TRAction is currently funding a research study in Democratic Republic of Congo (DRC) to explore the safety of a systematic versus conditional 3-day follow up visit by a community health worker (CHW) for children with uncomplicated fever. There is limited evidence on which of the two interventions is safer for the child. Children with untreated persistent fever may be at risk of severe outcomes if caregivers do not follow conditional follow-up advice. However, a systematic follow-up visit for all children can waste the time and resources of CHWs and it is unclear whether this follow-up visit is even necessary. The International Rescue Committee (IRC) in collaboration with Johns Hopkins University Bloomberg School of Public Health (JHSPH) will implement this study in the Tanganyika District of Katanga Province in the Democratic Republic of Congo to assess the non-inferiority of WHO-recommended systematic follow-up on day 3 compared to conditional follow-up for non-severe febrile illness in children age 2 to 59 months in which no cause of fever can be identified and where danger signs are absent.
Democratic Republic of Congo: Tanganyika District, Katanga Province
The objectives of the research are to:
Researchers will use a two-arm cluster-randomized, community-based non-inferiority trial to address the research objectives.
Researchers have completed sensitization, development of data collection tools, community mobilization, and training of CHWs, and are in the process of study implementation.
Principal Investigator: Luke C. Mullaney PhD