Coverage of community case management for malaria through CHWs: a quantitative assessment using primary household surveys of high-burden areas in Chhattisgarh state of India

Abstract Background Community Case Management of Malaria (CCMM) has been implemented through community health workers (CHWs) in many countries. Existing studies have shown that CHWs can be viable means of implementing CCMM. However, not many studies have examined the coverage under large-scale CCMM...

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Published in:Malaria Journal
Main Authors: Samir Garg, Preeti Gurung, Mukesh Dewangan, Prabodh Nanda
Format: Article in Journal/Newspaper
Language:English
Published: BMC 2020
Subjects:
Online Access:https://doi.org/10.1186/s12936-020-03285-7
https://doaj.org/article/551c3664c154440c98f9f01e8e6c7964
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spelling ftdoajarticles:oai:doaj.org/article:551c3664c154440c98f9f01e8e6c7964 2023-05-15T15:18:11+02:00 Coverage of community case management for malaria through CHWs: a quantitative assessment using primary household surveys of high-burden areas in Chhattisgarh state of India Samir Garg Preeti Gurung Mukesh Dewangan Prabodh Nanda 2020-06-01T00:00:00Z https://doi.org/10.1186/s12936-020-03285-7 https://doaj.org/article/551c3664c154440c98f9f01e8e6c7964 EN eng BMC http://link.springer.com/article/10.1186/s12936-020-03285-7 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03285-7 1475-2875 https://doaj.org/article/551c3664c154440c98f9f01e8e6c7964 Malaria Journal, Vol 19, Iss 1, Pp 1-11 (2020) Malaria Community health workers (CHWs) Community case management Coverage Treatment completion Large-scale Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2020 ftdoajarticles https://doi.org/10.1186/s12936-020-03285-7 2022-12-31T02:31:08Z Abstract Background Community Case Management of Malaria (CCMM) has been implemented through community health workers (CHWs) in many countries. Existing studies have shown that CHWs can be viable means of implementing CCMM. However, not many studies have examined the coverage under large-scale CCMM programmes. India is a big contributor to global malaria burden. Chhattisgarh is a leading state in India in terms of malaria incidence and mortality. CCMM was implemented on a large scale through the ‘mitanin’ CHWs in rural Chhattisgarh from 2015. Under CCMM, 37,696 CHWs in 84 high-burden administrative blocks of the state were trained and equipped with rapid diagnostic tests (RDT), artemisinin-based combination therapy (ACT) and chloroquine. Methods This descriptive quantitative study assesses coverage of CCMM in detection and treatment of Malaria over three rounds of household surveys—2015, 2016 and 2018. Household-interviews covered more than 15,000 individuals in each round, using multi-stage random sampling across the 84 blocks. The main objectives were to find out the coverage in identification and treatment of malaria and the share of CHWs in them. A 15-days recall was used to find out cases of fever and healthcare sought by them. Results In 2018, 62% of febrile cases in rural population contacted CHWs. RDT, ACT and chloroquine were available with 96%, 80% and 95% of CHWs, respectively. From 2015 to 2018, the share of CHWs in testing of febrile cases increased from 34 to 70%, while it increased from 28 to 69% in treatment of malaria cases. CHWs performed better than other providers in treatment-completion and administered medication under direct observation to 72% of cases they treated. Conclusion This study adds to one of the most crucial but relatively less reported area of CCMM programmes, i.e. the extent of coverage of the total febrile population by CHWs, which subsequently determines the actual coverage of case-management in malaria. Mitanin-CHWs achieved high coverage and treatment-completion rates that ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 19 1
institution Open Polar
collection Directory of Open Access Journals: DOAJ Articles
op_collection_id ftdoajarticles
language English
topic Malaria
Community health workers (CHWs)
Community case management
Coverage
Treatment completion
Large-scale
Arctic medicine. Tropical medicine
RC955-962
Infectious and parasitic diseases
RC109-216
spellingShingle Malaria
Community health workers (CHWs)
Community case management
Coverage
Treatment completion
Large-scale
Arctic medicine. Tropical medicine
RC955-962
Infectious and parasitic diseases
RC109-216
Samir Garg
Preeti Gurung
Mukesh Dewangan
Prabodh Nanda
Coverage of community case management for malaria through CHWs: a quantitative assessment using primary household surveys of high-burden areas in Chhattisgarh state of India
topic_facet Malaria
Community health workers (CHWs)
Community case management
Coverage
Treatment completion
Large-scale
Arctic medicine. Tropical medicine
RC955-962
Infectious and parasitic diseases
RC109-216
description Abstract Background Community Case Management of Malaria (CCMM) has been implemented through community health workers (CHWs) in many countries. Existing studies have shown that CHWs can be viable means of implementing CCMM. However, not many studies have examined the coverage under large-scale CCMM programmes. India is a big contributor to global malaria burden. Chhattisgarh is a leading state in India in terms of malaria incidence and mortality. CCMM was implemented on a large scale through the ‘mitanin’ CHWs in rural Chhattisgarh from 2015. Under CCMM, 37,696 CHWs in 84 high-burden administrative blocks of the state were trained and equipped with rapid diagnostic tests (RDT), artemisinin-based combination therapy (ACT) and chloroquine. Methods This descriptive quantitative study assesses coverage of CCMM in detection and treatment of Malaria over three rounds of household surveys—2015, 2016 and 2018. Household-interviews covered more than 15,000 individuals in each round, using multi-stage random sampling across the 84 blocks. The main objectives were to find out the coverage in identification and treatment of malaria and the share of CHWs in them. A 15-days recall was used to find out cases of fever and healthcare sought by them. Results In 2018, 62% of febrile cases in rural population contacted CHWs. RDT, ACT and chloroquine were available with 96%, 80% and 95% of CHWs, respectively. From 2015 to 2018, the share of CHWs in testing of febrile cases increased from 34 to 70%, while it increased from 28 to 69% in treatment of malaria cases. CHWs performed better than other providers in treatment-completion and administered medication under direct observation to 72% of cases they treated. Conclusion This study adds to one of the most crucial but relatively less reported area of CCMM programmes, i.e. the extent of coverage of the total febrile population by CHWs, which subsequently determines the actual coverage of case-management in malaria. Mitanin-CHWs achieved high coverage and treatment-completion rates that ...
format Article in Journal/Newspaper
author Samir Garg
Preeti Gurung
Mukesh Dewangan
Prabodh Nanda
author_facet Samir Garg
Preeti Gurung
Mukesh Dewangan
Prabodh Nanda
author_sort Samir Garg
title Coverage of community case management for malaria through CHWs: a quantitative assessment using primary household surveys of high-burden areas in Chhattisgarh state of India
title_short Coverage of community case management for malaria through CHWs: a quantitative assessment using primary household surveys of high-burden areas in Chhattisgarh state of India
title_full Coverage of community case management for malaria through CHWs: a quantitative assessment using primary household surveys of high-burden areas in Chhattisgarh state of India
title_fullStr Coverage of community case management for malaria through CHWs: a quantitative assessment using primary household surveys of high-burden areas in Chhattisgarh state of India
title_full_unstemmed Coverage of community case management for malaria through CHWs: a quantitative assessment using primary household surveys of high-burden areas in Chhattisgarh state of India
title_sort coverage of community case management for malaria through chws: a quantitative assessment using primary household surveys of high-burden areas in chhattisgarh state of india
publisher BMC
publishDate 2020
url https://doi.org/10.1186/s12936-020-03285-7
https://doaj.org/article/551c3664c154440c98f9f01e8e6c7964
geographic Arctic
geographic_facet Arctic
genre Arctic
genre_facet Arctic
op_source Malaria Journal, Vol 19, Iss 1, Pp 1-11 (2020)
op_relation http://link.springer.com/article/10.1186/s12936-020-03285-7
https://doaj.org/toc/1475-2875
doi:10.1186/s12936-020-03285-7
1475-2875
https://doaj.org/article/551c3664c154440c98f9f01e8e6c7964
op_doi https://doi.org/10.1186/s12936-020-03285-7
container_title Malaria Journal
container_volume 19
container_issue 1
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