Madagascar

Community health worker involvement across domains and national infectious disease programmes in rural Madagascar: evidence of fragmentation and determinants of engagement

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This study examined how Community Health Workers (CHWs) in rural Madagascar were involved in different health programmes, with a focus on HIV/AIDS and tuberculosis (TB). Among 408 CHWs surveyed, nearly all were involved in maternal and child health and malaria activities, but only about one in four were involved in TB and about one in five in HIV/AIDS, mainly through community … [Read more...] about Community health worker involvement across domains and national infectious disease programmes in rural Madagascar: evidence of fragmentation and determinants of engagement

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