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LIST OF ANNEXES
CHAPTER ONE
INTRODUCTION
BACKGROUND TO THE STUDY
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- Setting
- Objectives of the National Malaria Health Education Program 7KHREMHFWLYHVRIWKH1DWLRQDO0DODULD+HDOWK3URJUDPDUH
- Activities of Malaria Health Education Program in the Selected PHC Centre
- Aim of the study
- Objectives of the study 7KHREMHFWLYHVRIWKHVWXG\ZHUH
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HYPOTHESIS
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DEFINITION OF TERMS Table 2: Definition of terms
The period during which a female is pregnant, in humans, is about 266 days from the last normal period to parturition, or 288 days from the last normal period to parturition.
THEORETICAL FRAMEWORK
- The CDC Evaluation Framework
Engaging Stakeholders
Describing the program
Focus the evaluation design (Methodology)
19 their family members, nurses, consulting staff, laboratory technicians, selected primary health care organizations) and finally, the main users of the assessment (researchers, policy makers, partnerships, managers). 20 by evaluating the results of the program, namely the reduction of mortality and morbidity from Malaria in the Logic Model.
Gather credible evidence (Data collection)
Justify conclusions (Data Analysis)
- The LOGIC Model
- CONCLUSION
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CHAPTER TWO
LITERATURE REVIEW
INTRODUCTION
MALARIA AND PREGNANT WOMEN
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SIGNS AND SYMPTOMS OF MALARIA
MALARIA IN DEVELOPING COUNTRIES IN GENERAL
DANGER SIGNS OF SEVERE MALARIA
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SHORTAGES IN HUMAN RESOURCES FOR HEALTH CARE
- Selection of community Health workers
- Community Health workers visiting households
- Collective functions of Community Health Workers
- Building a workforce of CHWs: materials, training and certification
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THE ROLE OF GOVERNMENT WITH RESPECT TO HEALTH CARE EQUITY
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HEALTH EDUCATION ON MALARIA CONTROL
- Importance of prevention of Malaria in pregnant women
- Health promotion and disease prevention
- Effect of Health education for pregnant women
- Distribution of insecticide-treated nets (ITNS)
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INTERMITTENT PRESUMPTIVE TREATMENT (IPT) DURING PREGNANCY
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CONCLUSION
CHAPTER THREE METHODOLOGY
- RESEARCH PARADIGM AND APPROACH
- RESEARCH DESIGN
- Process Evaluation - CHW record audit
- Part 2: Historical Control Quasi-Experimental Outcomes Study: A Retrospective Comparative Clinic Record Review
- RESEARCH SETTING
- STUDY POPULATION
- CHW record review
- Retrospective Comparative Clinic Record Review
- DATA COLLECTION INSTRUMENTS
- Process Evaluation - CHW record review
- VALADITY AND RELIABILITY OF THE TOOLS 1. Validity
- DATA COLLECTION
- ETHICS
- CONCLUSION
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CHAPTER FOUR
FINDINGS
INTRODUCTION
- Demographic data of CHWs
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- Malaria Health Education Processes
- Outputs
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- Malaria morbidity and mortality in children 0- 5 years old from 2006 to 2011 )URPWRFKLOGUHQXQGHU\HDUVROGFRQVXOWHGWKH+HDOWKFHQWUHV
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CHAPTER FIVE
DISCUSSION OF THE FINDINGS
- INTRODUCTION
- PROCESS EVALUATION OF COMMUNITY HEALTH WORKERS’ (CHWs) MALARIA HEALTH EDUCATION PROGRAM
- Inputs (Resources and Staff)
- Malaria Prevention Activities (Processes)
- Outcome Evaluation
- Malaria morbidity and mortality in pregnant women
- Malaria morbidity and mortality in children under 5 years old from 2006 to 2011
- CONCLUSION
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CHAPTER SIX
CONCLUSIONS AND RECOMMENDATIONS
INTRODUCTION
SUMMARY OF THE MAIN FINDINGS
- Outcome evaluation
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RECOMMENDATIONS
- Recommendation for selected Primary Health Care Centre
- Recommendation for further research
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CHECKLIST
ANNEXURE 1.1: Data collection checklist: Process evaluation of the factors influencing malaria Health education given by community Health workers Tool A
- Sessions included information on the following
- Record of Health education materials in the Health Center offered to CHWs +HDOWK HGXFDWLRQ
- Incentives given to CHWs
- How does Health Center communicate with CHWs for the referral of patients &RPPXQLFDWLRQPRELOHE\WHOHSKRQHWR+HDOWK&HQWHU
- How often does the CHWs report to Health facilities : 0RQWKO\
- How do they report
Overview of health education materials provided to CHWs at the health center +HDOWK HGXFDWLRQ +HDOWK HGXFDWLRQ. How does the Health Center communicate with CHWs for patient referral &RPPXQLFDWLRQPRELOHE\WHOHSKRQHWR+HDOWK&HQWHU &RPPXQLFDWLRQPRELOHE\WHOHSKRQHWR+HDOWK&HQWHU.
Data collection checklist: Clinic records Tool B
- PREVENTION OF DISEASES
- FOLLOW UP OF SICK CHILD
The title of the study is “EVALUATION OF THE EFFECTIVENESS OF MALARIA HEALTH EDUCATION IMPLEMENTED BY COMMUNITY HEALTH WORKERS FOR PREGNANT WOMEN IN RWANDA”. This protocol will be approved by the University of KwaZulu-Natal research ethics committees and is awaiting approval.
