Can malaria be controlled where basic health services are not used?

Unger, Jean-Pierre; D’Alessandro, Umberto; Paepe, Pierre De; Green, Andrew

doi:10.1111/j.1365-3156.2006.01576.x

Cited by 22 publications

(17 citation statements)

References 31 publications

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“…The Piot model is an operational analysis model that has proven useful for analyzing case management (passive case finding and treatment) in disease control programmes such as tuberculosis, malaria and sexually transmitted infections [ 15 , 16 ]. In the case of TB control the model describes the different steps that individuals in the community go through after becoming ill with symptoms related to TB until finally being cured by the TB control programme.…”

Section: Methodsmentioning

confidence: 99%

Barriers to accessing TB diagnosis for rural-to-urban migrants with chronic cough in Chongqing, China: A mixed methods study

Long

Wang

et al. 2008

BMC Health Serv Res

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Background: China is facing a significant tuberculosis epidemic among rural-to-urban migrants, which poses a threat to TB control. This study aimed to understand the health seeking behaviour of and health systems responses to migrants and permanent urban residents suffering from chronic cough, in order to identify the factors influencing delays for both groups in receiving a TB diagnosis in urban China.

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Section: Methodsmentioning

confidence: 99%

Barriers to accessing TB diagnosis for rural-to-urban migrants with chronic cough in Chongqing, China: A mixed methods study

Long

Wang

et al. 2008

BMC Health Serv Res

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“…However, most of these examples are from islands, fringes of endemic areas, smaller countries with significant external support, or from more developed countries outside sub-Saharan Africa (SSA). Whether progress can be expected to be comparable in the majority of SSA countries under the existing scenario of prevailing poverty, weak infrastructure and management capacity, unreliable donor funding, underused health services, and high malaria transmission intensity, remains doubtful [17,18]. …”

Section: Introductionmentioning

confidence: 99%

Access to malaria treatment in young children of rural Burkina Faso

Tipke

Louis

Yé

et al. 2009

Malar J

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BackgroundEffective and timely treatment is an essential aspect of malaria control, but remains a challenge in many parts of sub-Saharan Africa. The objective of this study was to describe young children's access to malaria treatment in Nouna Health District, Burkina Faso.MethodsIn February/March 2006, a survey was conducted in a representative sample of 1,052 households.ResultsOverall 149/1052 (14%) households reported the current possession of anti-malarial medicine, which was significantly associated with urban area, literacy of household head, having young children, and high socio-economic status. Out of a total of 802 children under five years, at least one malaria episode was reported for 239 (30%) within the last month. Overall 95% of children received treatment, either modern (72%), traditional (18%) or mixed (5%). Most of the medicines were provided as home treatment by the caregiver and half of children received some type of modern treatment within 24 hours of the occurrence of first symptoms. Despite a recent policy change to artemisinin-based combination therapy, modern anti-malarials consisted mainly of chloroquine (93%). Modern drugs were obtained more often from a health facility in localities with a health facility compared to those without (60% vs. 25.6%, p < 0.001). In contrast, beside informal providers, volunteer community health workers (CHW) were the main source of modern medicine in localities without a health centre (28% vs. 3%, p < 0.001).ConclusionAccess to modern health services providing quality controlled effective combination therapies against malaria needs to be strengthened in rural Africa, which should include a re-investigation of the role of CHW 30 years after Alma Ata.

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“…10,15–20 Adequate coverage of malaria needs through health centre care, cannot be achieved if these services remain underused. 21 MSF experience shows that only when care is offered completely free-of-charge at the point of use for all, or at least for large vulnerable population groups, do the number of people accessing effective malarial treatment, especially those most at risk, increase significantly with a corresponding fall in case fatality rates. The beneficial impact of free care (in terms of increased health service utilisation, better coverage of essential health needs and reduced mortality rates) has similarly been widely reported from other settings.…”

Section: Discussionmentioning

confidence: 99%

Free treatment, rapid malaria diagnostic tests and malaria village workers can hasten progress toward achieving the malaria related millennium development goals: the Médecins Sans Frontières experience from Chad, Sierra-Leone and Mali

Tayler‐Smith

Kociejowski

Lamotte

et al. 2011

J Public Health Africa

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Halving the burden of malaria by 2015 and ensuring that 80% of people with malaria receive treatment is among the health related targets of the Millennium Development Goals (MDGs). Despite political momentum toward achieving this target, progress is slow and many with malaria (particularly in poor and rural communities in Africa) are still without access to effective treatment. Finding ways to improve access to anti-malarial treatment in Africa is essential to achieve the malaria related and other MDG targets. During its work in Chad, Sierra Leone and Mali in the period 2004 to 2008, Médecins Sans Frontières showed that it was possible to significantly improve access to effective malaria treatment through: i) the removal of health centre level user fees for essential healthcare for vulnerable population groups, ii) the introduction of free community based treatment for children using malaria village workers to diagnose and treat simple malaria in communities where geographical and financial barriers limited access to effective malaria care, iii) the improved diagnosis and treatment of malaria using rapid diagnosis tests and artemisinin based combination therapy, at both health facilities and in the community. This paper describes and discusses these strategies and their related impact.

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Can malaria be controlled where basic health services are not used?

Cited by 22 publications

References 31 publications

Barriers to accessing TB diagnosis for rural-to-urban migrants with chronic cough in Chongqing, China: A mixed methods study

Barriers to accessing TB diagnosis for rural-to-urban migrants with chronic cough in Chongqing, China: A mixed methods study

Access to malaria treatment in young children of rural Burkina Faso

Free treatment, rapid malaria diagnostic tests and malaria village workers can hasten progress toward achieving the malaria related millennium development goals: the Médecins Sans Frontières experience from Chad, Sierra-Leone and Mali

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