention-period. RESULTS: The introduction of a CHW-intervention suggested the frequency of diagnoses of diarrhoeal diseases, pneumonia and helminths increased, whilst the frequency of malaria diagnoses declined at health centres. In May 2010 when the intervention began, overall health centre utilisation decreased by 63% compared to the pre-intervention period and the health centres saw 32 fewer overall visits per month compared to the pre-intervention period (p<0.001). Malaria visits also declined shortly after the intervention began and there were 27 fewer visits per month during the intervention-period compared with the pre-intervention period (p<0.05). The declines in overall and malaria visits were sustained for the entire intervention-period. In contrast, there were no observable changes in trends of non-malarial visits between the pre-intervention and intervention-period. CONCLUSIONS: This analysis suggests introducing a CHW-intervention can reduce the number of child malaria visits and change the profile of cases presenting at health centres. The reduction in workload of health workers may allow them to spend more time with patients or undertake additional curative or preventative roles

Alexander, Neal D

Chandramohan, Daniel

Clarke, Siân E

LSHTM Research Online

Name not available

Health facility utilisation changes during the introduction of community case management of malaria in South Western Uganda: An interrupted time series approach.

Alexander, Neal D.

Clarke, Sîan E.

Copenhagen University Research Information System

English

Health facility utilisation changes during the introduction of community case management of malaria in South Western Uganda:an interrupted time series approach

Neal D. Alexander

Siân E. Clarke

Crossref

Health Facility Utilisation Changes during the Introduction of Community Case Management of Malaria in South Western Uganda: An Interrupted Time Series Approach

<div>BackgroundMalaria endemic countries have scaled-up community health worker (CHW) interventions, to diagnose and treat malaria in communities with limited access to public health systems. The evaluations of these programmes have centred on CHW’s compliance to guidelines, but the broader changes at public health centres including utilisation and diagnoses made, has received limited attention.MethodsThis analysis was conducted during a CHW–intervention for malaria in Rukungiri District, Western Uganda. Outpatient department (OPD) visit data were collected for children under-5 attending three health centres one year before the CHW-intervention started (pre-intervention period) and for 20 months during the intervention (intervention-period). An interrupted time series analysis with segmented regression models was used to compare the trends in malaria, non-malaria and overall OPD visits during the pre-intervention and intervention-period.ResultsThe introduction of a CHW-intervention suggested the frequency of diagnoses of diarrhoeal diseases, pneumonia and helminths increased, whilst the frequency of malaria diagnoses declined at health centres. In May 2010 when the intervention began, overall health centre utilisation decreased by 63% compared to the pre-intervention period and the health centres saw 32 fewer overall visits per month compared to the pre-intervention period (p<0.001). Malaria visits also declined shortly after the intervention began and there were 27 fewer visits per month during the intervention-period compared with the pre-intervention period (p<0.05). The declines in overall and malaria visits were sustained for the entire intervention-period. In contrast, there were no observable changes in trends of non-malarial visits between the pre-intervention and intervention-period.ConclusionsThis analysis suggests introducing a CHW-intervention can reduce the number of child malaria visits and change the profile of cases presenting at health centres. The reduction in workload of health workers may allow them to spend more time with patients or undertake additional curative or preventative roles.</div

Sham Lal (774047)

Richard Ndyomugenyi (794033)

Neal D. Alexander (124083)

Mylene Lagarde (292691)

Lucy Paintain (794034)

Pascal Magnussen (4993)

Daniel Chandramohan (45475)

Siân E. Clarke (774049)

The Francis Crick Institute

LSHTM Data Compass

Data Dictionary for health_facility_cases.csvSource Document: Evaluation - Health Centre OPD RegisterHealth Centre OPD RegisterFull text Variable name Type Format CodesetSerial number ser_num Continuous QuantitativeHealth facility ID hf_id Categorical IdentifierVillage name village_name Text QualitativeVillage name other village_name_other Text QualitativeParish name parish_name Text QualitativeParish name other parish_name_other Text QualitativePatient age yrs patient_age_yrs Continuous QuantitativePatient age mons patient_age_mons Continuous QuantitativeSex sex Categorical Quantitative 1 - Male2 - FemaleDiagnosis1 diagnosis1 Text Quantitative 1 - Malaria2 - Helminths3 - RTI4 - Skin Infection5 - Cough6 - Scalp Infection7 - Diarrhoea8 - Severe Diarrhoea9 - Burns10 - Epilepsy11 - Scabies12 - Conjunctivitis13 - Demalitis14 - Abscess15 - Mumps16 - Cold17 - Cellotitis18 - Otilis Externa19 - PEM20 - Dehydration21 - Bolis22 - Fungal Infection23 - Anaemia24 - Fever25 - GE26 - Congenital Syphlis27 - URTI28 - Otitis Media30 - Dental Abscess31 - Toothache32 - Hernia33 - Allergic conjuctivitis34 - Oral Candidiasis35 - Sinustis36 - Mastoditis37 - HCLM38 - Pneumonia39 - Eczema40 - STI41 - Oral Thrush42 - Chicken Pox43 - Hermoraphy44 - Malnutrition45 - Dysentry46 - Gastrites47 - Ear Infection48 - Bacteria Infection49 - umblical infection50 - intestinal worms51 - wounds52 - Anorexia53 - Vaginal Candidiasis54 - Tonsilites55 - G.I.E56 - Phimosis57 - spleenomegally58 - constipation59 - Peritonitis60 - Tissue Injury61 - Orchitis62 - Dental Problem63 - RRT64 - RPR65 - Abdominal pain66 - stomatitis67 - multi sores68 - Eye Infection69 - skin rush70 - Headache71 - Cholera72 - Amoebiasis73 - Whooping Cough74 - Penile Itching75 - Measles77 - ART78 - Prolapsed Anus79 - Asthma80 - Septic Scalp81 - Trachoma82 - Genital sores83 - Bronchites84 - Nasal infection85 - Breast infection86 - Tougue tie87 - Ear wicking88 - Cognititis89 - Flue90 - Kwashiorkor91 - L.I.H92 - vomiting93 - Mouth Ulcer94 - AccidentDiagnosis2 diagnosis2 Text Quantitative 1 - Malaria2 - Helminths3 - RTI4 - Skin Infection5 - Cough6 - Scalp Infection7 - Diarrhoea8 - Severe Diarrhoea9 - Burns10 - Epilepsy11 - Scabies12 - Conjunctivitis13 - Demalitis14 - Abscess15 - Mumps16 - Cold17 - Cellotitis18 - Otilis Externa19 - PEM20 - Dehydration21 - Bolis22 - Fungal Infection23 - Anaemia24 - Fever25 - GE26 - Congenital Syphlis27 - URTI28 - Otitis Media30 - Dental Abscess31 - Toothache32 - Hernia33 - Allergic conjuctivitis34 - Oral Candidiasis35 - Sinustis36 - Mastoditis37 - HCLM38 - Pneumonia39 - Eczema40 - STI41 - Oral Thrush42 - Chicken Pox43 - Hermoraphy44 - Malnutrition45 - Dysentry46 - Gastrites47 - Ear Infection48 - Bacteria Infection49 - umblical infection50 - intestinal worms51 - wounds52 - Anorexia53 - Vaginal Candidiasis54 - Tonsilites55 - G.I.E56 - Phimosis57 - spleenomegally58 - constipation59 - Peritonitis60 - Tissue Injury61 - Orchitis62 - Dental Problem63 - RRT64 - RPR65 - Abdominal pain66 - stomatitis67 - multi sores68 - Eye Infection69 - skin rush70 - Headache71 - Cholera72 - Amoebiasis73 - Whooping Cough74 - Penile Itching75 - Measles77 - ART78 - Prolapsed Anus79 - Asthma80 - Septic Scalp81 - Trachoma82 - Genital sores83 - Bronchites84 - Nasal infection85 - Breast infection86 - Tougue tie87 - Ear wicking88 - Cognititis89 - Flue90 - Kwashiorkor91 - L.I.H92 - vomiting93 - Mouth Ulcer94 - AccidentDiagnosis3 diagnosis3 Text Quantitative 1 - Malaria2 - Helminths3 - RTI4 - Skin Infection5 - Cough6 - Scalp Infection7 - Diarrhoea8 - Severe Diarrhoea9 - Burns10 - Epilepsy11 - Scabies12 - Conjunctivitis13 - Demalitis14 - Abscess15 - Mumps16 - Cold17 - Cellotitis18 - Otilis Externa19 - PEM20 - Dehydration21 - Bolis22 - Fungal Infection23 - Anaemia24 - Fever25 - GE26 - Congenital Syphlis27 - URTI28 - Otitis Media30 - Dental Abscess31 - Toothache32 - Hernia33 - Allergic conjuctivitis34 - Oral Candidiasis35 - Sinustis36 - Mastoditis37 - HCLM38 - Pneumonia39 - Eczema40 - STI41 - Oral Thrush42 - Chicken Pox43 - Hermoraphy44 - Malnutrition45 - Dysentry46 - Gastrites47 - Ear Infection48 - Bacteria Infection49 - umblical infection50 - intestinal worms51 - wounds52 - Anorexia53 - Vaginal Candidiasis54 - Tonsilites55 - G.I.E56 - Phimosis57 - spleenomegally58 - constipation59 - Peritonitis60 - Tissue Injury61 - Orchitis62 - Dental Problem63 - RRT64 - RPR65 - Abdominal pain66 - stomatitis67 - multi sores68 - Eye Infection69 - skin rush70 - Headache71 - Cholera72 - Amoebiasis73 - Whooping Cough74 - Penile Itching75 - Measles77 - ART78 - Prolapsed Anus79 - Asthma80 - Septic Scalp81 - Trachoma82 - Genital sores83 - Bronchites84 - Nasal infection85 - Breast infection86 - Tougue tie87 - Ear wicking88 - Cognititis89 - Flue90 - Kwashiorkor91 - L.I.H92 - vomiting93 - Mouth Ulcer94 - AccidentDiagnosis4 diagnosis4 Text Quantitative 1 - Malaria2 - Helminths3 - RTI4 - Skin Infection5 - Cough6 - Scalp Infection7 - Diarrhoea8 - Severe Diarrhoea9 - Burns10 - Epilepsy11 - Scabies12 - Conjunctivitis13 - Demalitis14 - Abscess15 - Mumps16 - Cold17 - Cellotitis18 - Otilis Externa19 - PEM20 - Dehydration21 - Bolis22 - Fungal Infection23 - Anaemia24 - Fever25 - GE26 - Congenital Syphlis27 - URTI28 - Otitis Media30 - Dental Abscess31 - Toothache32 - Hernia33 - Allergic conjuctivitis34 - Oral Candidiasis35 - Sinustis36 - Mastoditis37 - HCLM38 - Pneumonia39 - Eczema40 - STI41 - Oral Thrush42 - Chicken Pox43 - Hermoraphy44 - Malnutrition45 - Dysentry46 - Gastrites47 - Ear Infection48 - Bacteria Infection49 - umblical infection50 - intestinal worms51 - wounds52 - Anorexia53 - Vaginal Candidiasis54 - Tonsilites55 - G.I.E56 - Phimosis57 - spleenomegally58 - constipation59 - Peritonitis60 - Tissue Injury61 - Orchitis62 - Dental Problem63 - RRT64 - RPR65 - Abdominal pain66 - stomatitis67 - multi sores68 - Eye Infection69 - skin rush70 - Headache71 - Cholera72 - Amoebiasis73 - Whooping Cough74 - Penile Itching75 - Measles77 - ART78 - Prolapsed Anus79 - Asthma80 - Septic Scalp81 - Trachoma82 - Genital sores83 - Bronchites84 - Nasal infection85 - Breast infection86 - Tougue tie87 - Ear wicking88 - Cognititis89 - Flue90 - Kwashiorkor91 - L.I.H92 - vomiting93 - Mouth Ulcer94 - AccidentDate Seen date_seen Date Quantitative 1 - Malaria2 - Helminths3 - RTI4 - Skin Infection5 - Cough6 - Scalp Infection7 - Diarrhoea8 - Severe Diarrhoea9 - Burns10 - Epilepsy11 - Scabies12 - Conjunctivitis13 - Demalitis14 - Abscess15 - Mumps16 - Cold17 - Cellotitis18 - Otilis Externa19 - PEM20 - Dehydration21 - Bolis22 - Fungal Infection23 - Anaemia24 - Fever25 - GE26 - Congenital Syphlis27 - URTI28 - Otitis Media30 - Dental Abscess31 - Toothache32 - Hernia33 - Allergic conjuctivitis34 - Oral Candidiasis35 - Sinustis36 - Mastoditis37 - HCLM38 - Pneumonia39 - Eczema40 - STI41 - Oral Thrush42 - Chicken Pox43 - Hermoraphy44 - Malnutrition45 - Dysentry46 - Gastrites47 - Ear Infection48 - Bacteria Infection49 - umblical infection50 - intestinal worms51 - wounds52 - Anorexia53 - Vaginal Candidiasis54 - Tonsilites55 - G.I.E56 - Phimosis57 - spleenomegally58 - constipation59 - Peritonitis60 - Tissue Injury61 - Orchitis62 - Dental Problem63 - RRT64 - RPR65 - Abdominal pain66 - stomatitis67 - multi sores68 - Eye Infection69 - skin rush70 - Headache71 - Cholera72 - Amoebiasis73 - Whooping Cough74 - Penile Itching75 - Measles77 - ART78 - Prolapsed Anus79 - Asthma80 - Septic Scalp81 - Trachoma82 - Genital sores83 - Bronchites84 - Nasal infection85 - Breast infection86 - Tougue tie87 - Ear wicking88 - Cognititis89 - Flue90 - Kwashiorkor91 - L.I.H92 - vomiting93 - Mouth Ulcer94 - Accident

https://figshare.com/articles/_Health_Facility_Utilisation_Changes_during_the_Introduction_of_Community_Case_Management_of_Malaria_in_South_Western_Uganda_An_Interrupted_Time_Series_Approach_/1539279

Health facility utilisation changes during the introduction of community case management of malaria in South Western Uganda: An interrupted time series approach.

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Directory of Open Access Journals

LSHTM Research Online

Name not available

Copenhagen University Research Information System

Crossref

Name not available

The Francis Crick Institute

LSHTM Data Compass