CHW Central

A global resource for and about Community Health Workers

Community Case Management

Malaria community case management usage and quality of malaria care in a moderate Plasmodium falciparum burden region of Chadiza District, Zambia

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This report examines malaria case management in Chadiza District, Zambia, where community case management (CCM) programs are expanding to include all ages, not just children under 5. A survey of 11,030 participants found a malaria prevalence of 19.1%, with school-aged children showing the highest rates at 28.8%. Among those who reported fever, a significant number sought … [Read more...] about Malaria community case management usage and quality of malaria care in a moderate Plasmodium falciparum burden region of Chadiza District, Zambia

Community case management to accelerate access to healthcare in Mali: A realist process evaluation nested within a cluster randomized trial

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The Proactive Community Case Management (ProCCM) trial in Mali aimed to strengthen the health system by removing user fees, employing professional community health workers (CHWs), and upgrading primary health centers (PHCs). Village-clusters were either assigned proactive home visits by CHWs (intervention) or fixed site-based services (control). Over three years, both groups … [Read more...] about Community case management to accelerate access to healthcare in Mali: A realist process evaluation nested within a cluster randomized trial

Effectiveness of community case management of malaria on severe malaria and inpatient malaria deaths in Zambia: a dose-response study using routine health information system data

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The goal of this study was to explore associations between changing malaria service point (health facility or CHW) density per 1,000 people and severe malaria admissions or malaria inpatient deaths by district and month. A retrospective, observational study was conducted in Zambia between January 2015 and May 2020 using existing routine and programmatic data. Results … [Read more...] about Effectiveness of community case management of malaria on severe malaria and inpatient malaria deaths in Zambia: a dose-response study using routine health information system data

Determinants of quality in home-based management of malaria by community health volunteers in rural Kenya.

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Trained community health volunteers (CHVs) provide community case management of malaria (CCMM) in rural Kenya, but information on the quality of services is limited. Through a cross-sectional survey, this study found that 62% of CHVs offered quality services for malaria management. The study found a direct association between quality of services CHVs provided and stock-outs of … [Read more...] about Determinants of quality in home-based management of malaria by community health volunteers in rural Kenya.