Understanding and improving access to prompt and effective malaria treatment and care in rural Tanzania: the ACCESS Programme

<p>Abstract</p> <p>Background</p> <p>Prompt access to effective treatment is central in the fight against malaria. However, a variety of interlinked factors at household and health system level influence access to timely and appropriate treatment and care. Furthermore,...

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Main Authors: Alba Sandra, Dillip Angel, Nathan Rose, Schulze Alexander, Obrist Brigit, Lengeler Christian, Mshana Christopher, Makemba Ahmed, Iteba Nelly, Hetzel Manuel W, Mayumana Iddy, Khatib Rashid A, Njau Joseph D, Mshinda Hassan
Format: Article
Language:English
Published: BMC 2007-06-01
Series:Malaria Journal
Online Access:http://www.malariajournal.com/content/6/1/83
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author Alba Sandra
Dillip Angel
Nathan Rose
Schulze Alexander
Obrist Brigit
Lengeler Christian
Mshana Christopher
Makemba Ahmed
Iteba Nelly
Hetzel Manuel W
Mayumana Iddy
Khatib Rashid A
Njau Joseph D
Mshinda Hassan
author_facet Alba Sandra
Dillip Angel
Nathan Rose
Schulze Alexander
Obrist Brigit
Lengeler Christian
Mshana Christopher
Makemba Ahmed
Iteba Nelly
Hetzel Manuel W
Mayumana Iddy
Khatib Rashid A
Njau Joseph D
Mshinda Hassan
author_sort Alba Sandra
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Prompt access to effective treatment is central in the fight against malaria. However, a variety of interlinked factors at household and health system level influence access to timely and appropriate treatment and care. Furthermore, access may be influenced by global and national health policies. As a consequence, many malaria episodes in highly endemic countries are not treated appropriately.</p> <p>Project</p> <p>The ACCESS Programme aims at understanding and improving access to prompt and effective malaria treatment and care in a rural Tanzanian setting. The programme's strategy is based on a set of integrated interventions, including social marketing for improved care seeking at community level as well as strengthening of quality of care at health facilities. This is complemented by a project that aims to improve the performance of drug stores. The interventions are accompanied by a comprehensive set of monitoring and evaluation activities measuring the programme's performance and (health) impact. Baseline data demonstrated heterogeneity in the availability of malaria treatment, unavailability of medicines and treatment providers in certain areas as well as quality problems with regard to drugs and services.</p> <p>Conclusion</p> <p>The ACCESS Programme is a combination of multiple complementary interventions with a strong evaluation component. With this approach, ACCESS aims to contribute to the development of a more comprehensive access framework and to inform and support public health professionals and policy-makers in the delivery of improved health services.</p>
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spelling doaj.art-4a637b4058d549959ba6cd588b46ef972022-12-22T03:20:24ZengBMCMalaria Journal1475-28752007-06-01618310.1186/1475-2875-6-83Understanding and improving access to prompt and effective malaria treatment and care in rural Tanzania: the ACCESS ProgrammeAlba SandraDillip AngelNathan RoseSchulze AlexanderObrist BrigitLengeler ChristianMshana ChristopherMakemba AhmedIteba NellyHetzel Manuel WMayumana IddyKhatib Rashid ANjau Joseph DMshinda Hassan<p>Abstract</p> <p>Background</p> <p>Prompt access to effective treatment is central in the fight against malaria. However, a variety of interlinked factors at household and health system level influence access to timely and appropriate treatment and care. Furthermore, access may be influenced by global and national health policies. As a consequence, many malaria episodes in highly endemic countries are not treated appropriately.</p> <p>Project</p> <p>The ACCESS Programme aims at understanding and improving access to prompt and effective malaria treatment and care in a rural Tanzanian setting. The programme's strategy is based on a set of integrated interventions, including social marketing for improved care seeking at community level as well as strengthening of quality of care at health facilities. This is complemented by a project that aims to improve the performance of drug stores. The interventions are accompanied by a comprehensive set of monitoring and evaluation activities measuring the programme's performance and (health) impact. Baseline data demonstrated heterogeneity in the availability of malaria treatment, unavailability of medicines and treatment providers in certain areas as well as quality problems with regard to drugs and services.</p> <p>Conclusion</p> <p>The ACCESS Programme is a combination of multiple complementary interventions with a strong evaluation component. With this approach, ACCESS aims to contribute to the development of a more comprehensive access framework and to inform and support public health professionals and policy-makers in the delivery of improved health services.</p>http://www.malariajournal.com/content/6/1/83
spellingShingle Alba Sandra
Dillip Angel
Nathan Rose
Schulze Alexander
Obrist Brigit
Lengeler Christian
Mshana Christopher
Makemba Ahmed
Iteba Nelly
Hetzel Manuel W
Mayumana Iddy
Khatib Rashid A
Njau Joseph D
Mshinda Hassan
Understanding and improving access to prompt and effective malaria treatment and care in rural Tanzania: the ACCESS Programme
Malaria Journal
title Understanding and improving access to prompt and effective malaria treatment and care in rural Tanzania: the ACCESS Programme
title_full Understanding and improving access to prompt and effective malaria treatment and care in rural Tanzania: the ACCESS Programme
title_fullStr Understanding and improving access to prompt and effective malaria treatment and care in rural Tanzania: the ACCESS Programme
title_full_unstemmed Understanding and improving access to prompt and effective malaria treatment and care in rural Tanzania: the ACCESS Programme
title_short Understanding and improving access to prompt and effective malaria treatment and care in rural Tanzania: the ACCESS Programme
title_sort understanding and improving access to prompt and effective malaria treatment and care in rural tanzania the access programme
url http://www.malariajournal.com/content/6/1/83
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