Table 1 |
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Description of study sites and intervention implementation in four sites evaluating home management of malaria with artemisinin combination therapy |
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| Ejisu – Juaben District, Ghana |
Ho District, Ghana |
Badeku and Ojoku/Ajia Districts, Nigeria |
Bugiri and Iganga Districts, Uganda |
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| Population characteristics |
35 rural communities Population c. 38,000 Perennial malaria transmission |
49 urban & rural communities Population c. 42,000 Perennial malaria transmission |
40 rural communities Population 43,000 Perennial, hyperendemic malaria transmission |
56 rural communities Population c. 60,000 Perennial, hyperendemic transmission |
| Community medicine distributors |
54 (51 male) trusted members of community (farmers, teachers, drug sellers), chosen
by the community |
76 (48 male) trusted members of community (farmers, teachers, drug sellers), chosen
by the community |
60 (4 male) including drug sellers, health workers and mothers chosen by the communities |
118 (62 male) pre-existing cadre of CMDs (chosen by the community) |
| 5 days of training |
2 days of training |
2 days of training |
2 days of training |
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| Provided with bicycles, boots & $3.50 monthly |
Provided with T-shirts, watches, raincoats, torches & US$8 quarterly |
Received commission of 20–30 US cents per pack distributed. Provided with T-shirts,
transport reimbursement, Festivity gift, and certificates. |
Transport refund of USD 1.16 per meeting. T-shirts, baseball caps, certificates |
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| Bimonthly supervision by research staff; Monthly supervision by community Health Officers |
Monthly supervision by health staff and quarterly meetings |
Monthly supervision by research staff |
Monthly supervision by health staff |
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| CMDs were not obliged to follow up caregivers. However, some of them followed up and
some gave drugs under direct observation. |
No active follow-up of caregivers by CMDs. |
Program ran within existing home management system. CMDs actively followed up treated
children to establish treatment outcome |
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| Drugs and dosing schedule |
Artesunate+Amodiaquine (ASAQ) once daily for 3 days 2 types of blister pack, for children < 1 year and children 1 year and above |
Artemether-lumefantrine (Coartem®) twice daily for 3 days 2 types of blister pack, for children < 3 years and children 3 years and above |
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| 10 US cents for <1 year 20 US cents for 1 year and above |
20 US cents for < 3 years 30 US cents for 3 years and above Charged for first 6 months only, thereafter free |
Free |
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Ajayi et al. Malaria Journal 2008 7:6 doi:10.1186/1475-2875-7-6 |
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