Community participation in malaria control in Tigray region Ethiopia

Ghebreyesus, Tedros Adhanom; Alemayehu, T; Bosman, A; Witten, Karen; Teklehaimanot, Awash

doi:10.1016/0001-706x(95)00107-p

Cited by 60 publications

(77 citation statements)

References 5 publications

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“…Taking inspiration from successful examples of community based malaria control programs across the world, arguments are made for implementing such programmes in places similar to the study area where people can manage and monitor by taking ownership of the programme [32-34]. With the introduction of village health and sanitation committees (VHSC) by the National Rural Health Mission (NRHM) in India, there are many avenues to involve the community in the decision making, planning, implementation and monitoring of public health programs including control of vector borne diseases [35].…”

Section: Discussionmentioning

confidence: 99%

Factors affecting treatment-seeking for febrile illness in a malaria endemic block in Boudh district, Orissa, India: policy implications for malaria control

Das¹,

Ravindran

2010

Malar J

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BackgroundOrissa state in eastern India accounts for the highest malaria burden to the nation. However, evidences are limited on its treatment-seeking behaviour in the state. We assessed the treatment-seeking behaviour towards febrile illness in a malaria endemic district in Orissa.MethodsA cross-sectional community-based survey was carried out during the high malaria transmission season of 2006 in Boudh district. Respondents (n = 300) who had fever with chills within two weeks prior to the day of data collection were selected through a multi-stage sampling and interviewed with a pre-tested and structured interview schedule. Malaria treatment providers (n = 23) were interviewed in the district to gather their insights on factors associated with prompt and effective treatment through a semi-structured and open-ended interview guideline.ResultsMajority of respondents (n = 281) sought some sort of treatment e.g. government health facility (35.7%), less qualified providers (31.3%), and community level health workers and volunteers (24.3%). The single most common reason (66.9%) for choosing a provider was proximity. Over a half (55.7%) sought treatment from appropriate providers within 48 hours of onset of symptoms. Respondents under five years (OR 2.00, 95% CI 0.84-4.80, P = 0.012), belonging to scheduled tribe community (OR 2.13, 95% CI 1.11-4.07, P = 0.022) and visiting a provider more than five kilometers (OR 2.04, 95% CI 1.09-3.83, P = 0.026) were more likely to have delayed or inappropriate treatment. Interviews with the providers indicated that patients' lack of trust in community volunteers providing treatment led to inappropriate treatment-seeking from the less qualified providers. The reasons for the lack of trust included drug side effects, suspicions about drug quality, stock-outs of drugs and inappropriate attitude of the provider.ConclusionLarge-scale involvement of less qualified providers is suggested in the malaria control programme as volunteers after appropriate capacity development since the community has more trust in them. This should be supported by uninterrupted supply of drugs to the community volunteers, and involvement of the community-based organizations and volunteers in the planning, implementation, and monitoring of malaria control services. There is also a need for continuous and rigorous impact evaluations of the program to make necessary modifications, scale up and to prevent drug resistance.

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Section: Discussionmentioning

confidence: 99%

Factors affecting treatment-seeking for febrile illness in a malaria endemic block in Boudh district, Orissa, India: policy implications for malaria control

Das¹,

Ravindran

2010

Malar J

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“…The community based malaria control programme already in place15 and the strong commitment shown by the regional government are important elements in this endeavour. This is also an important principle for similar development programmes elsewhere.…”

Section: Discussionmentioning

confidence: 99%

Incidence of malaria among children living near dams in northern Ethiopia: community based incidence survey

Ghebreyesus¹,

Haile

Witten³

et al. 1999

BMJ

196

132

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Objective To assess the impact of construction of microdams on the incidence of malaria in nearby communities in terms of possibly increasing peak incidence and prolonging transmission. Design Four quarterly cycles of malaria incidence surveys, each taking 30 days, undertaken in eight at risk communities close to dams paired with eight control villages at similar altitudes but beyond flight range of mosquitoes.

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“…One of the most studied elements has been community education, which has great potential for reducing disease. However, despite the emphasis placed on community interventions in practice, there is no clear evidence for their efficacy (Ghebreyesus et al, 1996;Cline and Hewlett, 1996;Cairncross et al, 1996;Gubler and Clark, 1996;Espinoza-Gómez et al, 2002). One reason may be that individual and community behavior does not always respond to information in a way that seems intuitively obvious to policy makers.…”

Section: Threshold Effectsmentioning

confidence: 99%

Economic incentives and mathematical models of disease

et al. 2007

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The fields of epidemiological disease modeling and economics have tended to work independently of each other despite their common reliance on the language of mathematics and exploration of similar questions related to human behavior and infectious disease. This paper explores the benefits of incorporating simple economic principles of individual behavior and resource optimization into epidemiological models, reviews related research, and indicates how future cross-discipline collaborations can generate more accurate models of disease and its control to guide policy makers.

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Community participation in malaria control in Tigray region Ethiopia

Cited by 60 publications

References 5 publications

Factors affecting treatment-seeking for febrile illness in a malaria endemic block in Boudh district, Orissa, India: policy implications for malaria control

Factors affecting treatment-seeking for febrile illness in a malaria endemic block in Boudh district, Orissa, India: policy implications for malaria control

Incidence of malaria among children living near dams in northern Ethiopia: community based incidence survey

Economic incentives and mathematical models of disease

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