Strengthening Malaria Service Delivery through Supportive Supervision and Community Mobilization in an Endemic Indian Setting : An Evaluation of Nested Delivery Models
Malaria continues to be a prominent global public health challenge, in part because of the slow population adoption of recommended preventive and curative behaviors. This paper tests the effectiveness of two service delivery models designed to prom...
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| Format: | Policy Research Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2014
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| Online Access: | http://documents.worldbank.org/curated/en/2014/05/19611110/strengthening-malaria-service-delivery-through-supportive-supervision-community-mobilization-endemic-indian-setting-evaluation-nested-delivery-models-strengthening-malaria-service-delivery-through-supportive-supervision-community-mobilization-endemic-indian-setting-evaluation-nested-delivery-models http://hdl.handle.net/10986/18785 |
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okr-10986-18785 |
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oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ACCESS TO TREATMENT ANTIMALARIAL DRUGS BACK MALARIA BEHAVIOR CHANGE BIRTH OUTCOMES CAPACITY BUILDING CARE PROVIDERS CARE SEEKING CASE MANAGEMENT CHILDBEARING COMMUNICATION CHANNELS COMMUNITIES COMMUNITY HEALTH COMMUNITY HEALTH CARE COMMUNITY HEALTH WORKERS COMMUNITY INVOLVEMENT COMMUNITY MOBILIZATION COMMUNITY PARTICIPATION COST EFFECTIVENESS CS DEPRESSION DEVELOPMENT POLICY DIAGNOSIS DIAGNOSTIC TESTS DISEASE DISEASE BURDEN DISEASE CONTROL DISEASE TRANSMISSION DISEASES DISSEMINATION DISTRICTS DRUG USERS EARLY DETECTION ECONOMIC STATUS EQUALITY EXERCISES FAMILY WELFARE FEBRILE ILLNESS FEMALE FEMALES FEVER FORMAL EDUCATION HEALTH ACTIVISTS HEALTH BEHAVIOR HEALTH CENTERS HEALTH CONDITIONS HEALTH FACILITIES HEALTH FACILITY HEALTH INTERVENTIONS HEALTH MANAGEMENT HEALTH NEEDS HEALTH POLICY HEALTH SECTOR HEALTH SEEKING HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HOUSEHOLD LEVEL HOUSEHOLD SIZE HOUSEHOLD SURVEYS HOUSEHOLDS ILLNESSES IMMUNIZATION INHABITANTS INTERVENTION KINSHIP LOCAL CAPACITY LOCAL COMMUNITY MALARIA MALARIA BURDEN MALARIA CASES MALARIA CONTROL MALARIA IN PREGNANCY MALARIA MORBIDITY MALARIA REPORT MALARIA TREATMENT MEDICAL RESEARCH MEDICAL TREATMENT MEDICINES MINISTRY OF HEALTH MORBIDITY MORBIDITY AND MORTALITY MORTALITY NEWBORN NEWBORN HEALTH NURSES ONCHOCERCIASIS ONCHOCERCIASIS CONTROL PERIPHERAL HEALTH FACILITIES PNEUMONIA POLICY DISCUSSIONS POLICY IMPLICATIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POPULATION INFORMATION POSTERS PREGNANCY PREGNANT WOMEN PREVALENCE PREVENTION ACTIVITIES PREVENTION OF MALARIA PRIMARY EDUCATION PRIMARY HEALTH CARE PRIMARY SCHOOL PROGRESS PUBLIC HEALTH PUBLIC SERVICE QUALITY ASSURANCE QUALITY IMPROVEMENT RELIGIOUS GROUPS REPRODUCTIVE AGE RURAL AREAS RURAL COMMUNITIES RURAL DISTRICT SANITATION SCHOOLS SELF HELP SERVICE DELIVERY SERVICE DELIVERY MODELS SEX SEX WORKERS SLEEP SOCIAL NORMS SPONSORS SYMPTOMS THERAPY TRADITIONAL MEDIA TREATMENT OF MALARIA VILLAGE LEVEL VILLAGES VULNERABLE POPULATIONS WOMEN OF CHILDBEARING AGE WORKERS WORLD HEALTH ORGANIZATION YOUNG CHILDREN YOUTH YOUTH CLUBS |
| spellingShingle |
ACCESS TO TREATMENT ANTIMALARIAL DRUGS BACK MALARIA BEHAVIOR CHANGE BIRTH OUTCOMES CAPACITY BUILDING CARE PROVIDERS CARE SEEKING CASE MANAGEMENT CHILDBEARING COMMUNICATION CHANNELS COMMUNITIES COMMUNITY HEALTH COMMUNITY HEALTH CARE COMMUNITY HEALTH WORKERS COMMUNITY INVOLVEMENT COMMUNITY MOBILIZATION COMMUNITY PARTICIPATION COST EFFECTIVENESS CS DEPRESSION DEVELOPMENT POLICY DIAGNOSIS DIAGNOSTIC TESTS DISEASE DISEASE BURDEN DISEASE CONTROL DISEASE TRANSMISSION DISEASES DISSEMINATION DISTRICTS DRUG USERS EARLY DETECTION ECONOMIC STATUS EQUALITY EXERCISES FAMILY WELFARE FEBRILE ILLNESS FEMALE FEMALES FEVER FORMAL EDUCATION HEALTH ACTIVISTS HEALTH BEHAVIOR HEALTH CENTERS HEALTH CONDITIONS HEALTH FACILITIES HEALTH FACILITY HEALTH INTERVENTIONS HEALTH MANAGEMENT HEALTH NEEDS HEALTH POLICY HEALTH SECTOR HEALTH SEEKING HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HOUSEHOLD LEVEL HOUSEHOLD SIZE HOUSEHOLD SURVEYS HOUSEHOLDS ILLNESSES IMMUNIZATION INHABITANTS INTERVENTION KINSHIP LOCAL CAPACITY LOCAL COMMUNITY MALARIA MALARIA BURDEN MALARIA CASES MALARIA CONTROL MALARIA IN PREGNANCY MALARIA MORBIDITY MALARIA REPORT MALARIA TREATMENT MEDICAL RESEARCH MEDICAL TREATMENT MEDICINES MINISTRY OF HEALTH MORBIDITY MORBIDITY AND MORTALITY MORTALITY NEWBORN NEWBORN HEALTH NURSES ONCHOCERCIASIS ONCHOCERCIASIS CONTROL PERIPHERAL HEALTH FACILITIES PNEUMONIA POLICY DISCUSSIONS POLICY IMPLICATIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POPULATION INFORMATION POSTERS PREGNANCY PREGNANT WOMEN PREVALENCE PREVENTION ACTIVITIES PREVENTION OF MALARIA PRIMARY EDUCATION PRIMARY HEALTH CARE PRIMARY SCHOOL PROGRESS PUBLIC HEALTH PUBLIC SERVICE QUALITY ASSURANCE QUALITY IMPROVEMENT RELIGIOUS GROUPS REPRODUCTIVE AGE RURAL AREAS RURAL COMMUNITIES RURAL DISTRICT SANITATION SCHOOLS SELF HELP SERVICE DELIVERY SERVICE DELIVERY MODELS SEX SEX WORKERS SLEEP SOCIAL NORMS SPONSORS SYMPTOMS THERAPY TRADITIONAL MEDIA TREATMENT OF MALARIA VILLAGE LEVEL VILLAGES VULNERABLE POPULATIONS WOMEN OF CHILDBEARING AGE WORKERS WORLD HEALTH ORGANIZATION YOUNG CHILDREN YOUTH YOUTH CLUBS Das, Ashis Friedman, Jed Kandpal, Eeshani Ramana, GNV Das Gupta, R K Pradhan, Madan M Govindaraj, Ramesh Strengthening Malaria Service Delivery through Supportive Supervision and Community Mobilization in an Endemic Indian Setting : An Evaluation of Nested Delivery Models |
| geographic_facet |
South Asia India |
| relation |
Policy Research Working Paper;No. 6901 |
| description |
Malaria continues to be a prominent
global public health challenge, in part because of the slow
population adoption of recommended preventive and curative
behaviors. This paper tests the effectiveness of two service
delivery models designed to promote recommended behaviors,
including prompt treatment seeking for febrile illness, in
Odisha India. The tested modules include supportive
supervision of community health workers and community
mobilization promoting appropriate health seeking. Program
effects were identified through a randomized cluster trial
comprising 120 villages from two purposively chosen
malaria-endemic districts. Significant improvements were
measured in the reported utilization of bed nets in both
intervention arms vis-à-vis the control. Although overall
rates of treatment seeking were equal across the study arms,
treatment seeking from community health workers was higher
in both intervention arms and care seeking from trained
providers also increased with a substitution away from
untrained providers. Further, fever cases in both treatments
were more likely to have received timely medical treatment
(within 24 hours) from a skilled provider. The study arm
with supportive supervision was particularly effective in
shifting care seeking to community health workers and
ensuring prompt diagnosis and treatment. A community-based
intervention combining the supportive supervision of
community health workers with intensive community
mobilization can be effective in shifting care seeking and
increasing preventive behavior, and thus may be used to
strengthen the national malaria control program. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Das, Ashis Friedman, Jed Kandpal, Eeshani Ramana, GNV Das Gupta, R K Pradhan, Madan M Govindaraj, Ramesh |
| author_facet |
Das, Ashis Friedman, Jed Kandpal, Eeshani Ramana, GNV Das Gupta, R K Pradhan, Madan M Govindaraj, Ramesh |
| author_sort |
Das, Ashis |
| title |
Strengthening Malaria Service Delivery through Supportive Supervision and Community Mobilization in an Endemic Indian Setting : An Evaluation of Nested Delivery Models |
| title_short |
Strengthening Malaria Service Delivery through Supportive Supervision and Community Mobilization in an Endemic Indian Setting : An Evaluation of Nested Delivery Models |
| title_full |
Strengthening Malaria Service Delivery through Supportive Supervision and Community Mobilization in an Endemic Indian Setting : An Evaluation of Nested Delivery Models |
| title_fullStr |
Strengthening Malaria Service Delivery through Supportive Supervision and Community Mobilization in an Endemic Indian Setting : An Evaluation of Nested Delivery Models |
| title_full_unstemmed |
Strengthening Malaria Service Delivery through Supportive Supervision and Community Mobilization in an Endemic Indian Setting : An Evaluation of Nested Delivery Models |
| title_sort |
strengthening malaria service delivery through supportive supervision and community mobilization in an endemic indian setting : an evaluation of nested delivery models |
| publisher |
World Bank, Washington, DC |
| publishDate |
2014 |
| url |
http://documents.worldbank.org/curated/en/2014/05/19611110/strengthening-malaria-service-delivery-through-supportive-supervision-community-mobilization-endemic-indian-setting-evaluation-nested-delivery-models-strengthening-malaria-service-delivery-through-supportive-supervision-community-mobilization-endemic-indian-setting-evaluation-nested-delivery-models http://hdl.handle.net/10986/18785 |
| _version_ |
1764442674074484736 |
| spelling |
okr-10986-187852021-04-23T14:03:49Z Strengthening Malaria Service Delivery through Supportive Supervision and Community Mobilization in an Endemic Indian Setting : An Evaluation of Nested Delivery Models Das, Ashis Friedman, Jed Kandpal, Eeshani Ramana, GNV Das Gupta, R K Pradhan, Madan M Govindaraj, Ramesh ACCESS TO TREATMENT ANTIMALARIAL DRUGS BACK MALARIA BEHAVIOR CHANGE BIRTH OUTCOMES CAPACITY BUILDING CARE PROVIDERS CARE SEEKING CASE MANAGEMENT CHILDBEARING COMMUNICATION CHANNELS COMMUNITIES COMMUNITY HEALTH COMMUNITY HEALTH CARE COMMUNITY HEALTH WORKERS COMMUNITY INVOLVEMENT COMMUNITY MOBILIZATION COMMUNITY PARTICIPATION COST EFFECTIVENESS CS DEPRESSION DEVELOPMENT POLICY DIAGNOSIS DIAGNOSTIC TESTS DISEASE DISEASE BURDEN DISEASE CONTROL DISEASE TRANSMISSION DISEASES DISSEMINATION DISTRICTS DRUG USERS EARLY DETECTION ECONOMIC STATUS EQUALITY EXERCISES FAMILY WELFARE FEBRILE ILLNESS FEMALE FEMALES FEVER FORMAL EDUCATION HEALTH ACTIVISTS HEALTH BEHAVIOR HEALTH CENTERS HEALTH CONDITIONS HEALTH FACILITIES HEALTH FACILITY HEALTH INTERVENTIONS HEALTH MANAGEMENT HEALTH NEEDS HEALTH POLICY HEALTH SECTOR HEALTH SEEKING HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HOUSEHOLD LEVEL HOUSEHOLD SIZE HOUSEHOLD SURVEYS HOUSEHOLDS ILLNESSES IMMUNIZATION INHABITANTS INTERVENTION KINSHIP LOCAL CAPACITY LOCAL COMMUNITY MALARIA MALARIA BURDEN MALARIA CASES MALARIA CONTROL MALARIA IN PREGNANCY MALARIA MORBIDITY MALARIA REPORT MALARIA TREATMENT MEDICAL RESEARCH MEDICAL TREATMENT MEDICINES MINISTRY OF HEALTH MORBIDITY MORBIDITY AND MORTALITY MORTALITY NEWBORN NEWBORN HEALTH NURSES ONCHOCERCIASIS ONCHOCERCIASIS CONTROL PERIPHERAL HEALTH FACILITIES PNEUMONIA POLICY DISCUSSIONS POLICY IMPLICATIONS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POPULATION INFORMATION POSTERS PREGNANCY PREGNANT WOMEN PREVALENCE PREVENTION ACTIVITIES PREVENTION OF MALARIA PRIMARY EDUCATION PRIMARY HEALTH CARE PRIMARY SCHOOL PROGRESS PUBLIC HEALTH PUBLIC SERVICE QUALITY ASSURANCE QUALITY IMPROVEMENT RELIGIOUS GROUPS REPRODUCTIVE AGE RURAL AREAS RURAL COMMUNITIES RURAL DISTRICT SANITATION SCHOOLS SELF HELP SERVICE DELIVERY SERVICE DELIVERY MODELS SEX SEX WORKERS SLEEP SOCIAL NORMS SPONSORS SYMPTOMS THERAPY TRADITIONAL MEDIA TREATMENT OF MALARIA VILLAGE LEVEL VILLAGES VULNERABLE POPULATIONS WOMEN OF CHILDBEARING AGE WORKERS WORLD HEALTH ORGANIZATION YOUNG CHILDREN YOUTH YOUTH CLUBS Malaria continues to be a prominent global public health challenge, in part because of the slow population adoption of recommended preventive and curative behaviors. This paper tests the effectiveness of two service delivery models designed to promote recommended behaviors, including prompt treatment seeking for febrile illness, in Odisha India. The tested modules include supportive supervision of community health workers and community mobilization promoting appropriate health seeking. Program effects were identified through a randomized cluster trial comprising 120 villages from two purposively chosen malaria-endemic districts. Significant improvements were measured in the reported utilization of bed nets in both intervention arms vis-à-vis the control. Although overall rates of treatment seeking were equal across the study arms, treatment seeking from community health workers was higher in both intervention arms and care seeking from trained providers also increased with a substitution away from untrained providers. Further, fever cases in both treatments were more likely to have received timely medical treatment (within 24 hours) from a skilled provider. The study arm with supportive supervision was particularly effective in shifting care seeking to community health workers and ensuring prompt diagnosis and treatment. A community-based intervention combining the supportive supervision of community health workers with intensive community mobilization can be effective in shifting care seeking and increasing preventive behavior, and thus may be used to strengthen the national malaria control program. 2014-06-26T20:26:06Z 2014-06-26T20:26:06Z 2014-06 http://documents.worldbank.org/curated/en/2014/05/19611110/strengthening-malaria-service-delivery-through-supportive-supervision-community-mobilization-endemic-indian-setting-evaluation-nested-delivery-models-strengthening-malaria-service-delivery-through-supportive-supervision-community-mobilization-endemic-indian-setting-evaluation-nested-delivery-models http://hdl.handle.net/10986/18785 English en_US Policy Research Working Paper;No. 6901 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research South Asia India |