Village malaria workers for the community-based management of vivax malaria
Summary: In Cambodia, malaria cases are on a trajectory towards the goal of malaria elimination by 2025. Vivax malaria is difficult to eliminate because of hypnozoites that can cause relapse. Primaquine, an 8-aminoquinoline, clears hypnozoites but requires testing for glucose-6-phosphate dehydrogena...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-02-01
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| Series: | The Lancet Regional Health - Southeast Asia |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772368222001457 |
| _version_ | 1811178217650782208 |
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| author | Bipin Adhikari Rupam Tripura Thomas J. Peto James J. Callery Lorenz von Seidlein Lek Dysoley Arjen M. Dondorp |
| author_facet | Bipin Adhikari Rupam Tripura Thomas J. Peto James J. Callery Lorenz von Seidlein Lek Dysoley Arjen M. Dondorp |
| author_sort | Bipin Adhikari |
| collection | DOAJ |
| description | Summary: In Cambodia, malaria cases are on a trajectory towards the goal of malaria elimination by 2025. Vivax malaria is difficult to eliminate because of hypnozoites that can cause relapse. Primaquine, an 8-aminoquinoline, clears hypnozoites but requires testing for glucose-6-phosphate dehydrogenase (G6PD) deficiency. Routine primaquine treatment of vivax malaria has recently been implemented in Cambodia in which Village Malaria Workers (VMWs) diagnose vivax malaria by rapid diagnostic test and refer patients to health centres for G6PD testing and further treatment. Patients are referred back to the VMWs for monitoring adverse symptoms and treatment adherence. This article explores how VMWs’ roles might be optimized for the community-based management of vivax malaria. With sufficient training and supervision, the role of VMWs might be expanded to include G6PD testing, making referral to the health centre superfluous. Community-based management of vivax malaria could increase the coverage of radical cure and accelerate vivax malaria elimination. |
| first_indexed | 2024-04-11T06:14:45Z |
| format | Article |
| id | doaj.art-f44f88f92c664d398e2dbfa827f6342f |
| institution | Directory Open Access Journal |
| issn | 2772-3682 |
| language | English |
| last_indexed | 2024-04-11T06:14:45Z |
| publishDate | 2023-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Regional Health - Southeast Asia |
| spelling | doaj.art-f44f88f92c664d398e2dbfa827f6342f2022-12-22T04:41:06ZengElsevierThe Lancet Regional Health - Southeast Asia2772-36822023-02-019100128Village malaria workers for the community-based management of vivax malariaBipin Adhikari0Rupam Tripura1Thomas J. Peto2James J. Callery3Lorenz von Seidlein4Lek Dysoley5Arjen M. Dondorp6Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK; Corresponding author. Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UKMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UKMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UKMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UKC.N.M National Center for Parasitology, Entomology and Malaria Control, Phnom Penh, Cambodia; School of Public Health, National Institute of Public Health, Phnom Penh, CambodiaMahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand; Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UKSummary: In Cambodia, malaria cases are on a trajectory towards the goal of malaria elimination by 2025. Vivax malaria is difficult to eliminate because of hypnozoites that can cause relapse. Primaquine, an 8-aminoquinoline, clears hypnozoites but requires testing for glucose-6-phosphate dehydrogenase (G6PD) deficiency. Routine primaquine treatment of vivax malaria has recently been implemented in Cambodia in which Village Malaria Workers (VMWs) diagnose vivax malaria by rapid diagnostic test and refer patients to health centres for G6PD testing and further treatment. Patients are referred back to the VMWs for monitoring adverse symptoms and treatment adherence. This article explores how VMWs’ roles might be optimized for the community-based management of vivax malaria. With sufficient training and supervision, the role of VMWs might be expanded to include G6PD testing, making referral to the health centre superfluous. Community-based management of vivax malaria could increase the coverage of radical cure and accelerate vivax malaria elimination.http://www.sciencedirect.com/science/article/pii/S2772368222001457MalariaVillage malaria workersCommunity health workersHealth system integrationCommunity and stakeholder engagementVivax malaria management |
| spellingShingle | Bipin Adhikari Rupam Tripura Thomas J. Peto James J. Callery Lorenz von Seidlein Lek Dysoley Arjen M. Dondorp Village malaria workers for the community-based management of vivax malaria The Lancet Regional Health - Southeast Asia Malaria Village malaria workers Community health workers Health system integration Community and stakeholder engagement Vivax malaria management |
| title | Village malaria workers for the community-based management of vivax malaria |
| title_full | Village malaria workers for the community-based management of vivax malaria |
| title_fullStr | Village malaria workers for the community-based management of vivax malaria |
| title_full_unstemmed | Village malaria workers for the community-based management of vivax malaria |
| title_short | Village malaria workers for the community-based management of vivax malaria |
| title_sort | village malaria workers for the community based management of vivax malaria |
| topic | Malaria Village malaria workers Community health workers Health system integration Community and stakeholder engagement Vivax malaria management |
| url | http://www.sciencedirect.com/science/article/pii/S2772368222001457 |
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