Community Case Management of Malaria: a Pro-Poor Intervention in Rural Kenya
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Date
2013-07
Journal Title
Journal ISSN
Volume Title
Publisher
Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene
Abstract
Background: Access to prompt and effective treatment of malaria is a fundamental right of all populations at risk;manycountries have not met the target of 60% of children treated with effective antimalarial drugs within 24h offever onset. While community case management of malaria is effective for increasing coverage, evidence is mixed
on whether it improves equity. The objective of this studywas to assess whether a community case managementof a malaria programme delivered by community health workers (CHW) in two districts of Kenya improvedaccessand equity.
Methods: Data on child fever treatment practices, malaria prevention andCHWvisitswas collected through crosssectionalhousehold surveys in project communities before (December 2008) and after 1 year of intervention(December 2009). Indicators were analysed by household wealth rank (grouped into poorest [bottom 20%],poor [middle 60%] and least poor [top 20%]) and survey.
Results: Data were available from 763 households at baseline and 856 households at endline. At endline, access
to prompt and effective malaria treatment was higher compared with baseline for all groups, with the highest
proportions among the poorest (67.6%) and the poor (63.2%), and the lowest proportion among the least poor
(43.4%). Corresponding data suggest this was linked to the household’s interaction with a CHW as the source of
advice/treatment for child fever.
Conclusion: These findings provide evidence that in a resource-poor setting, CHWs can provide lifesaving
interventions to the poorest
Description
Journal Article
Keywords
Malaria, Equity, Community health worker, Kenya, Children under-five
Citation
Siekmansa, Kendra.,Sohanib, Salim., Kisiac, James., Kiiluc, Kioko., Wamalwac, Emmanuel., Nelimad, Florence.,Otienoc, David Odhiambo., Nyandigisie, Andrew., Akhwalee, Willis, & Nginduf, Augustine., (2013)., Community case management of malaria: a pro-poor intervention in rural Kenya., Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.,