Karim Aliya, Cobos Muñoz Daniel, Mäusezahl Daniel, de Savigny Don
The Swiss Tropical and Public Health Institute (Swiss TPH), Socinstrasse 57, 4051, Basel, Switzerland.
The University of Basel, Basel, Switzerland.
Syst Rev. 2020 Sep 3;9(1):205. doi: 10.1186/s13643-020-01454-y.
Integrated community case management (iCCM) is a community-based child health strategy designed to reduce deaths due to pneumonia, malaria, and diarrhea in low-income countries. Due to the integrated nature of the intervention and the diversity of its stakeholders and activities, iCCM is complex and comprises many systems elements. However, the extent to which studies examine these different elements is unknown. The purpose of this scoping review is to summarize the key areas of emphasis of the iCCM literature and assess the extent to which this takes into account systems complexity.
This study will be guided by Arksey and O'Malley's scoping review methodology. We will systematically screen MEDLINE, Web of Science, and the specialized platform Community Case Management (CCM) Central Library for published literature in English related to the design, implementation, and evaluation of iCCM. Two investigators will independently screen the full list of titles and abstracts for eligibility, followed by a full-text review of selected titles divided between investigators. Emergent themes will be categorized according to a thematic tool iteratively developed to guide the charting and analysis process. To compare the extent to which the literature assesses systems factors, we will compare our results with the iCCM Interagency Framework. We will use the Intervention Complexity Tool for Systematic Reviews (iCAT_SR) to assess how literature measures complexity. Results will be presented in narrative fashion, supplemented by interactive graphical interfaces.
The results of this scoping review will identify the priorities and deficiencies of the analysis and evaluation of iCCM programs and may illustrate the need for systems approaches. Bottom-up emergent iCCM themes can help researchers, policymakers, and implementers target and better emphasize true priorities of iCCM. Understanding how complexity is considered and examined in iCCM may result in greater attention to this critical dimension of iCCM program assessment, resulting in the design and development of more robust and sustainable iCCM programs.
综合社区病例管理（iCCM）是一项基于社区的儿童健康策略，旨在降低低收入国家因肺炎、疟疾和腹泻导致的死亡。由于该干预措施的综合性及其利益相关者和活动的多样性，iCCM很复杂，包含许多系统要素。然而，目前尚不清楚研究对这些不同要素的考察程度。本范围综述的目的是总结iCCM文献的重点领域，并评估其对系统复杂性的考虑程度。
本研究将遵循阿克西和奥马利的范围综述方法。我们将系统筛选MEDLINE、科学网和专门平台“社区病例管理（CCM）中央图书馆”，以获取与iCCM的设计、实施和评估相关的英文已发表文献。两名研究人员将独立筛选标题和摘要的完整列表以确定其是否符合要求，随后对选定标题进行全文审查，并由研究人员分工进行。将根据一个为指导制表和分析过程而反复开发的主题工具对新出现的主题进行分类。为了比较文献对系统因素的评估程度，我们将把研究结果与iCCM跨部门框架进行比较。我们将使用系统评价干预复杂性工具（iCAT_SR）来评估文献如何衡量复杂性。结果将以叙述形式呈现，并辅以交互式图形界面。
本范围综述的结果将确定iCCM项目分析和评估的重点及不足之处，并可能表明需要采用系统方法。自下而上出现的iCCM主题可以帮助研究人员、政策制定者和实施者确定并更好地强调iCCM的真正重点。了解iCCM中如何考虑和考察复杂性，可能会使人们更加关注iCCM项目评估的这一关键维度，从而设计和开发出更强大、更可持续的iCCM项目。
