Dataset Information

Training Community Health Workers to Manage Uncomplicated and Severe Malaria: Experience From 3 Rural Malaria-Endemic Areas in Sub-Saharan Africa.

ABSTRACT:

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.

SUBMITTER: Siribie M

PROVIDER: S-EPMC5146696 | biostudies-literature | 2016 Dec

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Training Community Health Workers to Manage Uncomplicated and Severe Malaria: Experience From 3 Rural Malaria-Endemic Areas in Sub-Saharan Africa.

Siribié Mohamadou M Ajayi IkeOluwapo O IO Nsungwa-Sabiiti Jesca J Afonne Chinenye C Balyeku Andrew A Falade Catherine O CO Gansane Zakaria Z Jegede Ayodele S AS Ojanduru Lillian L Oshiname Frederick O FO Kabarungi Vanessa V Kyaligonza Josephine J Sanou Armande K AK Sermé Luc L Castellani Joëlle J Singlovic Jan J Gomes Melba M

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 20161201 suppl 5

<h4>Background</h4> 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.<h4>Methods</h4> 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 se ...[more]

PMID: 27941103

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Dataset Information

Training Community Health Workers to Manage Uncomplicated and Severe Malaria: Experience From 3 Rural Malaria-Endemic Areas in Sub-Saharan Africa.

Background

Methods

Results

Conclusions

Clinical trials registration

Publications

Training Community Health Workers to Manage Uncomplicated and Severe Malaria: Experience From 3 Rural Malaria-Endemic Areas in Sub-Saharan Africa.

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