Authors: Chilochibi Chiziba, Japhet Chiwaula, Busiku Hamainza, Sheetal Silal
In Zambia, identifying hidden malaria cases is crucial for elimination, but reactive case detection (RCD) faces challenges like limited community health workers (CHWs) and rapid diagnostic tests (RDTs). A mathematical model assessed ways to improve RCD effectiveness, showing that shortages of CHWs and RDTs significantly increase malaria cases. Adding focal mass drug administration (fMDA) reduced cases by 43%, while increasing CHWs helped mitigate inefficiencies. However, CHW participation relies on informal incentives, raising concerns about sustainability. Strengthening CHW support and refining RCD strategies could enhance malaria control efforts. More research is needed to optimize RCD in different settings.
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Resource Topic: CHW Role, Malaria
Resource Type: Qualitative
Year: 2025
Region: Sub-Saharan Africa (SSA)
Country: Zambia
Publisher May Restrict Access: No