Evidence map›Paper›PMID 37682947›Full record

ArticlePloS one2023

Expanding the role of village malaria workers in Cambodia: Implementation and evaluation of four health education packages.

Mipharny Betrian, Dafne Umans, Moul Vanna, Sam Ol, Bipin Adhikari, Chan Davoeung, James J Callery, Yok Sovann, Thomas J Peto, Richard J Maude and 10 more

Erratum issuedAbstract read
In one paragraph

Article in PloS one, 2023. 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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Mipharny BetrianCentre of Tropical Medicine and Travel Medicine, Amsterdam University Medical Centres, Location AMC, University of Amsterdam, Amsterdam, The Netherlands.
Dafne UmansCentre of Tropical Medicine and Travel Medicine, Amsterdam University Medical Centres, Location AMC, University of Amsterdam, Amsterdam, The Netherlands.
Moul VannaAction for Health and Development, Battambang Province, Battambong Municipality, Cambodia.
Sam OlAction for Health and Development, Battambang Province, Battambong Municipality, Cambodia.
Bipin AdhikariCentre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom.ORCID 0000-0001-8981-3910
Chan DavoeungBattambang Provincial Health Department, Battambang Province, Battambong Municipality, Cambodia.
James J CalleryCentre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom.ORCID 0000-0002-3218-2166
Yok SovannPailin Provincial Health Department, Pailin Province, Pailin Municipality, Cambodia.
Thomas J PetoCentre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom.ORCID 0000-0003-3197-9891
Richard J MaudeCentre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom.
Rob W van der PluijmCentre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom.
Voeunrung BunrethBattambang Provincial Health Department, Battambang Province, Battambong Municipality, Cambodia.
Martin P GrobuschCentre of Tropical Medicine and Travel Medicine, Amsterdam University Medical Centres, Location AMC, University of Amsterdam, Amsterdam, The Netherlands.
Michèle van VugtCentre of Tropical Medicine and Travel Medicine, Amsterdam University Medical Centres, Location AMC, University of Amsterdam, Amsterdam, The Netherlands.
Yoel LubellCentre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom.
Lorenz von SeidleinCentre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom.
Arjen M DondorpCentre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom.
Siv SovannarothNational Centre for Parasitology, Entomology and Malaria Control, Phnom Penh, Cambodia.
Dysoley LekNational Centre for Parasitology, Entomology and Malaria Control, Phnom Penh, Cambodia.
Rupam TripuraCentre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom.

Funding

Wellcome Trust 15604/Z/19/ZWellcome Trust 220211
6 · The paper itself

Abstract

backgroundEarly access to correct diagnosis and appropriate treatment is essential for malaria elimination, and in Cambodia this relies on village malaria workers (VMWs). Decreasing malaria transmission leave VMWs with diminished roles. Activities related to the control of other health conditions could keep these community health workers relevant.

methodsDuring 2022, 120 VMWs attended training at local health centres on four health education packages: 1. hygiene and sanitation; 2. disease surveillance; 3. management of mild illness; 4. vaccination and antenatal care. All training and evaluation sessions were documented through meeting minutes, and 19 focus group discussions (FGDs) were conducted among VMWs and health centre personnel. Audio-records of FGDs were transcribed and translated in English and underwent thematic analysis.

resultsVMWs reported strong interest in the training and welcomed the expansion of their roles thus assuring their continued relevance. VMWs prioritized disease surveillance and management of mild illness among the available training packages because these topics were seen as most relevant. While training was considered comprehensible and important, the low literacy among VMWs was an impediment suggesting training materials need to be delivered visually. Since VMWs have limited resources, incentives could ensure that VMWs are motivated to undertake additional roles and responsibilities.

conclusionsThe transformation of VMWs into community health workers with roles beyond malaria is a promising approach for sustaining health care provision in remote areas. Training needs to consider the low scientific literacy, time constraints and limited resources of VMWs.

Indexed as

Health EducationMalariaCambodiaCommunity Health WorkersFemaleHumansPregnancyPrenatal Care

Identifiers

PMID37682947
PMCPMC10490887

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.