This one-arm safety intervention study is aimed at increasing access to treatment of
pneumonia by training CHWs, locally referred to as Community Oriented Resource Persons
(CORPs), to manage chest indrawing pneumonia using oral amoxicillin, conducting follow-ups
and recording their findings in case report forms. CORPs will also be involved in improving
care seeking for pneumonia in children by training them to conduct health education sessions
for men and women in their respective communities.
The primary objective is to assess if CORPs can safely and appropriately manage chest
indrawing pneumonia in 2-59 month old children, and refer children with danger signs. The
primary outcomes will be the proportion of children under five with chest indrawing pneumonia
who were managed appropriately by CORPs and the clinical treatment failure of chest indrawing
pneumonia. Secondary outcomes will include proportion of children with chest indrawing
followed up by CORPs on day 3 and caregiver adherence to treatment for CI, and clinical
relapse of pneumonia between day 7 to 14 among children whose signs of pneumonia disappeared
by day 6. Approximately 308 children 2-59 months of age with chest indrawing pneumonia would
be needed for this safety intervention study.