A microplanning model to improve door-to-door health service delivery: the case of Seasonal Malaria Chemoprevention in Sub-Saharan African villages

Autor: André Lin Ouédraogo, Julie Zhang, Halidou Tinto, Innocent Valéa, Edward A. Wenger
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMC Health Services Research, Vol 20, Iss 1, Pp 1-11 (2020)
Druh dokumentu: article
ISSN: 1472-6963
DOI: 10.1186/s12913-020-05972-2
Popis: Abstract Background Malaria incidence has plateaued in Sub-Saharan Africa despite Seasonal Malaria Chemoprevention’s (SMC) introduction. Community health workers (CHW) use a door-to-door delivery strategy to treat children with SMC drugs, but for SMC to be as effective as in clinical trials, coverage must be high over successive seasons. Methods We developed and used a microplanning model that utilizes population raster to estimate population size, generates optimal households visit itinerary, and quantifies SMC coverage based on CHWs’ time investment for treatment and walking. CHWs’ performance under current SMC deployment mode was assessed using CHWs’ tracking data and compared to microplanning in villages with varying demographics and geographies. Results Estimates showed that microplanning significantly reduces CHWs’ walking distance by 25%, increases the number of visited households by 36% (p
Databáze: Directory of Open Access Journals
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