Authors: Andres Garchitorena, Aina Harimanana, Judickaelle Irinantenaina, Hobisoa Léa Razanadranaivo, Tsinjo Fehizoro Rasoanaivo, Dean Sayre, Julie R Gutman, Reziky Tiandraza Mangahasimbola, Masiarivony Ravaoarimanga, Oméga Raobela, Lala Yvette Razafimaharo, Nicolas Ralemary, Mahefa Andrianasolomanana, Julie Pontarollo, Aline Mukerabirori, Walter Ochieng, Catherine M Dentinger, Laurent Kapesa, Laura C Steinhardt
This study in rural Madagascar explored expanding malaria community case management (mCCM) to all age groups to enhance access to malaria care. Thirty health centers and associated community health workers (CHWs) were involved, with half implementing mCCM for all ages and the other half restricted to children under 5. Results showed a nearly threefold increase in care-seeking for fever and malaria diagnosis, mainly through CHW services. Expanding mCCM to all ages significantly improved access to malaria testing among older individuals, particularly those farther from health centers. Strengthening supply chains also led to notable improvements in malaria care.
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Resource Topic: Malaria
Resource Type: Cluster Randomized Trial
Year: 2024
Region:
Country: Madagascar
Publisher May Restrict Access: No