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
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