Impact of Home-Based Management of malaria combined with other community-based interventions: what do we learn from Rwanda?

  • Manasse Nzayirambaho
  • Jean De Dieu Bizimana
  • Robert Jean Freund
  • Pascal Millet
  • François-Xavier Merrien
  • Gilles Potel
  • Pierre Lombrail

Abstract

Introduction: This study aimed to evaluate the impact of home-based management of malaria (HBM) strategy on time to treatment and reported presumed malaria morbidity in children aged less than 5 years in Rwanda. Methods: The study was carried out in two malaria-endemic rural districts, one where HBM was applied and the other serving as control. In each district, a sample of mothers was surveyed by questionnaire before (2004) and after (2007) implementation of HBM. Results: After implementation, we observed: i) an increase (P<0.001) in the number of febrile children treated within 24 hours of symptom onset in the experimental district (53.7% in 2007 vs 5% in 2004) compared with the control district (28% vs 7.7%); ii) a decrease in the reported number of febrile children in the experimental district (28.7% vs 44.9%, P<0.01) compared with the control district (45.7% vs 56.5%, P<0.05). Conclusion: HBM contributed to decrease time to treatment and reported presumed malaria morbidity.

Pan African Medical Journal 2013; 14:50

Author Biographies

Manasse Nzayirambaho
National University of Rwanda School of Public Health, Kigali, Rwanda
Jean De Dieu Bizimana
National University of Rwanda School of Public Health, Kigali, Rwanda
Robert Jean Freund
École des Hautes Etudes en Santé Publique, Rennes, France
Pascal Millet
Centre René-Labusquière, Université Victor-Segalen Bordeaux-2, Bordeaux, France
François-Xavier Merrien
Faculté des Sciences Sociales et Politiques, Université de Lausanne, Lausanne, Switzerland
Gilles Potel
Laboratoire EA 3826 (Thérapeutiques Cliniques et Expérimentales des Infections), UFR Médecine et Techniques Médicales, Université de Nantes, Nantes, France
Pierre Lombrail
Laboratoire de Santé Publique et d’Epidémiologie, UFR Médecine et Techniques Médicales, Université de Nantes, Nantes, France
Published
2013-05-02
Section
Articles

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eISSN: 1937-8688