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Access to malaria diagnosis and treatment in Zambia in the context of scaling-up community case management: Results from repeated national cross-sectional surveys

Author

Listed:
  • Zhiyuan Mao
  • Adam Bennett
  • Kafula Silumbe
  • John Miller
  • Justin Millar
  • Hannah Slater
  • Josh Yukich
  • Ruth A Ashton
  • Irene Kyomuhangi
  • Andrew Andrada
  • Refilwe Karabo
  • Thomas P Eisele

Abstract

Community case management has been scaled up nationally in Zambia over the last decade. However, there is limited evidence on how this nationwide implementation has affected febrile patients’ access to malaria diagnosis and treatment in Zambia. This study analyzed four rounds of Malaria Indicator Survey (MIS) data (2012–2021) to evaluate: 1) proportion of all-ages individuals with fever who sought treatment from a formal provider, 2) proportion of individuals going to CHWs over time, among those who sought treatment at a formal provider, 3) time duration between fever onset and treatment seeking at a formal provider, and 4) proportion of children

Suggested Citation

  • Zhiyuan Mao & Adam Bennett & Kafula Silumbe & John Miller & Justin Millar & Hannah Slater & Josh Yukich & Ruth A Ashton & Irene Kyomuhangi & Andrew Andrada & Refilwe Karabo & Thomas P Eisele, 2026. "Access to malaria diagnosis and treatment in Zambia in the context of scaling-up community case management: Results from repeated national cross-sectional surveys," PLOS Global Public Health, Public Library of Science, vol. 6(9), pages 1-15, September.
  • Handle: RePEc:plo:pgph00:0007216
    DOI: 10.1371/journal.pgph.0007216
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