Post-discharge malaria chemoprevention (PMC) in Malawi: caregivers` acceptance and preferences with regard to delivery methods

BMC Health Services Research
Sarah SvegeSiri Lange

Abstract

In malaria endemic countries of sub-Saharan Africa, many children develop severe anaemia due to previous and current malaria infections. After blood transfusions and antimalarial treatment at the hospital they are usually discharged without any follow-up. In the post-discharge period, these children may contract new malaria infections and develop rebound severe anaemia. A randomised placebo-controlled trial in Malawi showed 31% reduction in malaria- and anaemia-related deaths or hospital readmissions among children under 5 years of age given antimalarial drugs for 3 months post-discharge. Thus, post-discharge malaria chemoprevention (PMC) may provide substantial protection against malaria and anaemia in young children living in areas of high malaria transmission. A delivery implementation trial is currently being conducted in Malawi to determine the optimal strategy for PMC delivery. In the trial, PMC is delivered through community- or facility-based methods with or without the use of reminders via phone text message or visit from a Health Surveillance Assistant. This paper describes the acceptance of PMC among caregivers. From October to December 2016, 30 in-depth interviews and 5 focus group discussions were conducted with ca...Continue Reading

References

Sep 21, 2013·BMC Medical Research Methodology·Nicola K GaleSabi Redwood
Mar 14, 2014·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Joaniter I NankabirwaMoses R Kamya
Nov 30, 2016·Malawi Medical Journal : the Journal of Medical Association of Malawi·Kingsley R ChikaphuphaSally Theobald

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