Evaluating the impact of two training interventions to improve diagnosis and case-management of malaria and pneumonia in Uganda

We present an age-structured mathematical model of malaria and pneumonia to study the effect of two capacity-building interventions: Integrated Management of Infectious Diseases (IMID) and On-site Support Services (OSS). IMID leads to a reduction in malaria prevalence by more than 24% across the [0,5), [5,14) and [14,50) age groups. IMID + OSS reduces it by more than 160% across all age groups. IMID decreases pneumonia prevalence by more than 30% across all age groups while IMID + OSS decreases it by more than 10% across all age groups. The number of malaria and pneumonia deaths is reduced by 78% by IMID across all age groups and IMID + OSS decreases this number by 305% across all age groups, which translates to saving a life of a child per month. Prevalence of malaria-pneumonia for the [0,5) age group is 052% at baseline, and IMID and IMID + OSS reduce it by 66% and 236%, respectively. There is no change in incidence of malaria or pneumonia disease episodes. The results also indicate that triaging of children contributes more than 50% to the effect of the interventions in reduction of deaths and a range of 14-91% in reduction of disease cases.

Publication year:2017

Authors:International