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Review
. 2016 Apr 10:44:10.
doi: 10.1186/s41182-016-0008-7. eCollection 2016.

Evaluating active roles of community health workers in accelerating universal access to health services for malaria in Palawan, the Philippines

Emilie Louise Akiko Matsumoto-Takahashi  1 , Shigeyuki Kano  1
Affiliations
Review

Evaluating active roles of community health workers in accelerating universal access to health services for malaria in Palawan, the Philippines

Emilie Louise Akiko Matsumoto-Takahashi et al. Trop Med Health. .

Abstract

Background: Palawan is the most malaria-endemic province in the Philippines. In an effort to confront malaria in areas with limited healthcare facilities, microscopists (community health workers) have been trained to diagnose malaria since 1999.

Methods: We reviewed the epidemiological data and related literature which analyzed the achievements of the microscopists and their tasks in order to propose a strategy to strengthen community-based malaria control.

Results: The epidemiological data showed that there had been a drastic decrease in malaria morbidity and mortality throughout the province following the launch of the strategy. Microscopists clearly enhanced the feasibility of early diagnosis and treatment throughout the province. However, it remained necessary to implement anti-malarial measures focusing on children under 5 years of age who live in the southern region of the province. The analysis of our published papers also enabled us to propose a new strategy to enhance activities by microscopists to raise malaria awareness in their respective communities.

Conclusions: These low-cost activities are expected to strengthen the preventive measures implemented by the residents and to drive more people to seek appropriate treatment. Consequently, this new strategy could accelerate the efforts to eliminate malaria in the province of Palawan that will be adopted in the WHO's Global Technical Strategy for Malaria 2016-2030, in order to achieve the Sustainable Development Goals by 2030.

Keywords: Community health workers; Malaria; Microscopist; Palawan; The Philippines; Universal health access.

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Figures

Fig. 1
Fig. 1
The malaria trends in Palawan. The figure was created by the authors based on the data of the Provincial Health Report, 1995–2010 [–16]
Fig. 2
Fig. 2
The determinants of community awareness-raising activities by microscopists, appropriate treatment, and effective prevention
See this image and copyright information in PMC

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