PMID- 25039710
OWN - NLM
STAT- MEDLINE
DCOM- 20141112
LR  - 20220321
IS  - 1365-3156 (Electronic)
IS  - 1360-2276 (Linking)
VI  - 19
IP  - 10
DP  - 2014 Oct
TI  - Improving malaria treatment and prevention in India by aiding district managers 
      to manage their programmes with local information: a trial assessing the impact 
      of Lot Quality Assurance Sampling on programme outcomes.
PG  - 1226-36
LID - 10.1111/tmi.12354 [doi]
AB  - OBJECTIVES: This paper reports the first trial of Lot Quality Assurance Sampling 
      (LQAS) assessing associations between access to LQAS data and subsequent 
      improvements in district programming. This trial concerns India's approach to 
      addressing an increase in malaria-attributable deaths by training community 
      health workers to diagnose, treat and prevent malaria, while using LQAS to 
      monitor sub-district performance and make programme improvements. METHODS: The 
      Ministry of Health introduced LQAS into four matched high malaria burden 
      districts (Annual Parasite Incidence >5) (N > 5 million). In each sub-district, 
      we sampled four populations in three 6-monthly surveys: households, children <5 
      years, people with fever in the last 2 weeks and community health workers. In 
      three districts, trained local staff collected, analysed and used data for 
      programme management; in one control district, non-local staff collected data and 
      did not disseminate results. For eight indicators, we calculated the change in 
      proportion from survey one to three and used a Difference-in-Differences test to 
      compare the relative change between intervention and control districts. RESULTS: 
      Coverage increased from survey one to three for 24 of 32 comparisons. 
      Difference-in-Differences tests revealed that intervention districts exhibited 
      significantly greater change in four of six vertical strategies (insecticide 
      treated bed-nets and indoor residual spraying), one of six treatment-seeking 
      behaviours and four of 12 health worker capacity indicators. The control district 
      displayed greater improvement than two intervention districts for one health 
      worker capacity indicator. One district with poor management did not improve. 
      CONCLUSIONS: In this study, LQAS results appeared to support district managers to 
      increase coverage in underperforming areas, especially for vertical strategies in 
      the presence of diligent managers.
CI  - (c) 2014 The Authors. Tropical Medicine & International Health published by John 
      Wiley & Sons Ltd.
FAU - Valadez, Joseph J
AU  - Valadez JJ
AD  - METRe Group, Department of International Public Health, Liverpool School of 
      Tropical Medicine, Liverpool, UK.
FAU - Devkota, Baburam
AU  - Devkota B
FAU - Pradhan, Madan Mohan
AU  - Pradhan MM
FAU - Meherda, Pramod
AU  - Meherda P
FAU - Sonal, G S
AU  - Sonal GS
FAU - Dhariwal, Akshay
AU  - Dhariwal A
FAU - Davis, Rosemary
AU  - Davis R
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20140721
PL  - England
TA  - Trop Med Int Health
JT  - Tropical medicine & international health : TM & IH
JID - 9610576
RN  - 0 (Insecticides)
SB  - IM
MH  - Child
MH  - Community Health Services/*standards
MH  - Delivery of Health Care/methods/*standards
MH  - Family Characteristics
MH  - Fever
MH  - Health Care Surveys
MH  - Humans
MH  - India
MH  - Insecticide-Treated Bednets
MH  - Insecticides
MH  - *Lot Quality Assurance Sampling
MH  - Malaria/*prevention & control/*therapy
MH  - Patient Acceptance of Health Care
MH  - Quality Assurance, Health Care/*methods
MH  - *Quality Improvement
OTO - NOTNLM
OT  - Echantillonnage par Assurance de la Qualite du Lot
OT  - Inde
OT  - India
OT  - Lot Quality Assurance Sampling
OT  - community-based management of malaria
OT  - control malaria
OT  - ensayo de muestreo de aceptacion de lotes (LQAS)
OT  - lutte contre le paludisme
OT  - malaria
OT  - malaria control
OT  - malaria prevention
OT  - malaria treatment
OT  - manejo de la malaria basado en la comunidad
OT  - prevencion malaria
OT  - prise en charge communautaire du paludisme
OT  - prevention du paludisme
OT  - traitement du paludisme
OT  - tratamiento malaria
EDAT- 2014/07/22 06:00
MHDA- 2014/11/13 06:00
CRDT- 2014/07/22 06:00
PHST- 2014/07/22 06:00 [entrez]
PHST- 2014/07/22 06:00 [pubmed]
PHST- 2014/11/13 06:00 [medline]
AID - 10.1111/tmi.12354 [doi]
PST - ppublish
SO  - Trop Med Int Health. 2014 Oct;19(10):1226-36. doi: 10.1111/tmi.12354. Epub 2014 
      Jul 21.