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Using community health workers for malaria control: experience in Zaire

C Delacollette, Patrick Van Der Stuyft UGent and P Molima Kaba (1996) BULLETIN OF THE WORLD HEALTH ORGANIZATION. 74(4). p.423-430
abstract
The potential for using community health workers (CHW) for administering timely and effective treatment for presumptive malaria attacks was evaluated in the Katana health zone in Zaire. In each of the 12 villages of an intervention area (area A) with 13000 inhabitants, a CHW was trained in the use of a simple fever management algorithm. The CHWs performed their services under the supervision of the nurse in charge of the area's health centre (HC). Malaria morbidity and mortality trends were monitored during 2 years in area A and in an ecologically comparable control area (area B), where malaria treatment continued to be available at the HC only. Health care behaviour changed dramatically in the intervention area, and by the end of the observation period 65% of malaria episodes were treated at the community level. Malaria morbidity declined 50% in area A but remained stable in the control area. Parasitological indices showed similar trends. Malaria-specific mortality rates remained, however, at essentially the same levels in both areas. The non-comprehensiveness of the CHWs' care and their ambiguous position in the health care system created problems that compromise the sustainability of the intervention.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
KIVU MOUNTAINS, MORTALITY, CHILDREN, CARE, MORBIDITY
journal title
BULLETIN OF THE WORLD HEALTH ORGANIZATION
Bull. World Health Organ.
volume
74
issue
4
pages
423 - 430
Web of Science type
Article
ISSN
0042-9686
language
English
UGent publication?
no
classification
A1
id
262617
handle
http://hdl.handle.net/1854/LU-262617
date created
2004-05-24 13:31:00
date last changed
2017-01-17 15:21:38
@article{262617,
  abstract     = {The potential for using community health workers (CHW) for administering timely and effective treatment for presumptive malaria attacks was evaluated in the Katana health zone in Zaire. In each of the 12 villages of an intervention area (area A) with 13000 inhabitants, a CHW was trained in the use of a simple fever management algorithm. The CHWs performed their services under the supervision of the nurse in charge of the area's health centre (HC). Malaria morbidity and mortality trends were monitored during 2 years in area A and in an ecologically comparable control area (area B), where malaria treatment continued to be available at the HC only. Health care behaviour changed dramatically in the intervention area, and by the end of the observation period 65\% of malaria episodes were treated at the community level. Malaria morbidity declined 50\% in area A but remained stable in the control area. Parasitological indices showed similar trends. Malaria-specific mortality rates remained, however, at essentially the same levels in both areas. The non-comprehensiveness of the CHWs' care and their ambiguous position in the health care system created problems that compromise the sustainability of the intervention.},
  author       = {Delacollette, C and Van Der Stuyft, Patrick and Molima Kaba, P},
  issn         = {0042-9686},
  journal      = {BULLETIN OF THE WORLD HEALTH ORGANIZATION},
  keyword      = {KIVU MOUNTAINS,MORTALITY,CHILDREN,CARE,MORBIDITY},
  language     = {eng},
  number       = {4},
  pages        = {423--430},
  title        = {Using community health workers for malaria control: experience in Zaire},
  volume       = {74},
  year         = {1996},
}

Chicago
Delacollette, C, Patrick Van Der Stuyft, and P Molima Kaba. 1996. “Using Community Health Workers for Malaria Control: Experience in Zaire.” Bulletin of the World Health Organization 74 (4): 423–430.
APA
Delacollette, C., Van Der Stuyft, P., & Molima Kaba, P. (1996). Using community health workers for malaria control: experience in Zaire. BULLETIN OF THE WORLD HEALTH ORGANIZATION, 74(4), 423–430.
Vancouver
1.
Delacollette C, Van Der Stuyft P, Molima Kaba P. Using community health workers for malaria control: experience in Zaire. BULLETIN OF THE WORLD HEALTH ORGANIZATION. 1996;74(4):423–30.
MLA
Delacollette, C, Patrick Van Der Stuyft, and P Molima Kaba. “Using Community Health Workers for Malaria Control: Experience in Zaire.” BULLETIN OF THE WORLD HEALTH ORGANIZATION 74.4 (1996): 423–430. Print.