ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2016
Training Community Health Workers to Manage Uncomplicated and Severe Malaria: Experience From 3 Rural Malaria-Endemic Areas in Sub-Saharan Africa.
Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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18 citing papers in PubMed.
- Impact of a tuberculosis treatment adherence intervention versus usual care on treatment completion rates: results of a pragmatic cluster randomized controlled trial.Implementation science : IS · 2020Trial
- Barriers and opportunities to addressing social determinants of malaria in Wakiso District, Uganda.PLOS global public health · 2026Article
- Competency-based education and training for Community Health Workers: a scoping review.BMC health services research · 2025Article
- Analysis of evolution of the policy framework and governance mechanisms and their influence on the institutionalisation process of integrated community case management in Burkina Faso between 2010 and 2024: a scoping review.Frontiers in public health · 2025Article
- Field validation of an app based developmental and speech language screening (SRESHT screener) conducted by grass root workers.Clinical epidemiology and global health · 2024Article
- Availability of antimalarial medicines and inventory management at the community level: a case study of Bugesera district in Rwanda.BMC health services research · 2024Article
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- The Lancet Nigeria Commission: investing in health and the future of the nation.Lancet (London, England) · 2022Article
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- Coverage of community case management for malaria through CHWs: a quantitative assessment using primary household surveys of high-burden areas in Chhattisgarh state of India.Malaria journal · 2020Article
- Longitudinal analysis of the capacities of community health workers mobilized for seasonal malaria chemoprevention in Burkina Faso.Malaria journal · 2020Article
- Courses on Basic Occupational Safety and Health: A Train-the-Trainer Educational Program for Rural Areas of Latin America.International journal of environmental research and public health · 2020Article
- The fidelity of implementation of recommended care for children with malaria by community health workers in Nigeria.Implementation science : IS · 2020Article
- Implementing a community-level intervention to control hypertensive disorders in pregnancy using village health workers: lessons learned.Implementation science communications · 2020Article
- An Electronic-Based Curriculum to Train Acute Care Providers in Rural Haiti and India.Journal of graduate medical education · 2019Article
- Household costs and time to treatment for children with severe febrile illness in rural Burkina Faso: the role of rectal artesunate.Malaria journal · 2018Article
- A multi-site community randomized trial of community health workers to provide counseling and support for patients newly entering HIV care in rural Ethiopia: study design and baseline implementation.HIV clinical trials · 2018Article
- Feasibility of Malaria Diagnosis and Management in Burkina Faso, Nigeria, and Uganda: A Community-Based Observational Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016Observational
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17 authors.
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Abstract
backgroundUse of community health workers (CHWs) to increase access to diagnosis and treatment of malaria is recommended by the World Health Organization. The present article reports on training and performance of CHWs in applying these recommendations.
methodsTwo hundred seventy-nine CHWs were trained for 3-5 days in Burkina Faso, Nigeria, and Uganda, and 19 were certified to diagnose and treat only uncomplicated malaria and 235 to diagnose and treat both uncomplicated and severe malaria. Almost 1 year after training, 220 CHWs were assessed using standard checklists using facility staff responses as the reference standard.
resultsTraining models were slightly different in the 3 countries, but the same topics were covered. The main challenges noticed were the low level of education in rural areas and the involvement of health staff in the supervision process. Overall performance was 98% (with 99% in taking history, 95% in measuring temperature, 85% for measuring respiratory rates, 98% for diagnosis, 98% for classification, and 99% for prescribing treatment). Young, single, new CHWs performed better than their older, married, more experienced counterparts.
conclusionsTraining CHWs for community-based diagnosis and treatment of uncomplicated and severe malaria is possible with basic and refresher training and close supervision of CHWs' performance. CLINICAL TRIALS REGISTRATION: ISRCTRS13858170.
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