Your browser doesn't support javascript.
loading
The provision of malaria services in border districts of four countries in Southern Africa: results from a cross-sectional community assessment of malaria border health posts
Chisenga, Mukosha; Dlamini, Bongani; Mwendera, Nyasha; Maquina, Paulo; Hamainza, Busiku; Martins, José Franco; Saute, Francisco; Bock, Henrico; Gosling, Roly; Bennett, Adam; Smith, Jennifer; Kleinschmidt, Immo.
Afiliação
  • Chisenga, Mukosha; Southern African Development Community Malaria Elimination Eight Secretariat. Windhoek. NA
  • Dlamini, Bongani; Southern African Development Community Malaria Elimination Eight Secretariat. Windhoek. NA
  • Mwendera, Nyasha; Southern African Development Community Malaria Elimination Eight Secretariat. Windhoek. NA
  • Maquina, Paulo; Southern African Development Community Malaria Elimination Eight Secretariat. Windhoek. NA
  • Hamainza, Busiku; Ministry of Health, National Malaria Elimination Centre, Chainama Hospital College. Lusaka. ZM
  • Martins, José Franco; National Malaria Control Programme, Ministry of Health. Luanda. AO
  • Saute, Francisco; Manhiça Health Research Centre. Manhiça. MZ
  • Bock, Henrico; Multidisciplinary Research Centre, University of Namibia. Windhoek. NA
  • Gosling, Roly; Malaria Elimination Initiative, Global Health Group, University of California. Department of Disease Control, London School of Hygiene and Tropical Medicine, London, UK. Sao Francisco. US
  • Bennett, Adam; PATH. Seattle. US
  • Smith, Jennifer; Malaria Elimination Initiative, Global Health Group, University of California. Sao Francisco. US
  • Kleinschmidt, Immo; Southern African Development Community Malaria Elimination Eight Secretariat. Faculty of Health Sciences, School of Pathology, Wits Research Institute for Malaria, University of the Witwatersrand. MRC International Statistics and Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine. Windhoek. NA
Malar. j. (Online) ; 22(318): 1-11, out 20, 2023. mapas, tab
Article em En | AIM, RSDM | ID: biblio-1531694
Biblioteca responsável: MZ1.1
ABSTRACT
Background The importation of parasites across borders remains a threat to malaria elimination. The Southern African Development Community Malaria Elimination Eight (E8) established 39 border health facilities on 5 key international borders between high and low-burden countries. These clinics aimed to improve access to prevention, diagnosis, and treatment of malaria for residents in border areas and for mobile and migrant populations who frequently cross borders. Studies were conducted in each of the four high-burden E8 countries (Angola, Mozambique, Zambia, and Zimbabwe) to evaluate malaria services in border areas. Methods Cross-sectional surveys were conducted within 30 km of recently established E8 Border Health Posts. Structured questionnaires were administered to randomly selected respondents to assess malaria-related knowledge and behavior, access to malaria prevention, diagnosis and treatment of malaria, and risk factors for malaria associated with local and cross-border travel. Results Results showed that most providers followed appropriate guidelines performing blood tests when individuals presented with fever, and that nearly all those who reported a positive blood test received medication. Lack of access to health care due to distance, cost or mistrust of the provider was rare. A minority of respondents reported not receiving timely diagnosis either because they did not seek help, or because they were not ofered a blood test when presenting with fever. There was a high level of correct knowledge of causes, symptoms, and prevention of malaria. A majority, of border residents had access to primary prevention against malaria through either long-lasting insecticidal nets (LLINs) or indoor residual spraying (IRS). Cross border travel was common with travellers reporting sleeping outside without protection against malaria. Conclusions The study demonstrated the importance of border health facilities in providing access to malaria services. Prevention needs to be improved for people who travel and sleep outdoors. Community health workers can play a key role in providing access to information, testing and treating malaria.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 06-national / MZ Base de dados: AIM / RSDM Assunto principal: Saúde na Fronteira / Malária Limite: Female / Humans / Male País/Região como assunto: Africa Idioma: En Revista: Malar. j. (Online) Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 06-national / MZ Base de dados: AIM / RSDM Assunto principal: Saúde na Fronteira / Malária Limite: Female / Humans / Male País/Região como assunto: Africa Idioma: En Revista: Malar. j. (Online) Ano de publicação: 2023 Tipo de documento: Article
...