ArticleTropical medicine and health2018
How are the village health volunteers deliver malaria testing and treatment services and what are the challenges they are facing? A mixed methods study in Myanmar.
Article in Tropical medicine and health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers.
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16 citing papers in PubMed.
- Factors influencing performance of community-based health volunteers' activities in the Kassena-Nankana Districts of Northern Ghana.PloS one · 2019Trial
- A model for developing the competencies of Village Health Volunteers in the prevention and control of communicable diseases at the community level: a case study of Chaiyaphum Province, Thailand.Frontiers in public health · 2026Article
- Beliefs and socio-cultural perspectives on hantavirus in a rural community in Panama: An ethnonursing study.PLOS global public health · 2025Article
- Radical cure for Plasmodium vivax malaria after G6PD qualitative testing in four provinces in Cambodia, results from Phase I implementation.Malaria journal · 2024Article
- Community engagement approaches for malaria prevention, control and elimination: a scoping review.BMJ open · 2024Article
- Prospects for the development of community-based care in remote rural areas: a stakeholder analysis in Laos.BMC health services research · 2024Article
- Interventions for promoting patients' adherence to 14-day primaquine treatment in a highly malaria-endemic township in Myanmar: a qualitative study among key stakeholders.Malaria journal · 2023Article
- Narrative Review of the Control and Prevention of Knowlesi Malaria.Tropical medicine and infectious disease · 2022Review
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- Optimizing Myanmar's community-delivered malaria volunteer model: a qualitative study of stakeholders' perspectives.Malaria journal · 2021Article
- Community demand for comprehensive primary health care from malaria volunteers in South-East Myanmar: a qualitative study.Malaria journal · 2021Article
- Performance of Malaria Volunteers regarding Malaria Control Activities in Southeastern Myanmar: A Study in the Areas under Coverage of an Ethnic Health Organization.Journal of tropical medicine · 2021Article
- Quality of Malaria Treatment Provided under 'Better Health Together' Project in Ethnic Communities of Myanmar: How Are We Performing?Tropical medicine and infectious disease · 2019Article
- Prospects and strategies for malaria elimination in the Greater Mekong Sub-region: a qualitative study.Malaria journal · 2019Article
- Correction to: How are the village health volunteers delivering malaria testing and treatment services and what are the challenges they are facing? A mixed methods study in Myanmar.Tropical medicine and health · 2018Article
Corrections and comments
- Erratum issued
Authors and funding
8 authors.
Funding
Abstract
backgroundVillage health volunteers (VHVs) play a key role in delivering community-based malaria care especially in the hard-to-reach areas in Myanmar. It is necessary to assess their performance and understand the challenges encountered by them for effective community management of malaria. This mixed methods study was conducted to (i) understand the cascade of malaria services (testing, diagnosis, referral, and treatment of malaria) provided by the VHVs under the National Malaria Control Programme (NMCP) in Myanmar in 2016 and compare with other health care providers and (ii) explore the challenges in the delivery of malaria services by VHVs.
methodsA sequential mixed methods study was designed with a quantitative followed by a descriptive qualitative component. The quantitative study was a cohort design involving analysis of secondary data available from NMCP database whereas the qualitative part involved 16 focus group discussions (eight each with community and VHVs) and 14 key informant interviews with program stakeholders in four selected townships.
resultsAmong 444,268 cases of undifferentiated fever identified by VHVs in 2016, 444,190 were tested using a rapid diagnostic test. Among those tested, 20,375 (4.6%) cases of malaria were diagnosed, of whom 16,910 (83.0%) received appropriate treatment, with 7323 (35.9%) receiving treatment within 24 h. Of all malaria cases, 296 (1.5%) were complicated, of whom 79 (26.7%) were referred to the higher facility. More than two thirds of all cases were falciparum malaria (13,970, 68.6%) followed by vivax (5619, 27.6%). Primaquine was given to 83.6% of all cases. VHVs managed 34.0% of all undifferentiated fever cases, 35.9% of all malaria cases, and identified 38.0% of all
conclusionVHVs play an important role in malaria care in Myanmar, especially in the hard-to-reach areas. More programmatic support is needed in terms of logistics, transportation allowance, and supervision to improve their performance.
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