Determinants of quality in home-based management of malaria by community health volunteers in rural Kenya

  • Enock Oburi Marita Amref Health Africa in Kenya
  • Richard Gichuki Amref Health Africa in Kenya
  • Elda Watulo Deutsche Stiftung Weltbevölkerung (DSW)
  • Sylla Thiam Sunu Sante Consulting, Dakar, Senegal
  • Sarah Karanja Amref Health Africa in Kenya
Keywords: Community Case Management of Malaria, Community Health Volunteers, CHV Quality Service Provision


Introduction: Kenya adopted the World Health Organization’s recommendation of community case management of malaria (CCMM) in 2012. Trained community health volunteers (CHVs) provide CCMM but information on quality of services is limited. This study aimed to establish determinants of quality of service of CCMM conducted by CHVs.

Methodology: A cross-sectional survey was conducted in November 2016 in Bungoma County, Kenya. Data were collected through observing CHVs perform routine CCMM and through interviews of CHVs using structured questionnaires. A ≥ 75% score was considered as quality provision. Descriptive statistics were performed to describe basic characteristics of the study, followed by Chi-Square test and binary logistic regression to examine the differences and associations between the categorical variables.

Results: A total of 147 CHVs participated; 62% of CHVs offered quality services. There was a direct association between quality of services and stock-outs of artemether-lumefantrine (AL), stock-outs of malaria rapid diagnostic tests (RDT) and support supervision. CHVs who were supervised during the year preceding the assessment were four times more likely to perform better than those not supervised (uOR 4.2, 95% CI: 1.38-12.85). CHVs with reliable supplies of AL and RDT kits performed three times better than those who experienced stock outs (uOR = 3.2, 95% CI: 1.03-10.03 and 3.3, 95% CI: 1.63-6.59 respectively). Biosafety and documentation were the most poorly performed.

Conclusions: The majority of CHVs offered quality CCMM services despite safety gaps. Safety, continuous supplies of RDT, AL and supervision are essential for quality performance by CHV in delivering CCMM.

Author Biography

Elda Watulo, Deutsche Stiftung Weltbevölkerung (DSW)

Regional Monitoring, Evaluation and Data Officer

How to Cite
Marita EO, Gichuki R, Watulo E, Thiam S, Karanja S (2021) Determinants of quality in home-based management of malaria by community health volunteers in rural Kenya. J Infect Dev Ctries 15:897-903. doi: 10.3855/jidc.13565
Emerging Problems in Infectious Diseases