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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Community case management of malaria using ACT and RDT in two districts in Zambia: Achieving high adherence to test results using community health workers
Malaria Journal, Volume 10, Article 158, Year 2011
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Description
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. © 2011 Chanda et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Chanda-Kapata, Pascalina
Zambia, Lusaka
Zambian Ministry of Health
Hamainza, Busiku
Zambia, Lusaka
National Malaria Control Centre
Moonga, Hawela B.
Zambia, Lusaka
National Malaria Control Centre
Chalwe, Victor
Zambia, Ndola
Tropical Diseases Research Centre
Pagnoni, Franco
Switzerland, Geneva
Organisation Mondiale de la Santé
Statistics
Citations: 109
Authors: 5
Affiliations: 4
Identifiers
Doi:
10.1186/1475-2875-10-158
e-ISSN:
14752875
Research Areas
Health System And Policy
Infectious Diseases
Study Design
Cross Sectional Study
Cohort Study
Study Locations
Zambia