Community Health Workers and Stand-Alone or Integrated Case Management of Malaria: A Systematic Literature Review.


Smith Paintain, L; Willey, B; Kedenge, S; Sharkey, A; Kim, J; Buj, V; Webster, J; Schellenberg, D; Ngongo, N; (2014) Community Health Workers and Stand-Alone or Integrated Case Management of Malaria: A Systematic Literature Review. The American journal of tropical medicine and hygiene, 91 (3). pp. 461-70. ISSN 0002-9637 DOI: https://doi.org/10.4269/ajtmh.14-0094

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Abstract

: A systematic literature review was conducted to assess the effectiveness of strategies to improve community case management (CCM) of malaria. Forty-three studies were included; most (38) reported indicators of community health worker (CHW) performance, 14 reported on malaria CCM integrated with other child health interventions, 16 reported on health system capacity, and 13 reported on referral. The CHWs are able to provide good quality malaria care, including performing procedures such as rapid diagnostic tests. Appropriate training, clear guidelines, and regular supportive supervision are important facilitating factors. Crucial to sustainable success of CHW programs is strengthening health system capacity to support commodity supply, supervision, and appropriate treatment of referred cases. The little evidence available on referral from community to health facility level suggests that this is an area that needs priority attention. The studies of integrated CCM suggest that additional tasks do not reduce the quality of malaria CCM provided sufficient training and supervision is maintained.<br/>

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Disease Control
Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Research Centre: Centre for Evaluation
Malaria Centre
Tropical Epidemiology Group
PubMed ID: 24957538
Web of Science ID: 341342500006
URI: http://researchonline.lshtm.ac.uk/id/eprint/1805410

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