NCT06395207

A Short Period of Proactive Community Case Management (ProCCM) to Improve Early Care-seeking for Fever in Sierra Leone

• Status: Not Yet Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 9,000 (estimated)
• Sponsor: PATH · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Accepted

Summary

This is a three arm cluster randomized control trial to determine if proactive community case management (ProCCM) conducted over a short period of time improves care-seeking indicators for febrile illnesses in children in hard to reach (HTR) areas of Sierra Leone compared to integrated community case management (iCCM). The three arms include: 1. Optimized standard of care for CCM plus ProCCM - ProCCM will be implemented for two months near the start of the transmission season, and the existing program will be supplemented to ensure that HTR CHWs have all commodities needed for malaria testing and treatment and are adequately trained on SBCC messages to ensure activities are implemented as designed. 2. Optimized standard of care- as in arm 1 without ProCCM 3. Routine implementation (control) - no changes (business as usual) to iCCM, SBCC and stock management.

Conditions

• Health Services Research

Interventions

Type	Name	Description
BEHAVIORAL	Proactive community case management	Community health workers conduct proactive visits to households in their community every two weeks for two months to screen for fever and test and treat febrile individuals for malaria.
BEHAVIORAL	Strengthened SBCC and stock out mitigation	Ensure CHWs have all commodities needed for malaria testing and treatment and are adequately trained on SBCC messages to ensure activities are implemented as designed in the national strategy.

Timeline

• Start date: 2024-05-06
• Primary completion: 2025-03-30
• Completion: 2025-03-30
• First posted: 2024-05-02
• Last updated: 2024-05-02