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Management of acute respiratory infections by community health volunteers: experience of Bangladesh Rural Advancement Committee (BRAC).
Bull World Health Organ. 2003; 81(3):183-9.BW

Abstract

OBJECTIVE

To assess the role of management practices for acute respiratory infections (ARIs) in improving the competency of community health volunteers in diagnosing and treating acute respiratory infections among children.

METHODS

Data were collected by a group of research physicians who observed the performance of a sample of 120 health volunteers in 10 sub-districts in Bangladesh in which Bangladesh Rural Advancement Committee (BRAC) had run a community-based ARI control programme since mid-1992. Standardized tests were conducted until the 95% interphysician reliability on the observation of clinical examination was achieved.

FINDINGS

The sensitivity, specificity, and overall agreement rates in diagnosing and treating ARIs were significantly higher among the health volunteers who had basic training and were supervised routinely than among those who had not.

CONCLUSION

Diagnosis and treatment of ARIs at the household level in developing countries are possible if intensive basic training and the close supervision of service providers are ensured.

Links

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Authors+Show Affiliations

Hadi A
Research and Evaluation Division, Bangladesh Rural Advancement Committee, Dhaka, Bangladesh. shirsha@bangla.net

MeSH

Acute DiseaseBangladeshChild Health ServicesChild, PreschoolCommunity Health WorkersFemaleHumansInfantInservice TrainingMaleMass ScreeningRespiratory Tract InfectionsRural Health ServicesTask Performance and AnalysisVolunteersWorkforce

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

12764514

Citation

Hadi, Abdullahel. "Management of Acute Respiratory Infections By Community Health Volunteers: Experience of Bangladesh Rural Advancement Committee (BRAC)." Bulletin of the World Health Organization, vol. 81, no. 3, 2003, pp. 183-9.
Hadi A. Management of acute respiratory infections by community health volunteers: experience of Bangladesh Rural Advancement Committee (BRAC). Bull World Health Organ. 2003;81(3):183-9.
Hadi, A. (2003). Management of acute respiratory infections by community health volunteers: experience of Bangladesh Rural Advancement Committee (BRAC). Bulletin of the World Health Organization, 81(3), 183-9.
Hadi A. Management of Acute Respiratory Infections By Community Health Volunteers: Experience of Bangladesh Rural Advancement Committee (BRAC). Bull World Health Organ. 2003;81(3):183-9. PubMed PMID: 12764514.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of acute respiratory infections by community health volunteers: experience of Bangladesh Rural Advancement Committee (BRAC). A1 - Hadi,Abdullahel, Y1 - 2003/05/16/ PY - 2003/5/24/pubmed PY - 2003/7/8/medline PY - 2003/5/24/entrez SP - 183 EP - 9 JF - Bulletin of the World Health Organization JO - Bull World Health Organ VL - 81 IS - 3 N2 - OBJECTIVE: To assess the role of management practices for acute respiratory infections (ARIs) in improving the competency of community health volunteers in diagnosing and treating acute respiratory infections among children. METHODS: Data were collected by a group of research physicians who observed the performance of a sample of 120 health volunteers in 10 sub-districts in Bangladesh in which Bangladesh Rural Advancement Committee (BRAC) had run a community-based ARI control programme since mid-1992. Standardized tests were conducted until the 95% interphysician reliability on the observation of clinical examination was achieved. FINDINGS: The sensitivity, specificity, and overall agreement rates in diagnosing and treating ARIs were significantly higher among the health volunteers who had basic training and were supervised routinely than among those who had not. CONCLUSION: Diagnosis and treatment of ARIs at the household level in developing countries are possible if intensive basic training and the close supervision of service providers are ensured. SN - 0042-9686 UR - https://www.unboundmedicine.com/medline/citation/12764514/Management_of_acute_respiratory_infections_by_community_health_volunteers:_experience_of_Bangladesh_Rural_Advancement_Committee__BRAC__ DB - PRIME DP - Unbound Medicine ER -