Assessing Acceptability of a Diagnostic and Malaria Treatment Package Delivered by Community Health Workers in Malaria-Endemic Settings of Burkina Faso, Nigeria, and Uganda
| Autor: | IkeOluwapo O. Ajayi, Ayodele Samuel Jegede, Jesca Nsungwa-Sabiiti, Frederick O. Oshiname, Luc Sermé, Chinenye Afonne, Mohamadou Siribié, Armande K. Sanou, Catherine O. Falade |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Microbiology (medical) medicine.medical_specialty 030231 tropical medicine malaria Psychological intervention Artesunate Nigeria Antimalarials community health worker 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Intervention (counseling) Burkina Faso parasitic diseases medicine Humans Uganda 030212 general & internal medicine Community Health Workers Diagnostic Tests Routine business.industry acceptability of treatment medicine.disease ACT Focus group Artemisinins Clinical trial Infectious Diseases Incentive chemistry Family medicine Community health child health Optometry Female Malaria in Highly Endemic Areas: Improving Control through Diagnosis Artemisinin Combination Therapy and Rectal Artesunate Treatment business Malaria |
| Zdroj: | Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America |
| ISSN: | 1537-6591 1058-4838 |
| Popis: | Background The efficacy of artemisinin-based combination therapy (ACT) and rectal artesunate for severe malaria in children is proven. However, acceptability of a package of interventions that included use of malaria rapid diagnostic tests (RDTs), ACTs, and rectal artesunate when provided by community health workers (CHWs) is uncertain. This study assessed acceptability of use of CHWs for case management of malaria using RDTs, ACTs, and rectal artesunate. Methods The study was carried out in Burkina Faso, Nigeria, and Uganda in 2015 toward the end of an intervention using CHWs to provide diagnosis and treatment. Focus group discussions (FGDs) and key informant interviews (KIIs) were conducted with parents of sick children, community leaders, and health workers to understand whether they accepted the package for case management of malaria using CHWs. Transcripts from FGDs and KII recordings were analyzed using content analysis. The findings were described, interpreted, and reported in the form of narratives. Results Treatment of malaria using the CHWs was acceptable to caregivers and communities. The CHWs were perceived to be accessible, diligent, and effective. There were no physical, social, or cultural barriers to accessing the CHWs' services. Respondents were extremely positive about the intervention and were concerned that CHWs had limited financial and nonfinancial incentives that would reduce their motivation and willingness to continue. Conclusions Treatment of malaria using CHWs was fully accepted. CHWs should be compensated, trained, and well supervised. Clinical trials registration ISRCTN13858170. |
| Databáze: | OpenAIRE |
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