Health facilities are difficult to access in rural parts of Sub-Saharan Africa. For malaria, poor access contributes to delayed treatment. Community Health Workers provide a viable option for extending access to prompt malaria treatment. This study evaluated utilization of CHW service in relation distance from the CHW.
This paper presents the findings of a feasibility study assessing the use of Mitanins, community volunteers, in active Malaria Surveillance and the enabling factors and challenges of such an initiative.
The Community Health Systems (CHS) Catalog is a one-stop ‘shop’ for information on community health policies and programs across 25 countries, including extensive information on CHWs. Developed in 2014 and updated in 2017, it provides policymakers, program managers, researchers and donors with policy data to advance community health research, programming, and advocacy efforts. The CHS Catalog includes 25 country profiles, a set of infographics, and a summary of cross-country policy and program trends.
Village Malaria Workers (VMWs) in rural Cambodia play an essential role in surveillance and early treatment of malaria. This study evaluates the feasibility of VMWs using smartphone-based reporting for malaria, and a bespoke Android-powered app.
Regular supportive supervision is essential to ensuring CHW performance and service quality in CHW programs and yet it is often difficult to implement, especially at scale, due to logistical and resources constraints. This study evaluates the use of a mobile health technology platform for monitoring malaria RDT testing and improving the quality of malaria diagnosis by CHWs.
This retrospective observational study examined the quality of integrated community case management (iCCM) care given by village health workers in five villages in Bugoye subcounty in Uganda. For malaria, pneumonia, and diarrhoea the quality of care was high, though the overall quality of care was lower. There is an increase in quality of care after the implementation of iCCM services.
This research article examined the best way to deliver seasonal malaria chemoprevention (SMC) treatment. The authors found that door-to-door delivery provided better coverage than fixed-point delivery, while directly observed therapy (which uses more resources) did not improve coverage. Community health workers deliver SMC treatment through door-to-door and fixed-point delivery.
This analysis covers a 7-year interrupted time series that investigated early access to care and under-five morality during a proactive community case management intervention in periurban Mali. Prevalence of febrile illness in children under 5 years went from 39.7% to 22.6% in 7 years. Early antimalarial treatment more than doubled for young children under 5. Under-five mortality lowered to 7/1000 in 2015.