1. Community case management of malaria in Western Kenya: performance of community health volunteers in active malaria case surveillance
- Author
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Wilfred Ouma Otambo, Kevin O. Ochwedo, Collince J. Omondi, Ming-Chieh Lee, Chloe Wang, Harrysone Atieli, Andew K. Githeko, Guofa Zhou, James Kazura, John Githure, and Guiyun Yan
- Subjects
Malaria ,Community health volunteers ,Community ,Case management ,Kenya ,Arctic medicine. Tropical medicine ,RC955-962 ,Infectious and parasitic diseases ,RC109-216 - Abstract
Abstract Background In western Kenya, not all malaria cases are reported as stipulated in the community case management of malaria (CCMm) strategy. This underreporting affects the equity distribution of malaria commodities and the evaluation of interventions. The current study aimed to evaluate the effectiveness of community health volunteers’ active case detection and management of malaria in western Kenya. Methods Cross-sectional active case detection (ACD) of malaria survey was carried out between May and August 2021 in three eco-epidemiologically distinct zones in Kisumu, western Kenya: Kano Plains, Lowland lakeshore and Highland Plateau. The CHVs conducted biweekly ACD of malaria household visits to interview and examine residents for febrile illness. The Community Health Volunteers (CHVs) performance during the ACD of malaria was observed and interviews done using structured questionnaires. Results Of the total 28,800 surveyed, 2597 (9%) had fever and associated malaria symptoms. Eco-epidemiological zones, gender, age group, axillary body temperature, bed net use, travel history, and survey month all had a significant association with malaria febrile illness (p
- Published
- 2023
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