Care Project (IMC) - JhpiegoCare Project (IMC) Study Sample nnA total of 108 people were contacted:...
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Concerns of Community Leaders n Some expressed concerns about replacing CHWs who have grown older. n All complained of the lack of financial support for the program. n Some mentioned the lack of monitoring and supervision of CHWs to help them be more efficient. n Half complained about the lack of drugs and materials (gloves, soap, sharps disposal box). Concerns of Health Care Providers and Managers n Lack of funding for monitoring the pilot implementation n Frequent stock-out of commodities (artemisinin-based combination therapy, RDTs and gloves) n Non-payment of stipends to CHWs n Inability to conduct regular supervision of CHWs Conclusions n Follow-up of the pilot was valuable in obtaining the perspectives of the community, CHWs and health workers on how to improve the program. n While the community finds the program acceptable, its sustainability will require that solutions be found to address stock- outs, non-payment of stipends and insufficient supervision. n Only when these challenges are addressed can scale-up take place. Background n Early and correct case management of malaria in health facilities and at the community level is among the priorities of Burkina Faso’s National Malaria Control Program (NMCP). n In line with this initiative, the NMCP piloted the use of rapid diagnostic tests (RDTs) by community health workers (CHWs) to confirm malaria cases in the three health districts of Kaya, Saponé and Nouna between 2013 and 2015. Three Pilot Study Districts Purpose and Objectives n With support from the U.S. President’s Malaria Initiative, follow- up visits were organized to document best practices, as well as challenges, on RDT use by CHWs that could serve as lessons learned for scale-up. n Specific objectives included: n To examine the management of malaria commodities at the community level n To assess the use of RDTs at the community level with all actors n To examine the monitoring and supervision of the pilot at the health facility by district and regional levels Methods n Follow-up visits in selected communities examined: n Management of malaria commodities (supply, storage and use) at the community level n Use of RDTs n Views on implementation at the community level of all actors at regional, district, health facility and community levels n Monitoring and supervision processes at all levels Study Tools The following tools were developed: n Checklist for management of malaria commodities n Questionnaire for health care providers n Questionnaire for CHWs n Questionnaire for District Management Teams e Improving Malaria Care Project’s Contribution to Follow Up a Pilot Project on Use of Rapid Diagnostic Tests at the Community Level in Burkina Faso Funding for this effort was provided by the United States President’s Malaria Initiative. This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID). The contents are the responsibility of the Improving Malaria Care Project and do not necessarily reflect the views of USAID or the United States Government. by: Ousmane Badolo 1 , Stanislas P. Nébié 1 , Moumouni Bonkoungou 1 , Mathurin Dodo 1 , ierry Ouedraogo 1 , Rachel Waxman 1 , William R. Brieger 1,2 , and Elaine Roman 1 affiliate: 1 Jhpiego; 2 Johns Hopkins Bloomberg School of Public Health 218 Improving Malaria Care Project (IMC) Study Sample n A total of 108 people were contacted: n 32 CHWs n 42 community leaders n 34 health care providers and managers Stock-Out of Commodities among 32 CHWs RDT use by CHWs n All 32 CHWs had received training on how to perform RDTs n 30 CHWs correctly described the steps to perform an RDT n 25 CHWs performed the RDT correctly Concerns of CHWs n Non-payment of stipends n Difficulty in using data reporting tools n Lack of box to safely store supplies n Lack of transport to make home visits Weaknesses in Supervision and Monitoring n Supervision of RDT use was not specifically included in the setup of the pilot RDT project. n CHWs did receive normal supervision visits from health facilities, but not specifically on RDT use. 0 5 10 15 20 25 30 35 15% 11% 32% 32% 12% Lack of Materials Problem of Transport Data Collection Problems Non-Payment of Stipend 0 5 10 15 20 25 30 35 RDT Stock-Out Number of CHWs ACT Stock-Out No Gloves 19% 32% 15% 10% Abbreviations CHW community health worker NMCP National Malaria Control Program RDT rapid diagnostic test
Transcript of Care Project (IMC) - JhpiegoCare Project (IMC) Study Sample nnA total of 108 people were contacted:...
Concerns of Community Leadersnn Some expressed concerns about replacing CHWs who have
grown older.nn All complained of the lack of financial support for the program.nn Some mentioned the lack of monitoring and supervision of CHWs
to help them be more efficient.nn Half complained about the lack of drugs and materials (gloves,
soap, sharps disposal box).
Concerns of Health Care Providers and Managersnn Lack of funding for monitoring the pilot implementationnn Frequent stock-out of commodities (artemisinin-based
combination therapy, RDTs and gloves)nn Non-payment of stipends to CHWsnn Inability to conduct regular supervision of CHWs
Conclusionsnn Follow-up of the pilot was valuable in obtaining the perspectives
of the community, CHWs and health workers on how to improve the program.
nn While the community finds the program acceptable, its sustainability will require that solutions be found to address stock-outs, non-payment of stipends and insufficient supervision.
nn Only when these challenges are addressed can scale-up take place.
Backgroundnn Early and correct case management of malaria in health
facilities and at the community level is among the priorities of Burkina Faso’s National Malaria Control Program (NMCP).
nn In line with this initiative, the NMCP piloted the use of rapid diagnostic tests (RDTs) by community health workers (CHWs) to confirm malaria cases in the three health districts of Kaya, Saponé and Nouna between 2013 and 2015.
Three Pilot Study Districts
Purpose and Objectivesnn With support from the U.S. President’s Malaria Initiative, follow-
up visits were organized to document best practices, as well as challenges, on RDT use by CHWs that could serve as lessons learned for scale-up.
nn Specific objectives included:nn To examine the management of malaria commodities at the
community levelnn To assess the use of RDTs at the community level with all actorsnn To examine the monitoring and supervision of the pilot at the
health facility by district and regional levels
Methodsnn Follow-up visits in selected communities examined:
nn Management of malaria commodities (supply, storage and use) at the community level
nn Use of RDTsnn Views on implementation at the community level of all actors at
regional, district, health facility and community levelsnn Monitoring and supervision processes at all levels
Study ToolsThe following tools were developed:nn Checklist for management of malaria commoditiesnn Questionnaire for health care providersnn Questionnaire for CHWsnn Questionnaire for District Management Teams
The Improving Malaria Care Project’s Contribution to Follow Up a Pilot Project on Use of Rapid Diagnostic Tests at the Community Level in Burkina Faso
Funding for this effort was provided by the United States President’s Malaria Initiative. This poster was made possible by the generous support of the American people through the United States Agency for International Development (USAID). The contents are the responsibility of the Improving Malaria Care Project and do not necessarily reflect the views of USAID or the United States Government.
by: Ousmane Badolo1, Stanislas P. Nébié1, Moumouni Bonkoungou1, Mathurin Dodo1, Thierry Ouedraogo1, Rachel Waxman1, William R. Brieger1,2, and Elaine Roman1
affiliate: 1Jhpiego; 2Johns Hopkins Bloomberg School of Public Health
218Improving Malaria Care Project (IMC)
Study Samplenn A total of 108 people were contacted:
nn 32 CHWsnn 42 community leadersnn 34 health care providers and managers
Stock-Out of Commodities among 32 CHWs
RDT use by CHWsnn All 32 CHWs had received training on how to perform RDTsnn 30 CHWs correctly described the steps to perform an RDTnn 25 CHWs performed the RDT correctly
Concerns of CHWsnn Non-payment of stipendsnn Difficulty in using data reporting toolsnn Lack of box to safely store suppliesnn Lack of transport to make home visits
Weaknesses in Supervision and Monitoringnn Supervision of RDT use was not specifically included in the setup
of the pilot RDT project.nn CHWs did receive normal supervision visits from health facilities,
but not specifically on RDT use.
0
5
10
15
20
25
30
35
15%
11%
32%32%
12%
Lack of Materials
Problem of TransportData Collection Problems
Non-Payment of Stipend
0
5
10
15
20
25
30
35
RDT Stock-Out
Nu
mb
er o
f CH
Ws
ACT Stock-Out No Gloves
19%
32%
15%
10%
AbbreviationsCHW community health workerNMCP National Malaria Control ProgramRDT rapid diagnostic test
