CHW Central

A global resource for and about Community Health Workers

Madagascar

Bringing malaria diagnosis and treatment closer to the people: economic rationale for expanding malaria community case management to all ages in a rural district in Madagascar

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This study looked at whether allowing community health workers in Madagascar to treat malaria in people of all ages, not just young children, would be a good use of resources. Researchers found that this expanded care approach could save lives, improve access to treatment, and reduce healthcare costs overall. Even when considering all program expenses, the benefits outweighed … [Read more...] about Bringing malaria diagnosis and treatment closer to the people: economic rationale for expanding malaria community case management to all ages in a rural district in Madagascar

Assessing the value-added contributions of community health workers and communities to early child development: a longitudinal study in a low-income setting

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Early child development programs delivered by community health workers (CHWs) in low-resource settings can be effective, but scaling them presents challenges. This study analyzed data from a home-visiting trial in rural Madagascar to assess the impact of CHWs and communities on child development. Results showed that CHWs and community factors influenced children's developmental … [Read more...] about Assessing the value-added contributions of community health workers and communities to early child development: a longitudinal study in a low-income setting

Combining OpenStreetMap mapping and route optimization algorithms to inform the delivery of community health interventions at the last mile

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This study demonstrates how geographic optimization can improve community health programs in rural areas. Using mapping and route optimization tools, researchers planned efficient door-to-door visits by community health workers (CHWs) in Madagascar for mass health campaigns and regular case management. Results showed varying workloads for CHWs depending on location. An … [Read more...] about Combining OpenStreetMap mapping and route optimization algorithms to inform the delivery of community health interventions at the last mile

Expanding community case management of malaria to all ages can improve universal access to malaria diagnosis and treatment results from a cluster randomized trial in Madagascar

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This study in rural Madagascar explored expanding malaria community case management (mCCM) to all age groups to enhance access to malaria care. Thirty health centers and associated community health workers (CHWs) were involved, with half implementing mCCM for all ages and the other half restricted to children under 5. Results showed a nearly threefold increase in care-seeking … [Read more...] about Expanding community case management of malaria to all ages can improve universal access to malaria diagnosis and treatment results from a cluster randomized trial in Madagascar

Evaluation of a novel approach to community health care delivery in Ifanadiana District, Madagascar

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This study evaluates the impact of an Enhanced Community Health (ECH) model implemented by Pivot and the Ministry of Public Health in rural Madagascar. The model aimed to improve access to healthcare by professionalizing community health workers (CHWs) and enhancing supervision. Over 18 months, the ECH model led to significant increases in utilization and quality of care … [Read more...] about Evaluation of a novel approach to community health care delivery in Ifanadiana District, Madagascar