Community Health Workers and Stand-Alone or Integrated Case Management of Malaria: A Systematic Literature Review
Community Health Workers and Stand-Alone or Integrated Case Management of Malaria: A Systematic Literature Review
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社区卫生工作者与疟疾的独立或综合病例管理：系统文献综述
DOI：
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发表时间：
2014
影响因子：
3.3
通讯作者：
Ngashi Ngongo
中科院分区：
文献类型：
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作者：
L. Paintain;B. Willey;Sarah V. Kedenge;Alyssa B. Sharkey;Julia C. Kim;V. Buj;J. Webster;D. Schellenberg;Ngashi Ngongo
开展了一项系统的文献综述，以评估改善疟疾社区病例管理战略的有效性。纳入了43项研究；大多数(38项)报告了社区卫生工作者(CHW)的业绩指标，14项报告了疟疾CCM与其他儿童健康干预措施相结合的情况，16项报告了卫生系统能力，13项报告了转诊情况。社区卫生组织能够提供高质量的疟疾护理，包括进行快速诊断测试等程序。适当的培训、明确的指导方针和定期的支持性监督是重要的促进因素。CHW项目可持续成功的关键是加强卫生系统支持商品供应、监督和适当治疗转诊病例的能力。从社区转诊到卫生机构一级的现有证据很少，这表明这是一个需要优先关注的领域。对综合社区卫生管理的研究表明，只要保持足够的培训和监督，额外的任务不会降低疟疾卫生管理的质量。
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.