TY - JOUR
T1 - Impact of Improving Community-Based Access to Malaria Diagnosis and Treatment on Household Costs
AU - Castellani, Joelle
AU - Nsungwa-Sabiiti, Jesca
AU - Mihaylova, Borislava
AU - Ajayi, IkeOluwapo O.
AU - Siribie, Mohamadou
AU - Afonne, Chinenye
AU - Balyeku, Andrew
AU - Serme, Luc
AU - Sanou, Armande K.
AU - Sombie, Benjamin S.
AU - Tiono, Alfred B.
AU - Sirima, Sodiomon B.
AU - Kabarungi, Vanessa
AU - Falade, Catherine O.
AU - Kyaligonza, Josephine
AU - Evers, Silvia M. A. A.
AU - Paulus, Agnes
AU - Petzold, Max
AU - Singlovic, Jan
AU - Gomes, Melba
PY - 2016/12/15
Y1 - 2016/12/15
N2 - Background. Community health workers (CHWs) were trained in Burkina Faso, Nigeria, and Uganda to diagnose febrile children using malaria rapid diagnostic tests, and treat positive malaria cases with artemisinin-based combination therapy (ACT) and those who could not take oral medicines with rectal artesunate. We quantified the impact of this intervention on private household costs for childhood febrile illness. Methods. Households with recent febrile illness in a young child in previous 2 weeks were selected randomly before and during the intervention and data obtained on household costs for the illness episode. Household costs included consultation fees, registration costs, user fees, diagnosis, bed, drugs, food, and transport costs. Private household costs per episode before and during the intervention were compared. The intervention's impact on household costs per episode was calculated and projected to districtwide impacts on household costs. Results. Use of CHWs increased from 35% of illness episodes before the intervention to 50% during the intervention (P
AB - Background. Community health workers (CHWs) were trained in Burkina Faso, Nigeria, and Uganda to diagnose febrile children using malaria rapid diagnostic tests, and treat positive malaria cases with artemisinin-based combination therapy (ACT) and those who could not take oral medicines with rectal artesunate. We quantified the impact of this intervention on private household costs for childhood febrile illness. Methods. Households with recent febrile illness in a young child in previous 2 weeks were selected randomly before and during the intervention and data obtained on household costs for the illness episode. Household costs included consultation fees, registration costs, user fees, diagnosis, bed, drugs, food, and transport costs. Private household costs per episode before and during the intervention were compared. The intervention's impact on household costs per episode was calculated and projected to districtwide impacts on household costs. Results. Use of CHWs increased from 35% of illness episodes before the intervention to 50% during the intervention (P
KW - CHW
KW - economics
KW - access
KW - ACTs
KW - malaria
U2 - 10.1093/cid/ciw623
DO - 10.1093/cid/ciw623
M3 - Article
C2 - 27941102
SN - 1058-4838
VL - 63
SP - S256-S263
JO - Clinical Infectious Diseases
JF - Clinical Infectious Diseases
ER -