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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Scaling up integrated community case management of childhood illness: Update from Malawi
American Journal of Tropical Medicine and Hygiene, Volume 87, No. SUPPL.5, Year 2012
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Description
The Government of Malawi (GoM) initiated activities to deliver treatment of common childhood illnesses (suspected pneumonia, fever/suspected malaria, and diarrhea) in the community in 2008. The service providers are Health Surveillance Assistants (HSAs), and they are posted nationwide to serve communities at a ratio of 1 to 1, 000 population. The GoM targeted the establishment of 3, 452 village health clinics (VHCs) in hard-to-reach areas by 2011. By September of 2011, 3, 296 HSAs had received training in integrated case management of childhood illness, and 2, 709 VHCs were functional. An assessment has shown that HSAs are able to treat sick children with quality similar to the quality provided in fixed facilities. Monitoring data also suggest that communities are using the sick child services. We summarize factors that have facilitated the scale up of integrated community case management of children in Malawi and address challenges, such as ensuring a steady supply of medicines and supportive supervision. Copyright © 2012 by The American Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Nsona, Humphreys Kampira
Malawi, Lilongwe
Ministry of Health Malawai
Mtimuni, Angella
Malawi, Lilongwe
Ministry of Health Malawai
Daelmans, Bernadette M.E.G.
Switzerland, Geneva
Organisation Mondiale de la Santé
Callaghan-Koru, Jennifer A.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Gilroy, Kate E.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Mgalula, Leslie
Switzerland, Geneva
Organisation Mondiale de la Santé
Kachule, Timothy
Malawi
Abt Associates - Shops
Zamasiya, Texas
United States, New York
Unicef
Statistics
Citations: 86
Authors: 8
Affiliations: 5
Identifiers
Doi:
10.4269/ajtmh.2012.11-0759
ISSN:
00029637
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Study Locations
Malawi