James Bagonza|Simon P. S. Kibira|Elizeus Rutebemberwa
Performance of community health workers managing malaria, pneumonia and diarrhoea under the community case management programme in central Uganda: a cross sectional study
Makerere University|Makerere University|Makerere University
lay community health workers chws widely used provide curative interventions communities traditionally lacked access health care optimal performance chws managing children malaria pneumonia diarrhoea communities desired reduction childhood morbidity mortality achieved study assessed factors influencing performance chws managing malaria pneumonia diarrhoea integrated community case management iccm programme wakiso district central ugandaa cross sectional study conducted among 336 chws data collected using interviews record reviews performance measured using composite scores based core activities chws iccm programme core activities included treating children five years referring severely sick children including newborns home visits counseling caregivers home care record keeping community sensitization descriptive inferential statistics using odds ratios done determine factors influencing performance chwsof 336 respondents 242 72 females overall level good performance 217 95 ci 173261 factors significantly associated performance sex females aor 265 95 ci 129 543 community support aor 229 95 ci 127414 receiving feedback health facilities aor 490 95 ci 252951 drugs previous three months aor 299 95 ci 164542only one every five chws performed optimally iccm programme strategies improve drug supply community support feedback provision formal health system necessary improve performance chws