SynthesisMalaria journal2017
Towards eliminating malaria in high endemic countries: the roles of community health workers and related cadres and their challenges in integrated community case management for malaria: a systematic review.
Synthesis in Malaria journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
42 citing papers in PubMed, 5 syntheses or guidelines pooled it, 94 citations in OpenAlex.
- Adding rapid diagnostic tests to community-based programmes for treating malaria.The Cochrane database of systematic reviews · 2022Pooled it
- Stock-outs of essential medicines among community health workers (CHWs) in low- and middle-income countries (LMICs): a systematic literature review of the extent, reasons, and consequences.Human resources for health · 2022Pooled it
- Impact of COVID-19 on School Populations and Associated Factors: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Factors influencing the performance of community health volunteers working within urban informal settlements in low- and middle-income countries: a qualitative meta-synthesis review.Human resources for health · 2021Pooled it
- What do we know about community-based health worker programs? A systematic review of existing reviews on community health workers.Human resources for health · 2018Pooled it
- Implementing seasonal malaria chemoprevention in conflict-affected settings: experiences from Northern Bahr el Ghazal, South Sudan.Malaria journal · 2026Article
- Barriers and opportunities to addressing social determinants of malaria in Wakiso District, Uganda.PLOS global public health · 2026Article
- Implementing community case management of malaria: Stakeholder insights on advancing equitable access in Kilifi County.PLOS global public health · 2026Article
- Use of photovoice in health systems research: methodological considerations and experiences from Uganda.Health research policy and systems · 2025Review
- A qualitative evaluation of access to essential laboratory services for communicable diseases at the primary health care level in the Western Pacific Region.Tropical medicine and health · 2025Article
- Reasons for over-reporting of routine immunization administrative data in the Democratic Republic of Congo: a mixed cross-sectional study to determine explanatory factors for poor data quality.BMC public health · 2025Article
- Evaluating malaria reactive surveillance and response strategies in northeast Cambodia: a mixed-methods study.Malaria journal · 2025Article
- Targeted distribution of long-lasting insecticidal nets by community health workers to sustain household coverage: A pilot feasibility study in Western Uganda.PLOS global public health · 2025Article
- Acceptability, feasibility and fidelity of an expanded role for community health workers for malaria elimination in Myanmar: A mixed-method study.PLOS global public health · 2025Article
- Article
- Malaria elimination challenges in countries approaching the last mile: a discussion among regional stakeholders.Malaria journal · 2024Review
- Core principles of Malakit intervention for transferability in other contexts.Malaria journal · 2024Review
- Expanding the roles of community health workers to sustain programmes during malaria elimination: a meeting report on operational research in Southeast Asia.Malaria journal · 2024Article
- Expanded roles of community health workers beyond malaria in the Asia-Pacific: A systematic review.PLOS global public health · 2024Article
- Expanded roles of community health workers to sustain malaria services in the Asia-Pacific: A landscaping survey.PLOS global public health · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHuman resource for health crisis has impaired global efforts against malaria in highly endemic countries. To address this, the World Health Organization (WHO) recommended scaling-up of community health workers (CHWs) and related cadres owing to their documented success in malaria and other disease prevention and management. Evidence is inconsistent on the roles and challenges they encounter in malaria interventions. This systematic review aims to summarize evidence on roles and challenges of CHWs and related cadres in integrated community case management for malaria (iCCM).
methodsThis systematic review retrieved evidence from PubMed, CINAHL, ISI Web of Knowledge, and WHO regional databases. Terms extracted from the Boolean phrase used for PubMed were also used in other databases. The review included studies with Randomized Control Trial, Quasi-experimental, Pre-post interventional, Longitudinal and cohort, Cross-sectional, Case study, and Secondary data analysis. Because of heterogeneity, only narrative synthesis was conducted for this review.
resultsA total of 66 articles were eligible for analysis out of 1380 studies retrieved. CHWs and related cadre roles in malaria interventions included: malaria case management, prevention including health surveillance and health promotion specific to malaria. Despite their documented success, CHWs and related cadres succumb to health system challenges. These are poor and unsustainable finance for iCCM, workforce related challenges, lack of and unsustainable supply of medicines and diagnostics, lack of information and research, service delivery and leadership challenges.
conclusionsCommunity health workers and related cadres had important preventive, case management and promotive roles in malaria interventions. To enable their effective integration into the health systems, the identified challenges should be addressed. They include: introducing sustainable financing on iCCM programmes, tailoring their training to address the identified gaps, improving sustainable supply chain management of malaria drugs and diagnostics, and addressing regulatory challenges in the local contexts.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.