Training Manual For Management Of Malaria At District Level Participants Manual

Explains the many simple things that community health workers can do to treat malaria prevent new cases and thus help reduce the alarming number of deaths particularly in young children and pregnant women. Practical in its approach the manual concentrates on activities that are within the competence of health workers and feasible and affordable at the community level. Information ranges from a basic explanation of the disease and its transmission to tables illustrating correct treatment schedules for different age groups. The manual which is abundantly illustrated can be used in training courses as a support to the health worker's day-to-day activities or as a tool for health education in the community. The main purpose is to communicate basic facts and messages that if widely understood within a community could do much to reduce the incidence and severity of malaria. Chloroquine is presented as the first-line treatment. The manual has three parts. The first explains what community health workers can do to control malaria and lists the essential medicines and equipment needed. Part two introduces basic facts about malaria and the behaviour of mosquitos and elaborates three main approaches to malaria prevention in communities. The third and most extensive part sets out step-by-step instructions for the recognition and treatment of malaria giving particular attention to standard malaria treatment schedules measures for ensuring compliance what to do when standard treatment fails and how to recognize treat and refer severe cases. The management of malaria in young children and pregnant women also receives special attention.

The main purpose of this manual is to raise awareness of the sorts of technical, operational, and financial resources that would be required to reduce and eventually eliminate malaria, the timelines over which such reductions are likely to be achieved, and how they can be sustained. This knowledge is essential in order to plan strategically for long-term success. More detailed, context-specific planning will be an important next step after working through the general approach set out in the document. This document aims to assist malaria programs in evaluating whether elimination, or other reductions in malaria, represents a feasible and appropriate goal in a defined area, based on careful consideration of what reductions in transmission are likely to occur given the intrinsic malaria burden, the levels of program coverage that can be reached, and the financial investment available.