Cargando…

Promoting community knowledge and action for malaria control in rural Cambodia: potential contributions of Village Malaria Workers

BACKGROUND: Cambodia has been investing in Village Malaria Workers (VMWs) to improve malaria case management in rural areas. This study assessed the quality of the VMWs’ services compared to those by a government-run health center from the perspective of community members. We focused on VMWs’ contri...

Descripción completa

Detalles Bibliográficos
Autores principales: Lim, Sachiko, Yasuoka, Junko, Poudel, Krishna C, Ly, Po, Nguon, Chea, Jimba, Masamine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3475080/
https://www.ncbi.nlm.nih.gov/pubmed/22863397
http://dx.doi.org/10.1186/1756-0500-5-405
_version_ 1782246900503674880
author Lim, Sachiko
Yasuoka, Junko
Poudel, Krishna C
Ly, Po
Nguon, Chea
Jimba, Masamine
author_facet Lim, Sachiko
Yasuoka, Junko
Poudel, Krishna C
Ly, Po
Nguon, Chea
Jimba, Masamine
author_sort Lim, Sachiko
collection PubMed
description BACKGROUND: Cambodia has been investing in Village Malaria Workers (VMWs) to improve malaria case management in rural areas. This study assessed the quality of the VMWs’ services compared to those by a government-run health center from the perspective of community members. We focused on VMWs’ contribution to promote their action to control malaria. A community-based cross-sectional study was conducted in Kampot province in 2009. Interviews were conducted at every accessible household in a village with VMWs (n = 153) and a village with a health center (n = 159), using interviewer administered questionnaire. Preference of the interview was given to female household head. Multiple regression analyses were run to compare knowledge about malaria, preventive measures taken, and time before first malaria treatment between the two villages. FINDINGS: The villagers perceived the VMWs’ services equally as good as those provided by the health center. After controlling for confounding factors, the following indicators did not show any statistical significance between two villages: community members’ knowledge about malaria transmission (AOR = 0.60, 95% CI = 0.30-1.22) and government-recommended antimalarial (AOR = 0.55, 95% CI = 0.25-1.23), preventive measures taken (Beta = −0.191, p = 0.315), and time before the first treatment (Beta = 0.053, p = 0.721). However, knowledge about malaria symptoms was significantly lower in the village with VMWs than the village with a health center (AOR = 0.40, 95% CI = 0.19-0.83). CONCLUSIONS: VMWs played an equivalent role as the health center in promoting malaria knowledge, action, and effective case management. Although VMWs need to enhance community knowledge about malaria symptoms, the current government policy on VMWs is reasonable and should be expanded to other malaria endemic villages.
format Online
Article
Text
id pubmed-3475080
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-34750802012-10-19 Promoting community knowledge and action for malaria control in rural Cambodia: potential contributions of Village Malaria Workers Lim, Sachiko Yasuoka, Junko Poudel, Krishna C Ly, Po Nguon, Chea Jimba, Masamine BMC Res Notes Short Report BACKGROUND: Cambodia has been investing in Village Malaria Workers (VMWs) to improve malaria case management in rural areas. This study assessed the quality of the VMWs’ services compared to those by a government-run health center from the perspective of community members. We focused on VMWs’ contribution to promote their action to control malaria. A community-based cross-sectional study was conducted in Kampot province in 2009. Interviews were conducted at every accessible household in a village with VMWs (n = 153) and a village with a health center (n = 159), using interviewer administered questionnaire. Preference of the interview was given to female household head. Multiple regression analyses were run to compare knowledge about malaria, preventive measures taken, and time before first malaria treatment between the two villages. FINDINGS: The villagers perceived the VMWs’ services equally as good as those provided by the health center. After controlling for confounding factors, the following indicators did not show any statistical significance between two villages: community members’ knowledge about malaria transmission (AOR = 0.60, 95% CI = 0.30-1.22) and government-recommended antimalarial (AOR = 0.55, 95% CI = 0.25-1.23), preventive measures taken (Beta = −0.191, p = 0.315), and time before the first treatment (Beta = 0.053, p = 0.721). However, knowledge about malaria symptoms was significantly lower in the village with VMWs than the village with a health center (AOR = 0.40, 95% CI = 0.19-0.83). CONCLUSIONS: VMWs played an equivalent role as the health center in promoting malaria knowledge, action, and effective case management. Although VMWs need to enhance community knowledge about malaria symptoms, the current government policy on VMWs is reasonable and should be expanded to other malaria endemic villages. BioMed Central 2012-08-03 /pmc/articles/PMC3475080/ /pubmed/22863397 http://dx.doi.org/10.1186/1756-0500-5-405 Text en Copyright ©2012 Lim et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Short Report
Lim, Sachiko
Yasuoka, Junko
Poudel, Krishna C
Ly, Po
Nguon, Chea
Jimba, Masamine
Promoting community knowledge and action for malaria control in rural Cambodia: potential contributions of Village Malaria Workers
title Promoting community knowledge and action for malaria control in rural Cambodia: potential contributions of Village Malaria Workers
title_full Promoting community knowledge and action for malaria control in rural Cambodia: potential contributions of Village Malaria Workers
title_fullStr Promoting community knowledge and action for malaria control in rural Cambodia: potential contributions of Village Malaria Workers
title_full_unstemmed Promoting community knowledge and action for malaria control in rural Cambodia: potential contributions of Village Malaria Workers
title_short Promoting community knowledge and action for malaria control in rural Cambodia: potential contributions of Village Malaria Workers
title_sort promoting community knowledge and action for malaria control in rural cambodia: potential contributions of village malaria workers
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3475080/
https://www.ncbi.nlm.nih.gov/pubmed/22863397
http://dx.doi.org/10.1186/1756-0500-5-405
work_keys_str_mv AT limsachiko promotingcommunityknowledgeandactionformalariacontrolinruralcambodiapotentialcontributionsofvillagemalariaworkers
AT yasuokajunko promotingcommunityknowledgeandactionformalariacontrolinruralcambodiapotentialcontributionsofvillagemalariaworkers
AT poudelkrishnac promotingcommunityknowledgeandactionformalariacontrolinruralcambodiapotentialcontributionsofvillagemalariaworkers
AT lypo promotingcommunityknowledgeandactionformalariacontrolinruralcambodiapotentialcontributionsofvillagemalariaworkers
AT nguonchea promotingcommunityknowledgeandactionformalariacontrolinruralcambodiapotentialcontributionsofvillagemalariaworkers
AT jimbamasamine promotingcommunityknowledgeandactionformalariacontrolinruralcambodiapotentialcontributionsofvillagemalariaworkers