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The impact of Community Health Workers in home-based management of malaria to all age groups in a high risk zone of Eastern parts of Rwanda: Home Based Management of malaria in Rwanda
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health.
2019 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: In Rwanda, home-based management of malaria(HBM) was introduced to all age groups due to the malaria increase in the Eastern African Regional. This programme was enabled Community Health workers (CHWs) to diagnose and treat malaria to all individuals (children and adults). We assessed the impacts of CHWs on the expansion of HBM malaria treatment to all age groups in Rukira Sector.

Methods: A time series analysis was adopted using monthly malaria data from Rwanda Health Management Information System (HIMS) and Système d’Information Sanitaire des Communautés/CHW Information System (SISCom) from 2014 to 2018 at health center and community levels in all age groups. The negative binomial regression was used to assess the intervention programme evaluation and comparing the number of malaria treated between CHWs and health center.

Results: The study indicates that there was an increase of 5 to 48 % of malaria treated by CHWs before intervention in 2014 and when the intervention started in June 2016 due to the malaria resurgence in the regional. The number of female and male treated by CHWs were increased from 5-36 and 6- 65% respectively before the intervention and during the intervention in age groups. This study also reveals that the great number of malaria was treated by CHWs than the health center after the intervention. In total, malaria treated by CHWs was 2.5 time higher than the malaria treated by health center.

Conclusions: The implementation of HBM of malaria led to a significantly higher percentage of children and adults obtaining early treatment within 24 hours of symptom onset and to a decrease of malaria morbidity. The HBM programme in all age groups resulted in a shift care from health center to CHWs for some individuals with uncomplicated malaria. The health care Services provided through the HBM program likely increased to find severe malaria case and facilitated timely referrals to health facilities.

Place, publisher, year, edition, pages
2019. , p. 32
Series
Centre for Public Health Report Series, ISSN 1651-341X ; 2019:31
Keywords [en]
Health Workers, Malaria, home-based management of Malaria, Rwanda
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-166048OAI: oai:DiVA.org:umu-166048DiVA, id: diva2:1376514
External cooperation
Musabyimana Chantal, Community Health Supervisor, Rukira Health Center Rwanda
Educational program
Master's Programme in Public Health
Presentation
2019-05-23, Room A110, Caring Sciences Building, Umeå University, Umeå, 11:00 (English)
Supervisors
Examiners
Available from: 2019-12-10 Created: 2019-12-09 Last updated: 2019-12-10Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf