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Strengthening Malaria Service Delivery through Supportive Supervision and Community Mobilization in an Endemic Indian Setting : An Evaluation of Nested Delivery Models / Ashis Das
World Bank Open Knowledge Repository (formerly "World Bank E-Library Publications") Available online
View online- Format:
- Book
- Government document
- Author/Creator:
- Das, Ashis
- Series:
- Policy research working papers.
- World Bank e-Library.
- Language:
- English
- Subjects (All):
- Adolescent Health.
- Communities & Human Settlements.
- Community Mobilization.
- Determinants of Care-Seeking.
- Disease Control & Prevention.
- Health Monitoring & Evaluation.
- Health, Nutrition and Population.
- Housing & Human Habitats.
- Malaria.
- Population Policies.
- Local Subjects:
- Adolescent Health.
- Communities & Human Settlements.
- Community Mobilization.
- Determinants of Care-Seeking.
- Disease Control & Prevention.
- Health Monitoring & Evaluation.
- Health, Nutrition and Population.
- Housing & Human Habitats.
- Malaria.
- Population Policies.
- Physical Description:
- 1 online resource (37 pages)
- Other Title:
- Strengthening Malaria Service Delivery through Supportive Supervision and Community Mobilization in an Endemic Indian Setting
- Place of Publication:
- Washington, D.C., The World Bank, 2014
- System Details:
- data file
- Summary:
- Malaria continues to be a prominent global public health challenge, in part because of the slow population adoption of recommended preventive and curative behaviors. This paper tests the effectiveness of two service delivery models designed to promote recommended behaviors, including prompt treatment seeking for febrile illness, in Odisha India. The tested modules include supportive supervision of community health workers and community mobilization promoting appropriate health seeking. Program effects were identified through a randomized cluster trial comprising 120 villages from two purposively chosen malaria-endemic districts. Significant improvements were measured in the reported utilization of bed nets in both intervention arms vis-a-vis the control. Although overall rates of treatment seeking were equal across the study arms, treatment seeking from community health workers was higher in both intervention arms and care seeking from trained providers also increased with a substitution away from untrained providers. Further, fever cases in both treatments were more likely to have received timely medical treatment (within 24 hours) from a skilled provider. The study arm with supportive supervision was particularly effective in shifting care seeking to community health workers and ensuring prompt diagnosis and treatment. A community-based intervention combining the supportive supervision of community health workers with intensive community mobilization can be effective in shifting care seeking and increasing preventive behavior, and thus may be used to strengthen the national malaria control program.
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