The Role of Community Health Promoters in Combating Malaria in Kenya: The Case of Nyakach Sub-County, Kisumu County

Author:

Were Enock MulekanoORCID

Abstract

About 250 million malaria cases are reported annually in the world. The disease disproportionately affects warm, humid regions, including many tropical countries such as Kenya. The Kenyan government has implemented measures to control malaria, including the deployment of community health promoters (CHPs). However, little is known about the effectiveness of CHPs in combating malaria cases in highly endemic areas like Nyakach Sub-County and Kisumu County. Specifically, the study assessed the impact of CHPs’ in malaria surveillance. The study was underpinned by the health belief model. A cross-sectional descriptive study design was employed, with a mixed methods approach aimed at collecting both quantitative and qualitative data from households and CHPs in the Sub-County. Cluster sampling was employed for quantitative data collection, while snowball sampling was used for qualitative data, guided by data saturation. Thematic analysis was done for themes and contingency tables developed for categories, while a multiple regression analysis was conducted to determine the relationships among the independent variable (malaria surveillance), the moderating variable (motivation and willingness of CHPs), and the dependent variable (combating malaria cases). Findings reveal that regular visits by CHPs have been effective in identifying potential malaria cases in the community. At p value=0.000, there was a moderate positive relationship between combating of malaria cases and malaria surveillance activities conducted by CHPs (r = 0.507, n=277). The study recommends strengthening existing surveillance approaches used by the CHPs. The study further recommends regular training programs for CHPs to ensure they are well-equipped with the latest techniques and knowledge for effective malaria surveillance.

Publisher

AJER Publishing

Reference36 articles.

1. Amboko, B., Stepniewska, K., Malla, L., Machini, B., Bejon, P., W, S. R., & Zurovac, D. (2021). Determinants of improvement trends in health workers compliance with outpatient malaria case-management guidelines at health facilities with available test and treat commodities in Kenya. PLoS ONE, 16, 11. https://doi.org/10.1371/journal.pone.0259020

2. Aron, M. B., Ndambo, M. K., Munyaneza, F., Mulwafu, M., Makungwa, H., Nhlema, B., & Connolly, E. (2023). A time-motion study of community health promoters delivering community-based primary health care in Neno District, Malawi. Human Resources for Health, 21, 51. https://doi.org/10.1186/s12960-023-00839-z

3. Assegaai, T., & Schneider, H. (2022). Factors Associated With Workplace and Interpersonal Trust in the Supervisory System of a Community Health Worker Programme in a Rural South African District. International Journal of Health Policy and Management, 11(Special Issue on CHS-Connect), 31-38. https://doi.org/10.34172/IJHPM.2021.03

4. Bagonza, J., Kibira, S. P., & Rutebemberwa, E. (2018). Performance of community health promoters managing malaria, pneumonia, and diarrhoea under the community case management programme in central Uganda: a cross-sectional study. Malaria Journal, 13(1), 367. https://doi.org/10.1186/1475-2875-13-367

5. Chipukuma, H. M., Halwiindi, H., Zulu, J. M., Azizi, S. C., & Jacobs, C. (2020). Evaluating fidelity of community health worker roles in malaria prevention and control programs in Livingstone District, Zambia-A bottleneck analysis. BMC Health Services Research, 20(1), 612. https://doi.org/10.1186/s12913-020-05458-1

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3