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Malaria community case management usage and quality of malaria care in a moderate Plasmodium falciparum burden region of Chadiza District, Zambia

August 26, 2024 By

Authors: Erika Wallender, Bupe Kabamba, Marie-Reine I Rutagwera, Chabu Kangale, John M Miller, Travis Porter, Maximillian Musunse, Sarah Gallalee, Adam Bennett, Paul Psychas, Julie R Gutman, Busiku Hamainza, Julie Thwing

This report examines malaria case management in Chadiza District, Zambia, where community case management (CCM) programs are expanding to include all ages, not just children under 5. A survey of 11,030 participants found a malaria prevalence of 19.1%, with school-aged children showing the highest rates at 28.8%. Among those who reported fever, a significant number sought treatment: 73.7% of children under 5, 66.5% of school-aged children, and 56.3% of individuals over 15 visited a community health worker (CHW). Most people who saw a CHW received a blood test, and there was no difference in reported malaria treatment regardless of the provider. Factors such as being under 5 years old, having frequent CHW home visits, and higher wealth levels were linked to better healthcare access. The findings highlight the need for more interventions to ensure that more febrile individuals receive timely healthcare, especially through CHW home visits in lower-income areas.

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Resource Topic: Community Case Management, Malaria

Resource Type: Evaluation

Year: 2024

Region: Africa

Country: Zambia

Publisher May Restrict Access: No

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