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 | |
| 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 | |
| Date | 2019-11-22 | |
| Identifier | 10.4102/ajod.v8i0.582 | |
| Source | African Journal of Disability; Vol 8 (2019); 5 pages 2226-7220 2223-9170 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
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
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