Limits...
Evaluating active roles of community health workers in accelerating universal access to health services for malaria in Palawan, the Philippines.

Matsumoto-Takahashi EL, Kano S - Trop Med Health (2016)

Bottom Line: Microscopists clearly enhanced the feasibility of early diagnosis and treatment throughout the province.However, it remained necessary to implement anti-malarial measures focusing on children under 5 years of age who live in the southern region of the province.These low-cost activities are expected to strengthen the preventive measures implemented by the residents and to drive more people to seek appropriate treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Tropical Medicine and Malaria, Research Institute, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, 162-8655 Japan.

ABSTRACT

Background: Palawan is the most malaria-endemic province in the Philippines. In an effort to confront malaria in areas with limited healthcare facilities, microscopists (community health workers) have been trained to diagnose malaria since 1999.

Methods: We reviewed the epidemiological data and related literature which analyzed the achievements of the microscopists and their tasks in order to propose a strategy to strengthen community-based malaria control.

Results: The epidemiological data showed that there had been a drastic decrease in malaria morbidity and mortality throughout the province following the launch of the strategy. Microscopists clearly enhanced the feasibility of early diagnosis and treatment throughout the province. However, it remained necessary to implement anti-malarial measures focusing on children under 5 years of age who live in the southern region of the province. The analysis of our published papers also enabled us to propose a new strategy to enhance activities by microscopists to raise malaria awareness in their respective communities.

Conclusions: These low-cost activities are expected to strengthen the preventive measures implemented by the residents and to drive more people to seek appropriate treatment. Consequently, this new strategy could accelerate the efforts to eliminate malaria in the province of Palawan that will be adopted in the WHO's Global Technical Strategy for Malaria 2016-2030, in order to achieve the Sustainable Development Goals by 2030.

No MeSH data available.


Related in: MedlinePlus

The determinants of community awareness-raising activities by microscopists, appropriate treatment, and effective prevention
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC4940934&req=5

Fig2: The determinants of community awareness-raising activities by microscopists, appropriate treatment, and effective prevention

Mentions: As summarized in Fig. 2, the community awareness-raising activities of the microscopists strengthened the effective prevention practices implemented by the residents of Palawan and increased the likelihood that they would seek appropriate treatment. Community awareness-raising activities that inform residents about transmission, vector species, and the times that vector species are most active were expected to be effective in strengthening malaria prevention practices (Fig. 2, Field A) [22]. Knowledge on transmission was statistically proven to be the most important factor in this regard (pass coefficient, 4.90). To increase the likelihood that residents would seek appropriate treatment, community awareness-raising activities that sought to improve knowledge on malaria symptoms were important to make inhabitants more aware of their symptoms; this led to improved self-triage (Fig. 2, Field B) [23]. The study suggested that improving the residents’ recognition of malaria symptoms and making them aware of nearby microscopists would likely be the keys to accelerating universal access to effective malaria treatment in Palawan.Fig. 2


Evaluating active roles of community health workers in accelerating universal access to health services for malaria in Palawan, the Philippines.

Matsumoto-Takahashi EL, Kano S - Trop Med Health (2016)

The determinants of community awareness-raising activities by microscopists, appropriate treatment, and effective prevention
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4940934&req=5

Fig2: The determinants of community awareness-raising activities by microscopists, appropriate treatment, and effective prevention
Mentions: As summarized in Fig. 2, the community awareness-raising activities of the microscopists strengthened the effective prevention practices implemented by the residents of Palawan and increased the likelihood that they would seek appropriate treatment. Community awareness-raising activities that inform residents about transmission, vector species, and the times that vector species are most active were expected to be effective in strengthening malaria prevention practices (Fig. 2, Field A) [22]. Knowledge on transmission was statistically proven to be the most important factor in this regard (pass coefficient, 4.90). To increase the likelihood that residents would seek appropriate treatment, community awareness-raising activities that sought to improve knowledge on malaria symptoms were important to make inhabitants more aware of their symptoms; this led to improved self-triage (Fig. 2, Field B) [23]. The study suggested that improving the residents’ recognition of malaria symptoms and making them aware of nearby microscopists would likely be the keys to accelerating universal access to effective malaria treatment in Palawan.Fig. 2

Bottom Line: Microscopists clearly enhanced the feasibility of early diagnosis and treatment throughout the province.However, it remained necessary to implement anti-malarial measures focusing on children under 5 years of age who live in the southern region of the province.These low-cost activities are expected to strengthen the preventive measures implemented by the residents and to drive more people to seek appropriate treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Tropical Medicine and Malaria, Research Institute, National Center for Global Health and Medicine, 1-21-1 Toyama, Shinjuku-ku, Tokyo, 162-8655 Japan.

ABSTRACT

Background: Palawan is the most malaria-endemic province in the Philippines. In an effort to confront malaria in areas with limited healthcare facilities, microscopists (community health workers) have been trained to diagnose malaria since 1999.

Methods: We reviewed the epidemiological data and related literature which analyzed the achievements of the microscopists and their tasks in order to propose a strategy to strengthen community-based malaria control.

Results: The epidemiological data showed that there had been a drastic decrease in malaria morbidity and mortality throughout the province following the launch of the strategy. Microscopists clearly enhanced the feasibility of early diagnosis and treatment throughout the province. However, it remained necessary to implement anti-malarial measures focusing on children under 5 years of age who live in the southern region of the province. The analysis of our published papers also enabled us to propose a new strategy to enhance activities by microscopists to raise malaria awareness in their respective communities.

Conclusions: These low-cost activities are expected to strengthen the preventive measures implemented by the residents and to drive more people to seek appropriate treatment. Consequently, this new strategy could accelerate the efforts to eliminate malaria in the province of Palawan that will be adopted in the WHO's Global Technical Strategy for Malaria 2016-2030, in order to achieve the Sustainable Development Goals by 2030.

No MeSH data available.


Related in: MedlinePlus