Assessing Acceptability of a Diagnostic and Malaria Treatment Package Delivered by Community Health Workers in Malaria-Endemic Settings of Burkina Faso, Nigeria, and Uganda.
Assessing Acceptability of a Diagnostic and Malaria Treatment Package Delivered by Community Health Workers in Malaria-Endemic Settings of Burkina Faso, Nigeria, and Uganda.
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DOI：
10.1093/cid/ciw630
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发表时间：
2016-12-15
期刊：
影响因子：
--
通讯作者：
Falade CO
中科院分区：
文献类型：
--
作者：
Jegede AS;Oshiname FO;Sanou AK;Nsungwa-Sabiiti J;Ajayi IO;Siribié M;Afonne C;Sermé L;Falade CO
背景：以青蒿素为基础的联合疗法（ACT）和直肠青蒿琥酯治疗儿童重症疟疾的疗效已得到证实。 然而，由社区卫生工作者提供的包括使用疟疾快速诊断测试、青蒿素综合疗法和直肠青蒿琥酯在内的一揽子干预措施的可接受性尚不确定。本研究评估了使用CHW进行RDT、ACT和直肠青蒿琥酯疟疾病例管理的可接受性。方法：该研究于2015年在布基纳法索、尼日利亚和乌干达进行，接近使用CHW提供诊断和治疗的干预结束。 对患病儿童的父母、社区领导人和卫生工作者进行了焦点小组讨论（FGD）和关键知情人访谈（KII），以了解他们是否接受使用CHW进行疟疾病例管理的方案。使用内容分析法分析来自FGD和KII记录的转录本。以叙述的形式描述、解释和报告研究结果。结果：使用CHW治疗疟疾被护理人员和社区接受。 CHW被认为是可访问的，勤奋的，有效的。在获得社区卫生工作者的服务方面不存在任何物质、社会或文化障碍。受访者对干预措施非常积极，并担心CHW有限的财务和非财务激励措施会降低他们继续工作的动机和意愿。结论：使用CHW治疗疟疾被完全接受。 CHW应该得到补偿，培训和良好的监督。临床试验注册ISRCTN13858170。
Background. The efficacy of artemisinin-based combination therapy (ACT) and rectal artesunate for severe malaria in children is proven. However, acceptability of a package of interventions that included use of malaria rapid diagnostic tests (RDTs), ACTs, and rectal artesunate when provided by community health workers (CHWs) is uncertain. This study assessed acceptability of use of CHWs for case management of malaria using RDTs, ACTs, and rectal artesunate. Methods. The study was carried out in Burkina Faso, Nigeria, and Uganda in 2015 toward the end of an intervention using CHWs to provide diagnosis and treatment. Focus group discussions (FGDs) and key informant interviews (KIIs) were conducted with parents of sick children, community leaders, and health workers to understand whether they accepted the package for case management of malaria using CHWs. Transcripts from FGDs and KII recordings were analyzed using content analysis. The findings were described, interpreted, and reported in the form of narratives. Results. Treatment of malaria using the CHWs was acceptable to caregivers and communities. The CHWs were perceived to be accessible, diligent, and effective. There were no physical, social, or cultural barriers to accessing the CHWs’ services. Respondents were extremely positive about the intervention and were concerned that CHWs had limited financial and nonfinancial incentives that would reduce their motivation and willingness to continue. Conclusions. Treatment of malaria using CHWs was fully accepted. CHWs should be compensated, trained, and well supervised. Clinical Trials Registration. ISRCTN13858170.
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DOI：
10.1136/bmj.c930
发表时间：
2010-03-05
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Ansah EK;Narh-Bana S;Epokor M;Akanpigbiam S;Quartey AA;Gyapong J;Whitty CJ
通讯作者：
Whitty CJ
DOI：
10.4269/ajtmh.2012.11-0816
发表时间：
2012-11-01
影响因子：
3.3
作者：
Mukanga, David;Tiono, Alfred B.;Pagnoni, Franco
通讯作者：
Pagnoni, Franco
影响因子：
8.1
作者：
Ajayi, Ikeoluwapo O.;Jegede, Ayodele S.;Sommerfeld, Johannes
通讯作者：
Sommerfeld, Johannes
影响因子：
3
作者：
Mukanga, David;Tibenderana, James K.;Kallander, Karin
通讯作者：
Kallander, Karin
影响因子：
3.7
作者：
Mubi M;Janson A;Warsame M;Mårtensson A;Källander K;Petzold MG;Ngasala B;Maganga G;Gustafsson LL;Massele A;Tomson G;Premji Z;Björkman A
通讯作者：
Björkman A