Community Case Management of Malaria: a Pro-Poor Intervention in Rural Kenya

dc.contributor.authorSiekmansa, Kendra
dc.contributor.authorSohanib, Salim
dc.contributor.authorKisia, James
dc.contributor.authorKiilu, Kioko
dc.contributor.authorWamalwa, Emmanuel
dc.contributor.authorNelima, Florence
dc.contributor.authorOtieno, David Odhiambo
dc.contributor.authorNyandigisie, Andrew
dc.contributor.authorAkhwale, Willis
dc.contributor.authorNginduf, Augustine
dc.date.accessioned2024-08-06T11:58:02Z
dc.date.available2024-08-06T11:58:02Z
dc.date.issued2013-07
dc.descriptionJournal Article
dc.description.abstractBackground: 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
dc.description.sponsorshipDaystar University
dc.identifier.citationSiekmansa, 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.,
dc.identifier.issn196–204
dc.identifier.urihttps://repository.daystar.ac.ke/handle/123456789/5025
dc.language.isoen
dc.publisherOxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene
dc.subjectMalaria
dc.subjectEquity
dc.subjectCommunity health worker
dc.subjectKenya
dc.subjectChildren under-five
dc.titleCommunity Case Management of Malaria: a Pro-Poor Intervention in Rural Kenya
dc.typeArticle

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