Expanding the roles of community health workers to sustain programmes during malaria elimination: a meeting report on operational research in Southeast Asia.

Community health workers Malaria Malaria elimination Roles Village malaria workers

Journal

Malaria journal
ISSN: 1475-2875
Titre abrégé: Malar J
Pays: England
ID NLM: 101139802

Informations de publication

Date de publication:
02 Jan 2024
Historique:
received: 17 10 2023
accepted: 20 12 2023
medline: 4 1 2024
pubmed: 4 1 2024
entrez: 3 1 2024
Statut: epublish

Résumé

In Southeast Asia malaria elimination is targeted by 2030. Cambodia aims to achieve this by 2025, driven in large part by the urgent need to control the spread of artemisinin-resistant falciparum malaria infections. Rapid elimination depends on sustaining early access to diagnosis and effective treatment. In much of Cambodia, rapid elimination will rely on a village malaria worker (VMW) network. Yet as malaria declines and is no longer a common cause of febrile illness, VMWs may become less popular with febrile patients, as VMWs do not diagnose or treat other conditions at present. There is a risk that VMWs become inactive and malaria rebounds before the complete interruption of transmission is achieved.During 2021-23 a large-scale operational research study was conducted in western Cambodia to explore how a VMW network could be sustained by including health activities that cover non-malarial illnesses to encourage febrile patients to continue to attend. 105 VMWs received new rapid diagnostic tests (including dengue antigen-antibody and combined malaria/C-reactive protein tests), were trained in electronic data collection, and attended health education packages on hygiene and sanitation, disease surveillance and first aid, management of mild illness, and vaccination and antenatal care.In August 2023 the National Malaria Control Programme of Cambodia convened a stakeholder meeting in Battambang, Cambodia. Findings from the study were reviewed in the context of current malaria elimination strategies. The discussions informed policy options to sustain the relevance of the VMW network in Cambodia, and the potential for its integration with other health worker networks. This expansion could ensure VMWs remain active and relevant until malaria elimination is accomplished.

Identifiants

pubmed: 38166839
doi: 10.1186/s12936-023-04828-4
pii: 10.1186/s12936-023-04828-4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2

Informations de copyright

© 2023. The Author(s).

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Auteurs

Lek Dysoley (L)

National Centre for Parasitology, Entomology and Malaria Control, Phnom Penh, Cambodia. soleycnm@gmail.com.
National Institute for Public Health, Phnom Penh, Cambodia. soleycnm@gmail.com.

James J Callery (JJ)

Mahidol‑Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK.

Voeurng Bunreth (V)

Provincial Health Department, Battambang, Cambodia.

Moul Vanna (M)

Action for Health Development, Battambang, Cambodia.

Chan Davoeung (C)

Provincial Health Department, Battambang, Cambodia.

Yok Sovann (Y)

Provincial Health Department, Pailin, Cambodia.

Sles You (S)

Provincial Health Department, Battambang, Cambodia.

Sam Ol (S)

Action for Health Development, Battambang, Cambodia.
President's Malaria Initiative, Phnom Penh, Cambodia.

Rupam Tripura (R)

Mahidol‑Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK.

Rusheng Chew (R)

Mahidol‑Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK.
Faculty of Medicine, University of Queensland, Brisbane, Australia.

Arjun Chandna (A)

Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK.
Cambodia Oxford Medical Research Unit, Angkor Hospital for Children, Siem Reap, Cambodia.

Céline Christiansen-Jucht (C)

World Health Organization, Phnom Penh, Cambodia.

Jayme Hughes (J)

Clinton Health Access Initiative, Phnom Penh, Cambodia.

Nguon Sokomar (N)

Cambodia Malaria Elimination Project 2, Phnom Penh, Cambodia.
University Research Company Ltd, Phnom Penh, Cambodia.
United States Agency for International Development, Phnom Penh, Cambodia.

Top Sophornarann (T)

Cambodia Malaria Elimination Project 2, Phnom Penh, Cambodia.
University Research Company Ltd, Phnom Penh, Cambodia.
United States Agency for International Development, Phnom Penh, Cambodia.

Jeanne Rideout (J)

Cambodia Malaria Elimination Project 2, Phnom Penh, Cambodia.
University Research Company Ltd, Phnom Penh, Cambodia.
United States Agency for International Development, Phnom Penh, Cambodia.

Tat Veyvath (T)

Provincial Health Department, Battambang, Cambodia.

Oum Sarith (O)

Provincial Health Department, Pailin, Cambodia.

Thaung Puthy (T)

Provincial Health Department, Battambang, Cambodia.

Hay Sothearoth (H)

Provincial Health Department, Battambang, Cambodia.

Sen Sam An (SS)

Cambodia Malaria Elimination Project 2, Phnom Penh, Cambodia.
University Research Company Ltd, Phnom Penh, Cambodia.
United States Agency for International Development, Phnom Penh, Cambodia.

Sazid Ibna Zaman (SI)

Mahidol‑Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.

Lorenz von Seidlein (L)

Mahidol‑Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK.

Lim Vanthy (L)

Action for Health Development, Battambang, Cambodia.

Preap Sodavuth (P)

United Nations Office for Project Services, Phnom Penh, Cambodia.

Chrun Vannak (C)

United Nations Office for Project Services, Phnom Penh, Cambodia.

Arjen M Dondorp (AM)

Mahidol‑Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK.

Yoel Lubell (Y)

Mahidol‑Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK.

Richard J Maude (RJ)

Mahidol‑Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK.
The Open University, Milton Keynes, UK.

Thomas J Peto (TJ)

Mahidol‑Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK.

Bipin Adhikari (B)

Mahidol‑Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand. Bipin@tropmedres.ac.
Centre for Tropical Medicine and Global Health, University of Oxford, Oxford, UK. Bipin@tropmedres.ac.

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