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Effectiveness of an expanded role for community health workers on malaria blood examination rates in malaria elimination settings in Myanmar: an open stepped-wedge, cluster-randomised controlled trial

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Authors: Win Han Ooa ∙ Win Htikeb ∙ May Chan Oo ∙ Pwint Phyu Phyu ∙ Kyawt Mon Win ∙ Nay Yi Yi Linn ∙ Tun Min ∙ Ei Phyu Htwe ∙ Aung Khine Zaw ∙ Kaung Myat Thu ∙ Naw Hkawng Galau ∙ Julia C. Cutts ∙ Julie A. Simpson ∙ Nick Scott ∙ Katherine O’Flahertya ∙ Paul A. Agius ∙ Freya J.I. Fowkes

As malaria cases decline in the Greater Mekong Subregion, community health workers (CHWs) have become less active. To address this, a new CHW model with expanded roles was tested in Myanmar. The study, conducted in 72 villages, found that the expanded model increased malaria testing by 23% and referrals for other illnesses like dengue and tuberculosis by over three times. Although the expanded model costs more, it helps maintain malaria testing rates needed for elimination. Community involvement in designing CHW programs can improve disease detection and healthcare access.

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Resource Topic: CHW Role, Malaria

Resource Type: Randomized controlled trial

Year: 2024

Region: Asia

Country: Myanmar

Publisher May Restrict Access: No

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