What steps are needed to practice this behavior?
Recognize signs and symptoms of malaria
Decide to seek care
Mobilize transport, resources, and logistics to get to a qualified provider who can test properly for malaria
Obtain diagnosis from a qualified provider
Obtain treatment based on diagnosis of the provider
Adhere to full course of prescribed treatment
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to see the pathwaysA pathway illustrates how elements in the Behavior Profile are linked. When read from right to left, a pathway highlights how strategies are expected to address the factors to enable adoption of the Accelerator Behavior.
of the behavior.
What factors may prevent or support practice of this behavior? These should be analyzed for each country context.
Accessibility: Caregivers cannot access health facilities because facilities are too far
Accessibility: Caregivers cannot receive care because malaria prevention, diagnosis and treatment supplies are unavailable
Accessibility: Caregivers do not access formal health facilities because they exhaust all local options first
Service Provider Competencies: Caregivers cannot obtain proper diagnosis because providers do not follow National Malaria Case Management guidelines
Service Provider Competencies: Caregivers do not seek the care of providers because they may be poorly treated
Service Experience: Caregivers do not seek care because health facilities may be poorly equipped and maintained
Norms: Caregivers do not seek care because fever is considered normal and is accepted
Attitudes and Beliefs: Caregivers do not seek care for fever because they feel treatment is unnecessary or ineffective
Knowledge: Caregivers do not seek care because they are unaware that prompt diagnosis and treatment can prevent symptoms and complications of and death from malaria
SUPPORTING ACTORS AND ACTIONS
Who must support the practice of this behavior?
Providers: Prescribe anti-malarial per the national surveillance guidelines for all positive RDT results
Providers: Diagnose malaria using rapid diagnostic tests for all suspected malaria cases
Providers: Counsel caregivers on severity of malaria, importance of diagnosis, treatment, danger signs, and when and where to seek care during all interactions
Logistics Personnel: Procure sufficient stock of malaria diagnostics and supplies
Managers: Seek innovative ways to provide client-friendly services that are closer to the clients
Managers: Conduct regular supervisory visits to ensure that providers are following approved guidelines and facilities are properly equipped and maintained
Community Leaders: Support social accountability structures to ensure facilities are properly equipped, maintained, and provide quality services
Community and Religious Leaders: Emphasize the severity of malaria, importance of seeking care for fever, and efficacy of diagnosis and treatment options
POSSIBLE PROGRAM STRATEGIES
How might we focus our efforts based on this analysis?
Financing: Establish transportation systems and transport within the communities to ensure access to care
Systems, Products and Services
Supply Chain: Set up effective supply chain and quality control systems to public and private sectors to ensure diagnostic tools and treatment for other febrile illnesses are available
Quality Improvement: Train providers to adhere to test results and ensure treatment as per national guidelines, and explain protocol to caregivers
Quality Improvement: Equip health workers and community health workers with locally tailored behavior-centered job aids
Quality Improvement: Emphasize the importance of respectful quality care by providers during pre-service and in service training to ensure clients receive quality treatment
Quality Improvement: Develop facilities equipment and maintenance checklist for use by managers and providers to improve health care facilities
Demand and Use
Communication: Implement SBCC activities to educate caregivers on malaria symptoms, danger signs, severity, etc.
Collective Engagement: Conduct community mobilization activities for caregiver and caregiver support systems around malaria care seeking, diagnosis, treatment and counseling to promote prompt careseeking