![]() The overarching aim of this thesis is to evaluate the effects of the Burkinabè program on treatment-seeking practices in febrile children. ![]() While this strategy’s efficacy has been demonstrated in controlled studies, very few studies evaluated its effectiveness under real-world and nation-wide conditions of implementation. In 2010, national health authorities introduced case management of malaria by community health workers (CHWs) as a way to increase prompt access to effective treatments. In Burkina Faso, malaria causes approximately 25,000 deaths every year in children under five. This study confirms the necessity of evaluating public health interventions under real-world conditions of implementation.Ĭontext. Even in rural areas, treatment coverage by CHWs was considerably less than that reported by previous trials and pilot projects. While some suggest extending this strategy in urban areas, total absence of CHW services uptake in these areas suggest that caution is required. Issues of implementation fidelity, a lack of adaptation to the local context and problems of acceptability/feasibility might have undermined the effectiveness of community case management of malaria. Conclusions This study shows that CHWs are rarely used in Burkina Faso to treat malaria in children. The odds of visiting a CHW in rural areas significantly increased with the distance to the nearest health centre and if the household had been visited by a CHW during the previous three months. In 2013, the most frequent reasons for not consulting the CHW were: the fact of not knowing him/her (78% in urban areas 33% in rural areas) preferring the health centre (23% and 45%, respectively) and drug stock-outs (2% and 12%, respectively). Gaps remained between intentions and actual practices in treatment-seeking behaviour. Results In urban areas, less than 1% of sick children consulted a CHW, compared to 1%–9% in rural areas. Community health worker (CHW) treatment coverage was evaluated and the determinants of consulting a CHW were analysed using multi-level logistic regression. All sickness episodes in children under five and associated health-seeking practices were documented. ![]() Three rounds of surveys were conducted during the peak malaria-transmission season (in August 2011, 20) in a panel of 2,232 randomly selected households. Methods A panel study was conducted in two health districts of Burkina Faso, Kaya and Zorgho. However, little is known about its effectiveness or feasibility/acceptability under real-world conditions of implementation at national scale. Previous trials and pilot project evaluations have shown that this strategy may be feasible, acceptable, and effective under controlled implementation conditions. ![]() In 2010, health authorities scaled up community case management of malaria with artemisinin-based combination therapy. forvalues 1/15 Īll the data for the fifteen firms whose file names were stored in the local ‘files’ will be appended one by one.Background Malaria is holo-endemic in Burkina Faso and causes approximately 40,000 deaths every year. The following loop imports each individual Excel data file into Stata, and saves is it as a Stata data file. Because there are multiple files that need to be converted, it is more efficient to use a loop to do this task. ![]() Once our directory containing the relevant files is set, we need to save the Excel data files in Stata format before proceeding to combine them as CSV files cannot be combined directly. ![]()
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