Community and District Empowerment for Scale-up (CODES): a complex district-level management intervention to improve child survival in Uganda: study protocol for a randomized controlled trial

Simple item page
dc.contributor.authorWaiswa, Peter
dc.contributor.authorO’Connell, Thomas
dc.contributor.authorBagenda, Danstan
dc.contributor.authorMullachery, Pricila
dc.contributor.authorMpanga, Flavia
dc.contributor.authorKiwanuka, Dorcus H.
dc.contributor.authorKatahoire, Anne R.
dc.contributor.authorSsegujja, Eric
dc.contributor.authorMbonye, Anthony K.
dc.contributor.authorPeterson, Stefan S.
dc.date.accessioned2022-12-09T14:09:27Z
dc.date.available2022-12-09T14:09:27Z
dc.date.issued2016
dc.description.abstractBackground: Innovative and sustainable strategies to strengthen districts and other sub-national health systems and management are urgently required to reduce child mortality. Although highly effective evidence-based and affordable child survival interventions are well-known, at the district level, lack of data, motivation, analytic and planning capacity often impedes prioritization and management weaknesses impede implementation. The Community and District Empowerment for Scale-up (CODES) project is a complex management intervention designed to test whether districts when empowered with data and management tools can prioritize and implement evidence-based child survival interventions equitably. Methods: The CODES strategy combines management, diagnostic, and evaluation tools to identify and analyze the causes of bottlenecks to implementation, build capacity of district management teams to implement contextspecific solutions, and to foster community monitoring and social accountability to increase demand for services. CODES combines UNICEF tools designed to systematize priority setting, allocation of resources and problem solving with Community dialogues based on Citizen Report Cards and U-Reports used to engage and empower communities in monitoring health service provision and to demand for quality services. Implementation and all data collection will be by the districts teams or local Community-based Organizations who will be supported by two local implementing partners. The study will be evaluated as a cluster randomized trial with eight intervention and eight comparison districts over a period of 3 years. Evaluation will focus on differences in uptake of child survival interventions and will follow an intention-to-treat analysis. We will also document and analyze experiences in implementation including changes in management practicesen_US
dc.identifier.citationWaiswa, P., O’Connell, T., Bagenda, D., Mullachery, P., Mpanga, F., Henriksson, D. K., ... & Peterson, S. S. (2016). Community and District Empowerment for Scale-up (CODES): a complex district-level management intervention to improve child survival in Uganda: study protocol for a randomized controlled trial. Trials, 17(1), 1-8. DOI 10.1186/s13063-016-1241-4en_US
dc.identifier.otherDOI 10.1186/s13063-016-1241-4
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/6115
dc.language.isoenen_US
dc.publisherTrialsen_US
dc.subjectChild survivalen_US
dc.subjectManagement toolsen_US
dc.subjectBottleneck analysisen_US
dc.titleCommunity and District Empowerment for Scale-up (CODES): a complex district-level management intervention to improve child survival in Uganda: study protocol for a randomized controlled trialen_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Community and District.pdf
Size:
511.94 KB
Format:
Adobe Portable Document Format
Description:
Article
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Medical and Health Sciences