Role Of Malaria In Community Medicine Distributors

Community Medicine Distributors play a key role in community based initiative for malaria control. They complement the Primary Health Care services' efforts to deliver prompt and effective treatment for uncomplicated malaria and prompt community referral of severe cases. However, high attrition rate of CMDs often resulting from lack of motivation and incentives can be a major obstacle to the sustainability and effectiveness in any intervention. Although the HMM intervention project in this study area has proved to be life-transforming, community support for CMDs has been a significant challenge to the program’s sustainability. Providing CMDs with incentives to motivate them to continue their volunteering work over a prolonged period of time and regular supply of AL in the health care facilities are paramount to sustainability. Mechanisms of providing incentives to CMDs need to be developed. Operational research is suggested to work out the explanations for the non-committal community and to match the effectiveness of varied incentive mechanisms suggested during this study with other related past studies.

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