Authors: M Sillah-Kanu, D Kamara, I F Kamara, B D Fofanah, O O Fiona, A O Vandy, A R Y Kamara, W K Lahai, H Owusu, R Zachariah, A Ramsay, A M Falama, M A Sesay, S Lakoh, M S Kanu, Y S Tejan, I SorieTuray, F Thomas, J S Squire
This study analysed malaria case management in Sierra Leone between 2019 and 2023 using national health records. Of the 16.4 million reported fever cases, 90% were treated at health facilities, while 10% were managed by community health workers. The study found that people treated by community health workers were more likely to receive malaria treatment within 24 hours of developing a fever than those treated at health facilities (72.1% compared with 61.8%). This was also seen among children under five. The findings suggest that community-based care can help people receive malaria treatment sooner, although the results should be interpreted with caution because the study relied on routine health records and did not establish cause and effect.
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Resource Topic: CHW Role, CHW programs, Malaria, Malaria Elimination
Resource Type: Cross-sectional mixed methods
Year: 2026
Region: Africa
Country: Sierra Leone
Publisher May Restrict Access: No