Factors Associated with Adherence to mRDT Test Procedure by Community Health Workers during Management of Malaria for Under-Five in former Northern Bar El Ghazal-South Sudan

2019 ◽  
Vol 7 (3) ◽  
pp. 137-146
Author(s):  
Mubiru Denis
2021 ◽  
Author(s):  
Fred Bagenda ◽  
Andrew Christopher Wesuta ◽  
Geren Stone ◽  
Moses Ntaro ◽  
Palka Patel ◽  
...  

Abstract Introduction The control of malaria, pneumonia, and diarrhea is important for the reduction in morbidity and mortality among children under five years. Uganda has adopted the Integrated Community Case Management strategy using Community Health Workers to address this challenge. The extent and trend of these three conditions managed by the Community Health Workers are not well documented. This study was done to document Community Health Workers’ contribution towards treatment and the trends of the three common illnesses in Bugoye Sub-County in rural Uganda.


Author(s):  
David P. Ngilangwa ◽  
George S. Mgomella

Background: Attrition of community health workers (CHWs) continues to threaten the full realisation and sustainability of community-based health programmes globally. Aim: This study aimed to understand factors associated with CHWs’ recruitment and their retention. Setting: This study was conducted in five districts of the Simiyu Region, namely, Bariadi, Busega, Itilima, Maswa and Meatu in north-western Tanzania. Methods: In this cross-sectional study design, 341 CHWs who were working with the maternal health programme were randomly selected. Semi-structured questionnaires were administered to all participants. Data were descriptively and inferentially analysed using SPSS version 20. Results: Majority (58.0%) of CHWs were below 35 years. Over half (53.1%) had completed primary education only. Motivation factors for being CHW were aspiration to serve the community and desire for further training to become a qualified medical practitioner. Community recognition and financial incentives were among the key retention reasons for the CHWs. Being married (odds ratio [OR] 5.9, 95% confidence interval [CI] 1.7–20.1) having prior volunteer experience (OR 10.5 95% CI 12.7–40.5) and prior employment OR 21.8 (CI 12.2–38.9) were positively associated with retention of CHWs, while being a female was negatively associated with retention OR 0.4 (CI 0.2–0.8). Conclusions: Both financial and non-financial incentives were critical in contributing to the retention of CHWs. Thus, health programmes should carefully select CHWs by understanding their motives beforehand, and provide them with incentives.


2012 ◽  
Vol 11 (Suppl 1) ◽  
pp. P142
Author(s):  
James Kisia ◽  
Florence Nelima ◽  
David Otieno ◽  
Kioko Kiilu ◽  
Emmanuel Wamalwa ◽  
...  

2020 ◽  
Author(s):  
Esther Nicholas Tendongfor

BACKGROUND One child dies of malaria in Africa every two minutes, although a preventable and curable disease. Home-based Management of malaria reduces the progression of severe malaria by more than 50%. Scalable, efficacious, and cost-effective strategies are needed to empower the capacities of home caregivers of children under five on health education, diagnosis and treatment of malaria at home. OBJECTIVE The main objective of this trial is to assess the impact of management of malaria in children under five by home caregivers for prevention, diagnosis and treatment compared to the home-based malaria management component of the integrated CDI strategy by Community Health Workers. METHODS A Randomized Controlled Trial will be conducted. The Community Health Workers will be used for the census of all household where there is at least one child under five with their home caregivers. Children under five and their home caregivers will be randomly selected into the intervention and control groups among the households identified. The trial will allow malaria home-based prevention and treatment of 350 children under-five by home caregivers in the Fombap area (Intervention group) where the Integrated Community Directed Interventions strategy is not implemented, compared to the home-based malaria management component of the integrated Community Directed Interventions strategy where 350 under five children will be follow-up through Community Health Workers in Penka-Michel health area (control group). The primary outcomes are the prevention and treatment of malaria of children under-five by home caregivers at home. The secondary outcomes comprise the malaria follow-up indicators produce by home caregivers in the intervention group and those produce by CHWs in the control group. Both descriptive and one-way analysis of variance (ANOVA) estimation techniques will be used to compare the mean difference in the two strategies. RESULTS From September to October 2019, all home caregivers with children under five were identified in the intervention and control group by CHWs. Then, 203 home caregivers with their 350 children under five were randomly selected and enrolled in the intervention area, and 225 home caregivers with their 350 under five children in the control group. In the intervention group, 203 home caregivers were trained in November 2019. This home treatment effectively started in December 2019 and will continue until May 2020. CONCLUSIONS Findings from this randomized trial will contribute to resolve the challenges of severe malaria and limit the death of under-five children due to malaria. This will bring benefits to home caregivers who will know how to promptly diagnose and properly treat malaria in their children at home. CLINICALTRIAL Pan African Clinical Trial Registry in South Africa with unique identification number PACTR202003487018009; https://pactr.samrc.ac.za/researcher/managetrials.aspx.


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