Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-23T05:04:53.220Z Has data issue: false hasContentIssue false

Policy brief on improving access to artemisinin-based combination therapies for malaria in Central African Republic

Published online by Cambridge University Press:  15 April 2010

Gérard Gresenguet
Affiliation:
Université de Bangui and Centre Référence MST-SIDA
Méthode Moyen
Affiliation:
Ministère de la Santé Publique
Boniface Koffi
Affiliation:
Université de Bangui and Laboratoire National de Biologie Clinique et de Santé Publique
Jean Pierre Bangamingo
Affiliation:
Cabinet du Ministre de la Santé Ministère de la Santé Publique

Extract

In the Central African Republic (CAR) malaria is a major public health problem and hampers socioeconomic development. It accounts for 40 percent of complaints and 10 percent of deaths in health facilities (15;17). Pregnant women, who make up 4 percent of the population, and children under 5 years of age, who represent 17.3 percent, are the groups most vulnerable to malaria owing to their low levels of immunity.

Type
THEME SECTION: OPTIONS FOR IMPROVING MALARIA TREATMENT
Copyright
Copyright © Cambridge University Press 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. Ajayi, IO, Browne, EN, Garshong, B, et al. Feasibility and acceptability of artemisinin-based combination therapy for the home management of malaria in four African sites. Malaria J. 2008;7:6.CrossRefGoogle ScholarPubMed
2. Amin, AA, Zurovac, D, Kangwana, BB, et al. The challenges of changing national malaria drug policy to artemisinin-based combinations in Kenya. Malaria J. 2007;6:72.CrossRefGoogle ScholarPubMed
3. Belec, L, Delmont, J, Vesters, I, et al. Emergence of multiresistant Plasmodium falciparum malaria in the Central African Republic. Presse Med. 1988,17;20902091.Google Scholar
4. Forsetlund, L, Bjørndal, A, Rashidian, A, et al. Continuing education meetings and workshops. Cochrane Database Syst Rev. 2009;2:CD003030.Google Scholar
5. Hopkins, H, Talisuna, A, Whitty, CJ, et al. Impact of home-based management of malaria on health outcomes in Africa: A systematic review of the evidence. Malaria J. 2007,6:134.CrossRefGoogle Scholar
6. Lagaarde, M, Palmer, N. Evidence from systematic reviews to inform decision making regarding financing mechanisms that improve access to health services for poor people. A policy brief prepared for the International Dialogue on Evidence-Informed Action to Achieve Health Goals in Developing Countries (IDEAHealth). Geneva: Alliance for Health Policy and Systems Research, 2006. http://www.who.int/rpc/meetings/HealthFinancingBrief.pdf. (accessed April 15, 2009)Google Scholar
7. Lewin, SA, Babigumira, SM, Bosch-Capblanch, X, et al. Lay health workers in primary and community health care: A systematic review of trials, 2006. www.who.int/rpc/meetings/LHW_review.pdf. (accessed April 15, 2009)CrossRefGoogle Scholar
8. Menard, D, Djalle, D, Manirakiza, A, et al. Drug-resistant malaria in Bangui, Central African Republic: An in vitro assessment. Am J Trop Med Hyg. 2005;73:239243.CrossRefGoogle ScholarPubMed
9. Menard, D, Madji, N, Manirakiza, A, et al. Efficacy of chloroquine, amodiaquine, sulfadoxine-pyrimethamine combination, and amodiaquine-sulfadoxine-pyrimethamine combination in Central African children with non complicated malaria. Am J Trop Med Hyg. 2005;72:581585.CrossRefGoogle Scholar
10. Ministry of Health. National guidelines for case management of malaria in the Central African Republic. Bangui: Ministry of Health; March 2008.Google Scholar
11. Ministry of Public Health of the Population and AIDS Control. Strategic plan for malaria control 2007–2011. Bangui: Ministry of Public Health.Google Scholar
12. Ministry of Public Health of the Population and AIDS Control. National health development plan 2006–2015. Bangui: Ministry of Public Health.Google Scholar
13. Ministry of Public Health of the Population and AIDS Control. PECADOM consolidation plan. Bangui: Ministry of Public Health.Google Scholar
14. Ministry of Public Health of the Population and AIDS Control. PECADOM monitoring and evaluation plan. Bangui: Ministry of Public Health.Google Scholar
15. Ministry of Public Health of the Population and AIDS Control. Study of the health system and malaria in the Central African Republic; 2001. Bangui: Ministry of Public Health.Google Scholar
16. Patouillard, E, Goodman, CA, Hanson, KG, Mills, AJ. Can working with the private for-profit sector improve utilization of quality health services by the poor? A systematic review of the literature. Int J Equity Health. 2007;6:17.CrossRefGoogle Scholar
17. United Nations Population Fund. Multiple indicator cluster survey 2006. New York: UNFPA; 2007.Google Scholar