INTRODUCTION: Drug shops are a major source of care for @entity1 in low income countries but they provide sub-standard care. We assessed the feasibility and effect on quality of care of introducing diagnostics and pre-packaged paediatric-dosage drugs for @entity311 , @entity55 and @entity294 at drug shops in Uganda. METHODS: We adopted and implemented the integrated community case management (iCCM) intervention within registered drug shops. Attendants were trained to perform @entity311 rapid diagnostic tests (RDTs) in each fever case and count respiratory rate in each case of cough with fast/difficult breathing, before dispensing recommended treatment. Using a quasi-experimental design in one intervention and one non-intervention district, we conducted before and after exit interviews for drug seller practices and household surveys for treatment-seeking practices in May-June 2011 and May-June 2012. Survey adjusted generalized linear models and difference-in-difference analysis was used. RESULTS: 3759 (1604 before/2155 after) household interviews and 943 (163 before/780 after) exit interviews were conducted with caretakers of @entity1 under-5. At baseline, no @entity1 at a drug shop received any diagnostic testing before treatment in both districts. After the intervention, while no @entity1 in the non-intervention district received a diagnostic test, 87.7% (95% CI 79.0-96.4) of @entity1 with fever at the intervention district drug shops had a parasitological diagnosis of @entity311 , prior to treatment. The prevalence ratios of the effect of the intervention on treatment of cough and fast breathing with @entity115 and @entity294 with ORS/ @entity219 at the drug shop were 2.8 (2.0-3.9), and 12.8 (4.2-38.6) respectively. From the household survey, the prevalence ratio of the intervention effect on use of RDTs was 3.2 (1.9-5.4); @entity507 Combination Therapy for @entity311 was 0.74 (0.65-0.84), and ORS/ @entity219 for @entity294 was 2.3 (1.2-4.7). CONCLUSION: iCCM can be utilized to improve access and appropriateness of care for @entity1 at drug shops.

Increased access to care and appropriateness of treatment at private sector drug shops with integrated management of @entity311 , XXXX and @entity294 : a quasi-experimental study in Uganda.

@entity1 :: ('9606', 'Species') :: ['children', 'child'] @entity115 :: ('MESH:D000658', 'Chemical') :: ['amoxicillin'] @entity55 :: ('MESH:D011014', 'Disease') :: ['pneumonia'] @entity294 :: ('MESH:D003967', 'Disease') :: ['diarrhoea'] @entity219 :: ('MESH:D015032', 'Chemical') :: ['zinc'] @entity507 :: ('MESH:C031327', 'Chemical') :: ['Artemisinin'] @entity311 :: ('MESH:D008288', 'Disease') :: ['malaria']
@entity55 :: (MESH:D011014,Disease) :: ['pneumonia']
