Training Community Health Workers to Manage Uncomplicated and Severe Malaria: Experience From 3 Rural Malaria-Endemic Areas in Sub-Saharan Africa
| Autor: | Mohamadou Siribié, Lillian Ojanduru, Joëlle Castellani, Jesca Nsungwa-Sabiiti, Ayodele Samuel Jegede, Jan Singlovic, Catherine O. Falade, Frederick O. Oshiname, Vanessa Kabarungi, Josephine Kyaligonza, Chinenye Afonne, Andrew Balyeku, Armande K. Sanou, Luc Sermé, Zakaria Gansane, Melba Gomes, IkeOluwapo O. Ajayi |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Microbiology (medical)
Adult Male Rural Population Sub saharan rectal artesunate 030231 tropical medicine malaria Artesunate Nigeria 03 medical and health sciences chemistry.chemical_compound community health worker Antimalarials 0302 clinical medicine Nursing Administration Rectal Environmental health parasitic diseases Burkina Faso Medicine Community health workers Humans Severe Malaria Uganda 030212 general & internal medicine Medical prescription Africa South of the Sahara Community Health Workers training business.industry Middle Aged medicine.disease Artemisinins Infectious Diseases chemistry Community health Malaria in Highly Endemic Areas: Improving Control through Diagnosis Artemisinin Combination Therapy and Rectal Artesunate Treatment Female ACTs Rural area business Malaria |
| Zdroj: | Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America Scopus-Elsevier |
| ISSN: | 1537-6591 1058-4838 |
| Popis: | Background. Use of community health workers (CHWs) to increase access to diagnosis and treatment of malaria is recommended by the World Health Organization. The present article reports on training and performance of CHWs in applying these recommendations. Methods. Two hundred seventy-nine CHWs were trained for 3–5 days in Burkina Faso, Nigeria, and Uganda, and 19 were certified to diagnose and treat only uncomplicated malaria and 235 to diagnose and treat both uncomplicated and severe malaria. Almost 1 year after training, 220 CHWs were assessed using standard checklists using facility staff responses as the reference standard. Results. Training models were slightly different in the 3 countries, but the same topics were covered. The main challenges noticed were the low level of education in rural areas and the involvement of health staff in the supervision process. Overall performance was 98% (with 99% in taking history, 95% in measuring temperature, 85% for measuring respiratory rates, 98% for diagnosis, 98% for classification, and 99% for prescribing treatment). Young, single, new CHWs performed better than their older, married, more experienced counterparts. Conclusions. Training CHWs for community-based diagnosis and treatment of uncomplicated and severe malaria is possible with basic and refresher training and close supervision of CHWs’ performance. Clinical Trials Registration. ISRCTRS13858170. |
| Databáze: | OpenAIRE |
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