Integrated home-based screening for people living with disabilities: A case study from rural Malawi

African Journal of Disability


 
 
Field Value
 
Title Integrated home-based screening for people living with disabilities: A case study from rural Malawi
 
Creator Petersen, Elizabeth M. Wroe, Emily B. Nyangulu, Kondwani Kanyenda, Chisomo Njolomole, Sam Dunbar, Elizabeth L. Kachimanga, Chiyembekezo
 
Subject rural health;rural medicine;primary health care Malawi; disability; screening; task shifting; primary healthcare
Description People living with disabilities (PLWDs) have poor access to health services compared to people without disabilities. As a result, PLWDs do not benefit from some of the services provided at health facilities; therefore, new methods need to be developed to deliver these services where PLWDs reside. This case study reports a household-based screening programme targeting PLWDs in a rural district in Malawi. Between March and November 2016, a household-based and integrated screening programme was conducted by community health workers, HIV testing counsellors and a clinic clerk. The programme provided integrated home-based screening for HIV, tuberculosis, hypertension and malnutrition for PLWDs. The programme was designed and implemented for a population of 37 000 people. A total of 449 PLWDs, with a median age of 26 years and about half of them women, were screened. Among the 404 PLWDs eligible for HIV testing, 399 (99%) agreed for HIV testing. Sixty-nine per cent of PLWDs tested for HIV had never previously been tested for HIV. Additionally, 14 patients self-reported to be HIV-positive and all but one were verified to be active in HIV care. A total of 192 of all eligible PLWDs above 18 years old were screened for hypertension, with 9% (n = 17) referred for further follow-up at the nearest facility. In addition, 274 and 371 PLWDs were screened for malnutrition and tuberculosis, respectively, with 6% (n = 18) of PLWDs referred for malnutrition, and 2% (n = 10) of PLWDs referred for tuberculosis testing. We successfully implemented an integrated home-based screening programme in rural Malawi.
 
Publisher AOSIS
 
Contributor Malawi Ministry of Health Partners In Health,Malawi PEPFAR
Date 2019-11-22
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — case study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/ajod.v8i0.582
 
Source African Journal of Disability; Vol 8 (2019); 5 pages 2226-7220 2223-9170
 
Language eng
 
Relation https://ajod.org/index.php/ajod/article/view/582/1270 https://ajod.org/index.php/ajod/article/view/582/1269 https://ajod.org/index.php/ajod/article/view/582/1271 https://ajod.org/index.php/ajod/article/view/582/1268
 
Coverage Neno District,Malawi March 2016-November 2016 people living with disabilities, integrated screening
Rights Copyright (c) 2019 Elizabeth M. Petersen, Emily B. Wroe, Kondwani Nyangulu, Chisomo Kanyenda, Sam Njolomole, Elizabeth L. Dunbar, Chiyembekezo Z. Kachimanga https://creativecommons.org/licenses/by/4.0