Mali

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

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

In this study conducted in Mali, the cost and cost-effectiveness of community health workers (CHWs) treating acute malnutrition were evaluated across three districts. Different levels of CHW and health center supervision were assessed for their impact on treatment outcomes. Costs per child treated ranged from US$203.40 to US$279.90, depending on the level of supervision, with … [Read more...] about Integration of Acute Malnutrition Treatment Into Integrated Community Case Management in Three Districts in Southern Mali: An Economic Evaluation

In response to rising diabetes and cardiovascular disease rates in urban Mali, the Diabetes Prevention Program Power to Prevent (DPP-P2P) was adapted for low-income communities in Bamako. Stakeholder feedback and input from community health workers (CHWs) guided the adaptation process, resulting in culturally appropriate materials emphasizing family support and practical … [Read more...] about Formative research to adapt the ‘Diabetes Prevention Program- Power to Prevent’ for implementation in Bamako, Mali

The WHO emphasizes the effectiveness of trained, supervised, and supported community health workers (CHWs) in delivering quality healthcare. In response, the U.S. President’s Malaria Initiative Impact Malaria Project conducted a study focusing on Madagascar, Malawi, and Mali to document approaches for improving community-based fever management. The study involved interviews and … [Read more...] about Experiences in Improving the Quality of Community-Based Fever Management from Three Malaria-Endemic African Countries

The purpose of this paper was to determine whether proactive CHW service delivery (i.e., involving routine door-to-door home visits to search for and identify prospective patients) reduced mortality and improved access to health care among children under five years in rural Malawi, when compared with passive service delivery. Village-clusters were randomized to receive CHW … [Read more...] about Effects of proactive vs fixed community health care delivery on child health and access to care: a cluster randomized trial secondary endpoint analysis