Community Health Workers

Publication Title: 
Pathogens and Global Health

OBJECTIVES: To assess the quality and safety of having community health workers (CHWs) in rural Zambia use rapid diagnostic tests (RDTs) and provide integrated management of malaria and pneumonia. DESIGN/METHODS: In the context of a cluster-randomized controlled trial of two models for community-based management of malaria and/or non-severe pneumonia in children under 5 years old, CHWs in the intervention arm were trained to use RDTs, follow a simple algorithm for classification and treat malaria with artemether-lumefantrine (AL) and pneumonia with amoxicillin.

Hamer, Davidson H.
Brooks, Erin Twohig
Semrau, Katherine
Pilingana, Portipher
MacLeod, William B.
Siazeele, Kazungu
Sabin, Lora L.
Thea, Donald M.
Yeboah-Antwi, Kojo
Publication Title: 
Malaria Journal

BACKGROUND: The use of community volunteers is expected to improve access to accurate diagnosis and timely treatment of malaria, using rapid diagnostic test (RDT) and artemisinin-based combination therapy (ACT). However, empirical data from the field are still limited.

Ohnmar, null
Tun-Min, null
San-Shwe, null
Than-Win, null
Chongsuvivatwong, Virasakdi
Publication Title: 
Malaria Journal

BACKGROUND: Effective case management of malaria requires prompt diagnosis and treatment within 24 hours. Home-based management of malaria (HMM) improves access to treatment for populations with limited access to health facilities. In Senegal, an HMM pilot study in 2008 demonstrated the feasibility of integrated use of RDTs and ACT in remote villages by volunteer Home Care Providers (HCP). Scale-up of the strategy began in 2009, reaching 408 villages in 2009 and 861 villages in 2010.

Thiam, Sylla
Thwing, Julie
Diallo, Ibrahima
Fall, Fatou B.
Diouf, Mame B.
Perry, Robert
Ndiop, Medoune
Diouf, Mamadou L.
Cisse, Moustapha M.
Diaw, Mamadou M.
Thior, Moussa
Publication Title: 
PLoS medicine

BACKGROUND: The Shoklo Malaria Research Unit has been working on the Thai-Myanmar border for 25 y providing early diagnosis and treatment (EDT) of malaria. Transmission of Plasmodium falciparum has declined, but resistance to artesunate has emerged. We expanded malaria activities through EDT and evaluated the impact over a 12-y period. METHODS AND FINDINGS: Between 1 October 1999 and 30 September 2011, the Shoklo Malaria Research Unit increased the number of cross-border (Myanmar side) health facilities from two to 11 and recorded the number of malaria consultations.

Carrara, Verena I.
Lwin, Khin Maung
Phyo, Aung Pyae
Ashley, Elizabeth
Wiladphaingern, Jacher
Sriprawat, Kanlaya
Rijken, Marcus
Boel, Machteld
McGready, Rose
Proux, Stephane
Chu, Cindy
Singhasivanon, Pratap
White, Nicholas
Nosten, François
Publication Title: 
Malaria Journal

BACKGROUND: Health workers in sub-Saharan Africa can now diagnose and treat malaria in the field, using rapid diagnostic tests and artemisinin-based combination therapy in areas without microscopy and widespread resistance to previously effective drugs. OBJECTIVE: This study evaluates communities' perceptions of a new community case management of malaria programme in the district of Saraya, south-eastern Senegal, the effectiveness of lay health worker trainings, and the availability of rapid diagnostic tests and artemisinin-based combination therapy in the field.

Blanas, Demetri A.
Ndiaye, Youssoupha
Nichols, Kim
Jensen, Andrew
Siddiqui, Ammar
Hennig, Nils
Publication Title: 
Malaria Journal

BACKGROUND: Delayed clearance of Plasmodium falciparum parasites is used as an operational indicator of potential artemisinin resistance. Effective community-based systems to detect P. falciparum cases remaining positive 72 hours after initiating treatment would be valuable for guiding case follow-up in areas of known resistance risk and for detecting areas of emerging resistance. METHODS: Systems incorporating existing networks of village malaria workers (VMWs) to monitor day three-positive P. falciparum cases were piloted in three provinces in western Cambodia.

Cox, Jonathan
Dy Soley, Lek
Bunkea, Tol
Sovannaroth, Siv
Soy Ty, Kheang
Ngak, Song
Bjorge, Steven
Ringwald, Pascal
Mellor, Steven
Sintasath, David
Meek, Sylvia
Publication Title: 
Social Science & Medicine. Medical Anthropology
Nichter, M.
Publication Title: 
Planned Parenthood Review
Groot, H. C.
Publication Title: 
The Nursing Journal of India
Kakar, D. N.
Publication Title: 
The New England Journal of Medicine
Hsiao, W. C.


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