Community case management of malaria using ACT and RDT in two districts in Zambia: achieving high adherence to test results using community health workers
Abstract Background Access to prompt and effective treatment is a cornerstone of the current malaria control strategy. Delays in starting appropriate treatment is a major contributor to malaria mortality. WHO recommends home management of malaria using artemisininbased combination therapy (ACT) and...
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ftdoajarticles:oai:doaj.org/article:65296479ba1542dcb71d18e88ab31eb1 2023-05-15T15:09:50+02:00 Community case management of malaria using ACT and RDT in two districts in Zambia: achieving high adherence to test results using community health workers Chalwe Victor Moonga Hawela B Hamainza Busiku Chanda Pascalina Pagnoni Franco 2011-06-01T00:00:00Z https://doi.org/10.1186/1475-2875-10-158 https://doaj.org/article/65296479ba1542dcb71d18e88ab31eb1 EN eng BMC http://www.malariajournal.com/content/10/1/158 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-10-158 1475-2875 https://doaj.org/article/65296479ba1542dcb71d18e88ab31eb1 Malaria Journal, Vol 10, Iss 1, p 158 (2011) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2011 ftdoajarticles https://doi.org/10.1186/1475-2875-10-158 2022-12-31T04:46:28Z Abstract Background Access to prompt and effective treatment is a cornerstone of the current malaria control strategy. Delays in starting appropriate treatment is a major contributor to malaria mortality. WHO recommends home management of malaria using artemisininbased combination therapy (ACT) and Rapid Diagnostic tests (RDTs) as one of the strategies for improving access to prompt and efective malaria case management. Methods A prospective evaluation of the effectiveness of using community health workers ( CHWs) as delivery points for ACT and RDTs in the home management of malaria in two districts in Zambia. Results CHWs were able to manage malaria fevers by correctly interpreting RDT results and appropriately prescribing antimalarials. All severe malaria cases and febrile non-malaria fevers were referred to a health facility for further management. There were variations in malaria prevalence between the two districts and among the villages in each district. 100% and 99.4% of the patients with a negative RDT result were not prescribed an antimalarial in the two districts respectively. No cases progressed to severe malaria and no deaths were recorded during the study period. Community perceptions were positive. Conclusion CHWs are effective delivery points for prompt and effective malaria case management at community level. Adherence to test results is the best ever reported in Zambia. Further areas of implementation research are discussed. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 10 1 |
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Directory of Open Access Journals: DOAJ Articles |
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Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Chalwe Victor Moonga Hawela B Hamainza Busiku Chanda Pascalina Pagnoni Franco Community case management of malaria using ACT and RDT in two districts in Zambia: achieving high adherence to test results using community health workers |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Access to prompt and effective treatment is a cornerstone of the current malaria control strategy. Delays in starting appropriate treatment is a major contributor to malaria mortality. WHO recommends home management of malaria using artemisininbased combination therapy (ACT) and Rapid Diagnostic tests (RDTs) as one of the strategies for improving access to prompt and efective malaria case management. Methods A prospective evaluation of the effectiveness of using community health workers ( CHWs) as delivery points for ACT and RDTs in the home management of malaria in two districts in Zambia. Results CHWs were able to manage malaria fevers by correctly interpreting RDT results and appropriately prescribing antimalarials. All severe malaria cases and febrile non-malaria fevers were referred to a health facility for further management. There were variations in malaria prevalence between the two districts and among the villages in each district. 100% and 99.4% of the patients with a negative RDT result were not prescribed an antimalarial in the two districts respectively. No cases progressed to severe malaria and no deaths were recorded during the study period. Community perceptions were positive. Conclusion CHWs are effective delivery points for prompt and effective malaria case management at community level. Adherence to test results is the best ever reported in Zambia. Further areas of implementation research are discussed. |
format |
Article in Journal/Newspaper |
author |
Chalwe Victor Moonga Hawela B Hamainza Busiku Chanda Pascalina Pagnoni Franco |
author_facet |
Chalwe Victor Moonga Hawela B Hamainza Busiku Chanda Pascalina Pagnoni Franco |
author_sort |
Chalwe Victor |
title |
Community case management of malaria using ACT and RDT in two districts in Zambia: achieving high adherence to test results using community health workers |
title_short |
Community case management of malaria using ACT and RDT in two districts in Zambia: achieving high adherence to test results using community health workers |
title_full |
Community case management of malaria using ACT and RDT in two districts in Zambia: achieving high adherence to test results using community health workers |
title_fullStr |
Community case management of malaria using ACT and RDT in two districts in Zambia: achieving high adherence to test results using community health workers |
title_full_unstemmed |
Community case management of malaria using ACT and RDT in two districts in Zambia: achieving high adherence to test results using community health workers |
title_sort |
community case management of malaria using act and rdt in two districts in zambia: achieving high adherence to test results using community health workers |
publisher |
BMC |
publishDate |
2011 |
url |
https://doi.org/10.1186/1475-2875-10-158 https://doaj.org/article/65296479ba1542dcb71d18e88ab31eb1 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 10, Iss 1, p 158 (2011) |
op_relation |
http://www.malariajournal.com/content/10/1/158 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-10-158 1475-2875 https://doaj.org/article/65296479ba1542dcb71d18e88ab31eb1 |
op_doi |
https://doi.org/10.1186/1475-2875-10-158 |
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Malaria Journal |
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10 |
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1 |
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1766340940397543424 |