Proactive and reactive case detection to optimise the diagnosis and treatment of malaria in a high transmission setting of Cameroon
This quality improvement study aims to demonstrate the feasibility of embedding both the proactive case detection (PACD) and reactive case detection (RACD) strategies into the integrated community case management (iCCM) in order to maximise malaria case detection and prompt treatment in a high transmission area.
Integrated community case management (iCCM) of childhood illness is a powerful intervention to reduce mortality. Yet, only 29% and 59% of children with fever in sub-Saharan Africa had access to malaria testing and treatment between 2015 and 2017.
Community-led observational quality improvement study to measure the proportion of additional Plasmodium infection detected under iCCM+ compared with iCCM alone, in Bare-Bakem, Cameroon. PACD was undertaken in 12 primary and nursery schools, 4 health centres and 13 community neighbourhoods on a weekly basis, during 8 weeks of the high transmission period between April and June 2018.
Intervention: A modified iCCM programme (iCCM+) comprising a proactive screening of febrile children <5 years old for malaria using rapid diagnostic testing to identify index cases and a reactive screening triggered by these index cases to detect secondary cases in the community.