Country analysis West African French countries

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Country analysisWest African French countries
Madagascar

• Malaria caring

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I - Diagnosis.

• Laboratory diagnosis limited to specific cases
  according to national programsg guidlines.
• Lab diagnosis leads to rise treatment costs.
• Clinical signs mainly used even in health equiped
  health facilities.

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II - Case management(health facilities)

• IMCI strategy is adopted by all country for case
  mnagement .
• Assisted self training approach in Madgascar case
  through self training materials.
• IMCI Pilot testing demonstration zones
  (districts).

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II - Case management(health facilities)

• Challenges.
• Poor supervision.
• Heavy timeline of the process including training.

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II - Case management(health facilities)

• Suggestion
• Introduce IMCI module in health professional
  basic training curricula (medical doctor, nurse,
  midwife).

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II - Case management(community level)

• Home treatment through CHWs and set up of
  community essential medical drugs stores
  (chloroquin) in WV Sn case.
• Impregnated mosquito net as entry point in Care
  benin case in order to build mother group
  alliance through which home case treatment should
  be carried out.
• Demonstration study on traditional healers
  training in Mali anti malaria packating .

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II - Case management(community level)

• C-IMCI strategy used in Madagascar case.
  (promotion of key attitudes and practices
  recognition of signs of danger by CHWs).
• Suggestion
• Think about motivation of CHWs involved in
  community based case management.

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III- Medical drugs

• Chloroquin still first option.
• Available in health facilities (all level)
  through the  Bamako initiative .
• Sensivity surveillance by specific organizations
  (IRD, University).
• Mobil medical drugs vendors (cheap prices, door
  to door services).

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III - Medical drugs

• Challenges.
• Non Quality control.
• Poor supervision and follow up.

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III - Medical drugs

• Suggestions.
• Community training education.
• Increase access to good quality medical drugs
  through community based anti malaria drug stores.
• NGOs support supervision and follow up.
• Support Community based health system (CHWs,
  THs...).
• Support mutual solidarity among community
  members.

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IV - IEC

• Larger view of the education component (Health
  development).
• Targeting women in particular.
• Give message on sources of quality drugs.