Malaria
Conditions
Interventions
Age expanded malaria community case management.
Standard integrated community case management
Sponsors
Training and Research Unit of Excellence
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria for surveys conducted at baseline (January-February 2022) and endline (January-February 2023) are: - Individuals older than 2 months from one of the 1584 households selected at random - Who spent at least 7 nights in the household during the 2 weeks prior to the survey - With an informed consent signed by the head of the household or representative - In addition, biological samples (Rapid Diagnostic Test for malaria and filter paper) will be obtained from children aged 2 months to 14 years, with written assent provided by individuals 7 to 14 years old. Inclusion criteria for the intervention (community case management of malaria): - Individuals older than 2 months living in the catchment area of one of the 15 health centers in the intervention arm - Without malaria signs of severity (WHO definition)
Exclusion criteria
Exclusion criteria: Exclusion criteria for the intervention (community case management of malaria): - Pregnant women - Aged 2 months or less - With malaria signs of severity (WHO definition)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of individuals two months of age or older, reporting a fever in the previous 2 weeks who were tested for malaria by a CHW or at a health facility by a health worker. | — |
Secondary
| Measure | Time frame |
|---|---|
| Proportion of children <5 years, children 5- 14 years, and those aged 15+ years with febrile illness in the previous 2 weeks who: 1) sought care for that illness; 2) were tested for malaria; and 3) were treated with an appropriate antimalarial if tested positive for malaria;Community-level parasite prevalence in children 2 months to 14 years (<5 and 5 – 14 years) of age as measured by malaria RDT and by serological testing using dried blood spots collected on filter paper.;Proportion of suspected pneumonia and diarrhea in children <5 years who sought care and who received appropriate treatment;Acceptability of the extension to all ages of CCM-malaria, according to community members, CHWs, and health facility providers. This will be assessed through qualitative surveys.;Total costs, resource needs (commodities, workload changes), the cost per patient, and the cost-effectiveness of extending community case management to all ages, as compared to the standard iCCM strategy. This will be measured by economic evaluation. | — |
Countries
Malawi
Contacts
Public ContactKamija Phiri
Professor in Clinical Epidemiology College of Medicine Director TRUE
Outcome results
None listed