Background: Malaria is a public health hazard globally, with Sub-Saharan Africa accounting for more than 90% of malaria deaths, primarily affecting children under the age of five. In Rwanda, malaria interventions include the availability of antimalarial medications, notably Artemisinin-based combination treatments (ACTs) and quick diagnostic test kits (RDTs). However, the role of Community Health Workers (CHWs) in antimalarial product distribution has yet to be identified. Methods: The study was conducted using a descriptive cross-sectional research design. The study involved the Community Health Workers (CHWs) in Bugesera District, working as a team of one male-female pair called Binômes. CHWs provide Integrated Community Case Management (iCCM) and treatment of Malaria in villages. The sample size was 295, from 15 sectors of Bugesera District, each cell being represented. A structured research questionnaire was used to collect data. The questionnaires were filled by CHWs who were available for this study at the time of data collection. Collected data were exported to SPSS version 26 for coding and analysis. Results: The CHWs reported to be actively involved in managing the antimalarial products inventory. Overall, 64.1 % of CHWs said that the population could easily obtain antimalarial products from community health workers, and 31.2 % agreed that people could also obtain antimalarial products from both the health centers and community health workers.The study showed that 78% of the CHWs had the appropriate storage conditions for antimalarial products, while the overall stock out recorded was 3.20%. Furthermore, CHWs described some challenges, including but not limited to, lack of appropriate or dependable transportation and inappropriate drugs storage. Transportation was reported as a critical barrier for accessing antimalarial products. The majority, 70.8% of CHWs must walk for a distance between 15 min and 2 hours for resupply of antimalarial products. Conclusion: This study emphasized the role of CHWs in inventory management of antimalarial products. Identifying, understanding, and addressing these roles, particularly in the context of performance based on the availability of antimalarial products. Appropriate storage, and reduction of stock out rate, will serve to strengthen the current CHWs system, and provide critical guidance for the evolution of CHWs’ systems ongoing in Rwanda.
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