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Table 1 Indicators pertaining to VMWs/MMWs compared with assessment results

From: Village malaria worker performance key to the elimination of artemisinin-resistant malaria: a Western Cambodia health system assessment

Process and outcome indicators

Assessment results

% of contact points (based on initial situational analysis) providing malaria diagnosis, treatment, prevention, and messages to mobile/migrant populations

Most VMWs and MMWs reported working with mobile and migrant groups: 179/197 = 91.0 %

All VMWs and MMWS are fully trained according to plan by 06/09

The majority of VMWs and MMWs received training during the year 2009: 178/197 = 90.3 %

% of community level staff (VMW/MMW) are aware of key messages

Seek treatment from VMW or HC: 167/197 = 88.36 %

Sleep under an ITN: 161/197 = 85.2 %

Sleep under a net when visiting the forest: 132/197 = 69.8 %

Sleep under a net when travelling: 94/197 = 49.7 %

Seek treatment within 24 h: 39/197 = 20.6 %

Complete anti-malarial treatment: 33/197 = 17.5 %

Aware of three key messages: 102/197 = 51.8 %a

Aware of four key messages: 63/197 = 32.0 %b

% of community level staff (VMW/MMW) who perform according to the TOR

Findings for the fourth indicator % of VMWs and MMWs who perform according to TOR are described below

1. The VMW shall keep proper records of consultations, diagnosis and treatment on the standard forms

All VMW/MMW reported filling out the monthly list of cases = 100 %

2. The VMW shall attend the monthly meeting at the health centre where he or she will provide the health care staff with the record forms and pick up a re-supply of RDTs and anti-malarial drugs

Nearly all VMWS and MMWs reported attending the monthly meetings at the health centre on a monthly basis = 196/197 = 99.5 %

3. The VMW must immediately refer to the nearest health centre any patient with signs of severe malaria and any patient who has repeat signs of malaria within 1 month of initial treatment

It was reported that the main group that gets referred are severe malaria patients 122/197 = 82.43 %

  1. aThree key messages include: seek treatment from VMW or HC; sleep under an ITN; and sleep under a net when visiting the forest
  2. bFour key messages include: seek treatment from VMW or HC; sleep under an ITN; sleep under a net when visiting the forest and sleep under a net when travelling