scholarly journals Evaluating fidelity of community health worker roles in malaria prevention and control programs in Livingstone District, Zambia-A bottleneck analysis

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Helen Mwiinga Chipukuma ◽  
Hikabasa Halwiindi ◽  
Joseph Mumba Zulu ◽  
Steven Chifundo Azizi ◽  
Choolwe Jacobs
2016 ◽  
Vol 7 (4) ◽  
pp. 139-148
Author(s):  
Norlington Mashayamombe ◽  
Costa Hofisi

Malaria prevention and control programs in Zimbabwe have been hampered by low levels of cooperation by local communities. The study sought to assess the impact of community participation on cooperation in malaria prevention and control programs in Binga, Gokwe and Kariba districts in Zimbabwe. This study is aimed at synthesizing, comparing and contrasting data from these three districts which are, arguably, the most prone to malaria in the country. An intensive and extensive review of related literature was done on the impact of community participation on cooperation in malaria prevention and control. The literature reviewed was focusing on three districts in the country, namely, Binga, Gokwe and Kariba. Typologies of participation were used for the measurement of levels of participation, while analysis was descriptive. Findings revealed that the levels of participation in malaria prevention and control programs in Binga and Gokwe were low, but high in Kariba. The findings from Kariba showed that where the level of community participation was high, cooperation in malaria prevention programs by communities was also high. This study demonstrates the importance of community participation for the success of the malaria prevention and control programs. Although community participation was also very low in Binga and Gokwe malaria prevention and control programs, in Kariba, the program by Save the Children Fund (UK) showed high levels of participation which might have contributed to the high levels of cooperation by community members. Another important issue to emerge from the study is the effectiveness of environmental management methods of vector control, because they are community-based, hence, the success of the Save the Children Fund (UK) program in Binga and Kariba districts. The study revealed that community participation at higher levels on the participation typologies contributes in a significant way to cooperative behavior by community members in malaria prevention and control programs. This is significant, since it improves the effectiveness of malaria control programs. Recommendations made include increased community participation in malaria prevention and control programs to enhance cooperation and educational programs on causes, prevention and treatment of malaria. Keywords: community participation, malaria prevention, malaria control, cooperation. JEL Classification: I12, I18, I14


Author(s):  
Meaghan A. Kennedy ◽  
Kayla E. Hatchell ◽  
Peter R. DiMilia ◽  
Stephanie M. Kelly ◽  
Heather B. Blunt ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saiendhra Vasudevan Moodley ◽  
Muzimkhulu Zungu ◽  
Molebogeng Malotle ◽  
Kuku Voyi ◽  
Nico Claassen ◽  
...  

Abstract Background Health workers are crucial to the successful implementation of infection prevention and control strategies to limit the transmission of SARS-CoV-2 at healthcare facilities. The aim of our study was to determine SARS-CoV-2 infection prevention and control knowledge and attitudes of frontline health workers in four provinces of South Africa as well as explore some elements of health worker and health facility infection prevention and control practices. Methods A cross-sectional study design was utilised. The study population comprised both clinical and non-clinical staff working in casualty departments, outpatient departments, and entrance points of health facilities. A structured self-administered questionnaire was developed using the World Health Organization guidance as the basis for the knowledge questions. COVID-19 protocols were observed during data collection. Results A total of 286 health workers from 47 health facilities at different levels of care participated in the survey. The mean score on the 10 knowledge items was 6.3 (SD = 1.6). Approximately two-thirds of participants (67.4%) answered six or more questions correctly while less than a quarter of all participants (24.1%) managed to score eight or more. A knowledge score of 8 or more was significantly associated with occupational category (being either a medical doctor or nurse), age (< 40 years) and level of hospital (tertiary level). Only half of participants (50.7%) felt adequately prepared to deal with patients with COVD-19 at the time of the survey. The health workers displaying attitudes that would put themselves or others at risk were in the minority. Only 55.6% of participants had received infection prevention and control training. Some participants indicated they did not have access to medical masks (11.8%) and gloves (9.9%) in their departments. Conclusions The attitudes of participants reflected a willingness to engage in appropriate SARS-CoV-2 infection prevention and control practices as well as a commitment to be involved in COVID-19 patient care. Ensuring adequate infection prevention and control training for all staff and universal access to appropriate PPE were identified as key areas that needed to be addressed. Interim and final reports which identified key shortcomings that needed to be addressed were provided to the relevant provincial departments of health.


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